Title: Evaluation of anaemia in children using minimum haematological parameters and correlation of red cell distribution width with mean corpuscular volume for prediction of early stages of nutritional anaemia
Authors Bimla Banjare, Aditi Das, Renuka Gahine, Madhuri Khunte
We had discussed and classified childhood anaemia using minimum haematological parameters. Six months cross sectional study was done on 3033 children (under 15 years). Complete blood count (CBC) parameters were analyzed, with correlation of red cell distribution width (RDW) and mean corpuscular volume (MCV). 46.6% children were anaemic. Male: female ratio was 1.3:1. Anaemia burden was highest among children of age 11-15 years (n=560, 18.4%) followed by 0-5 years (n=500, 16.4%) with predominance of normocytic anaemia with high RDW (n=672, 47.4%) followed by microcytic anaemia with high RDW (n=463, 32.7%), indicating predominance of early nutritional anaemia in adolescents and frank iron deficiency anaemia in preschool children respectively. Maximum children had moderate (n=803, 56%), followed by mild (n=343, 24.2%) and severe anaemia (n=269, 19%). Of 381, 104 (27.3%) children with anaemia and thrombocytopenia, had high MCV, due to megaloblastic anaemia. Early nutritional anaemia represents tip of iceberg. RDW and MCV can predict early anaemia in limited resource settings. Earliest detection can definitely reverse condition.
Keywords: anaemia, children, iron deficiency, mean corpuscular volume (MCV), megaloblastic, nutritional, red cell distribution width (RDW).