The Indonesian Biomedical Journal
Vol 9, No 3 (2017)

Diagnostic Test Equivalent Hemoglobin Reticulocyte in Iron Deficiency Anemia

Arundina Sanyoto (Hematology and Medical Oncology Division, Department of Internal Medicine, Faculty of Medicine, Udayana University, Jl. PB Sudriman, Denpasar, Bali)
Ketut Suega (Hematology and Medical Oncology Division, Department of Internal Medicine, Faculty of Medicine, Udayana University, Jl. PB Sudriman, Denpasar, Bali)
Losen Adnyana (Hematology and Medical Oncology Division, Department of Internal Medicine, Faculty of Medicine, Udayana University, Jl. PB Sudriman, Denpasar, Bali)
I Made Bakta (Hematology and Medical Oncology Division, Department of Internal Medicine, Faculty of Medicine, Udayana University, Jl. PB Sudriman, Denpasar, Bali)



Article Info

Publish Date
01 Dec 2017

Abstract

BACKGROUND: Diagnosing iron deficiency anemia (IDA) is easy, but also can be complicated in condition with inflammation. A new modality for diagnostic which isn’t influenced with inflammation is needed. The aim of this study is to find the cut-off point and evaluate the accuracy of reticulocyte hemoglobin equivalent (Ret-He) to diagnose IDA using ferritin as the gold standard.METHODS: This study was an observational study with cross-sectional analytical design continued with the diagnostic test conducted in anemic individuals with age 18 years old or above.RESULTS: Eighty-seven patients (41 men and 46 women) were included in this study with mean of hemoglobin 7.42 g/dL, serum iron 42.71 mg/dL, total iron-binding capacity (TIBC) 242.82 mg/dL, ferritin 799 ug/L and Ret-He 23.63 pg. Ret-He with cut-off value 25 pg showed a sensitivity 97.2% (95% CI 83.79-99.85%), specificity 66.67% (95% CI 51.97-78.85%), positive predictive value 67.30% (95% CI 52.77-79.28%) and negative predictive value 97.14% (95% CI 83.38-99.85%).CONCLUSION: Ret-He showed the best sensitivity for detection of IDA and was suggested as the screening test for IDA.KEYWORDS: IDA, Ret-He, diagnostic test

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