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Comparison of the NBM 200 non-invasive haemoglobin sensor with Sahli’s hemometer among adolescent girls in rural India

Ahankari, Anand S.; Dixit, J.V.; Fogarty, Andrew W.; Tata, Laila J.; Myles, Puja R.

Authors

Anand S. Ahankari

J.V. Dixit

Andrew W. Fogarty andrew.fogarty@nottingham.ac.uk

Laila J. Tata laila.tata@nottingham.ac.uk

PUJA MYLES puja.myles@nottingham.ac.uk
Non Clinical Associate Professor



Abstract

Objective: The study objective was to compare haemoglobin measurements between the NBM 200 (non-invasive haemoglobin sensor) and Sahli’s hemometer in adolescent girls in a rural Indian setting.

Methods: Participants included girls aged between 13 to 17 years from 34 villages in Tuljapur and Lohara blocks of Osmanabad district, Maharashtra, India. Haemoglobin (Hb) measurements from the non-invasive sensor (NBM 200) were compared with measurements obtained from Sahli’s hemometer using Bland-Altman plot, Spearman correlation coefficient, sensitivity, specificity, and area under the receiver operating characteristic curve analysis (AUROC).

Results: Paired measurements from both methods were obtained from 766 adolescent girls (N=766). Haemoglobin levels estimated by Sahli’s hemometer ranged from 5.0 g/dL to 14.0 g/dL (mean: 10.1 g/dL, standard deviation (SD): 1.41), whereas measurements obtained from the NBM 200 ranged from 9.5 g/dL to 15.2 g/dL (mean: 12.8 g/dL, SD: 1.42). The Bland-Altman analysis indicated a mean difference of -2.70 g/dL (95% Confidence Intervals: -2.84 to -2.55) demonstrating an overestimation of Hb measurement by the NBM 200 compared to the Sahli’s hemometer measurements. The NBM 200 showed low sensitivity (23.6%) and moderate specificity (61.8%) for the diagnosis of anaemia. The AUROC score was 0.43 indicating an underestimation of anaemia in our study population by the NBM 200.

Conclusion: Haemoglobin measurements obtained from the NBM 200 were consistently higher leading to an underestimation of anaemia prevalence compared with Sahli’s hemometer estimates among adolescent girls in India.

Journal Article Type Article
Publication Date Oct 1, 2016
Journal BMJ Innovations
Electronic ISSN 2055-642X
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 2
APA6 Citation Ahankari, A. S., Dixit, J., Fogarty, A. W., Tata, L. J., & Myles, P. R. (2016). Comparison of the NBM 200 non-invasive haemoglobin sensor with Sahli’s hemometer among adolescent girls in rural India. BMJ Innovations, 2, doi:10.1136/bmjinnov-2016-000139
DOI https://doi.org/10.1136/bmjinnov-2016-000139
Keywords Adolescent, Sahli’s hemometer, Anaemia, Non-invasive Haemoglobin, NBM 200, India
Publisher URL http://innovations.bmj.com/content/2/4/144
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf

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Ahankari et al BMJ Innovations accepted manuscript_UON Repository_27 July 2016.pdf (389 Kb)
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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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