Variation in haemoglobin measurement across different HemoCue devices and device operators in rural Cambodia

J Clin Pathol. 2017 Jul;70(7):615-618. doi: 10.1136/jclinpath-2017-204351. Epub 2017 Mar 8.

Abstract

: Point-of-use haemoglobinometers, such as the HemoCue, are a common method to measure haemoglobin (Hb) concentration in field settings as the device is portable, requires only a small finger-prick capillary blood sample and computes an immediate Hb reading. The aim of this study was to compare Hb measurements across different HemoCue devices and across device operators using capillary blood samples collected from women during a trial in rural Cambodia. We compared mean±SD capillary Hb concentration (g/L) across n=12 different HemoCue Hb 301 devices and across n=9 device operators among 2846 Cambodian women. Significant variability in mean Hb concentration was observed across HemoCue devices (means ranged from 117 to 124 g/L) and across device operators (means ranged from 118 to 124 g/L). This variability is of particular concern when a single HemoCue device or device operator is used at different time points in surveys or research trials.

Trial registration number: NCT02481375.

Keywords: ANALYTICAL METHODS; HAEMATOLOGY; diagnostic screening.

Publication types

  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Analysis of Variance
  • Cambodia
  • Double-Blind Method
  • Female
  • Hemoglobinometry / instrumentation
  • Hemoglobinometry / standards
  • Hemoglobins / metabolism*
  • Humans
  • Middle Aged
  • Point-of-Care Systems / standards
  • Reference Values
  • Rural Health
  • Young Adult

Substances

  • Hemoglobins

Associated data

  • ClinicalTrials.gov/NCT02481375