Reliability of HemoCue in patients with gastrointestinal bleeding View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-02

AUTHORS

Andry Van de Louw, Nadine Lasserre, François Drouhin, Stéphane Thierry, Lucien Lecuyer, Daniel Caen, Alain Tenaillon

ABSTRACT

OBJECTIVE: HemoCue is routinely used to manage bleeding patients, but few studies have evaluated its accuracy in this population. We compared HemoCue with laboratory determination of blood hemoglobin in patients with gastrointestinal bleeding. DESIGN AND SETTING: A prospective observational study in a 14-bed medicosurgical ICU and an emergency department in an urban general hospital. PATIENTS: 94 patients admitted to the emergency department or to the ICU for gastrointestinal bleeding. INTERVENTIONS: Blood was drawn at admission to measure laboratory hemoglobin and capillary hemoglobin was measured simultaneously by HemoCue. The unit of hospitalization and the presence or absence of impaired vital signs (tachycardia and/or hypotension and/or shock) were recorded. MEASUREMENTS AND RESULTS: The mean difference between HemoCue and hemoglobin (bias) was -0.06 g/dl and standard deviation (precision) 0.87 g/dl. (95% CI -1.8 to 1.68). Discrepancies between HemoCue and hemoglobin were greater than 1 g/dl in 21% of cases. Bias was comparable between patients admitted to the ICU and those in the emergency department. The accuracy of HemoCue was not affected by the presence of impaired vital signs or by a hemoglobin level below 9 g/dl or 7 g/dl. CONCLUSIONS: Although we demonstrated a low bias between HemoCue and blood hemoglobin determination, large HemoCue vs. hemoglobin differences may still occur, and therefore therapeutic decisions based upon capillary HemoCue alone should be very cautious. More... »

PAGES

355-358

References to SciGraph publications

  • 1997-11. HemoCue®, an Accurate Bedside Method of Hemoglobin Measurement? in JOURNAL OF CLINICAL MONITORING AND COMPUTING
  • 1996-08. Perioperative on-site haemoglobin determination: as accurate as laboratory values? in JOURNAL CANADIEN D'ANESTHÉSIE
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00134-006-0461-6

    DOI

    http://dx.doi.org/10.1007/s00134-006-0461-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1022039213

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/17146633


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