Reliability of HemoCue in patients with gastrointestinal bleeding
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
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.
94 patients admitted to the emergency department or to the ICU for gastrointestinal bleeding.
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.
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.
- Longstreth GF (1995) Epidemiology of hospitalization for acute upper gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol 90:206–210
- Longstreth GF (1997) Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol 92:419–424
- Conway AM, Hinchliffe RF, Earland J, Anderson LM (1998) Measurement of hemoglobin using single drops of skin puncture blood: is precision acceptable? J Clin Pathol 51:248–250 CrossRef
- Jaeger M, Ashbury T, Adams M, Duncan P (1996) Perioperative on-site haemoglobin determination: as accurate as laboratory values? Can J Anaesth 43:795–798 CrossRef
- Chen PP, Short TG, Leung DH, Oh TE (1992) A clinical evaluation of the HemoCue haemoglobinometer using capillary, venous and arterial samples. Anaesth Intensive Care 20:497–500
- Bland MJ, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet I:307–310
- Nozoe T, Matsumata T, Sugimachi K (2002) Clinical impact of patients with ruptured esophageal varices with death outcome. Hepatogastroenterology 49:185–187
- So JB, Yam A, Cheah WK, Kum CK, Goh PM (2000) Risk factors related to operative mortality and morbidity in patients undergoing emergency gastrectomy. Br J Surg 87:1702–1707 CrossRef
- Hebert PC, Wells G, Blajchman MA, Marshall J, Martin C, Pagliarello G, Tweeddale M, Schweitzer I, Yetisir E (1999) A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group. N Engl J Med 340:409–417 CrossRef
- Lebrec D, Vinel JP, Dupas JL (2005) Complications of portal hypertension in adults: a French consensus. Eur J Gastroenterol Hepatol 17:403–410 CrossRef
- Munoz Gomez M, Naveira E, Romero A, Cordero J, Gonzalez Molina M, Ramirez Ramirez G (2004) Accuracy and reliability of the immediate determination of haemoglobin using the HemoCue B hemoglobin in patients undergoing haemodialysis. Nefrologia 24:579–582
- Paddle JJ (2002) Evaluation of the haemoglobin colour scale and comparison with the HemoCue haemoglobin assay. Bull World Health Organ 80:813–816
- Rippmann CE, Nett PC, Popovic D, Seifert B, Pasch T, Spahn DR (1997) HemoCue, an accurate bedside method of hemoglobin measurement? J Clin Monit 13:373–377 CrossRef
- Lardi AM, Hirst C, Mortimer AJ, McCollum CN (1998) Evaluation of the HemoCue for measuring intra-operative haemoglobin concentrations: a comparison with the Coulter Max-M. Anaesthesia 53:349–352 CrossRef
- Radtke H, Polat G, Kalus U, Salama A, Kiesewetter H (2005) Hemoglobin screening in prospective blood donors: comparison of different blood samples and different quantitative methods. Transfus Apher Sci 33:31–35 CrossRef
- Munoz M, Romero A, Gomez JF, Manteca A, Naveira E, Ramirez G (2005) Utility of point-of-care haemoglobin measurement in the HemoCue-B haemoglobin for the initial diagnosis of anaemia. Clin Lab Haematol 27:99–104 CrossRef
- Munoz Gomez M, Naveira Abeigon E, Romero Ruiz A, Ramirez Ramirez G (2003) Precision and accuracy of the immediate determination of hemoglobin using HemoCueB Hemoglobin in urgent, surgical, and critical patients. Rev Esp Anestesiol Reanim 50:332–339
- Reliability of HemoCue in patients with gastrointestinal bleeding
Intensive Care Medicine
Volume 33, Issue 2 , pp 355-358
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Gastrointestinal hemorrhage
- Intensive care
- Industry Sectors
- Author Affiliations
- 1. Medicosurgical Intensive Care Unit, Centre Hospitalier Sud-Francilien, Quartier du Canal, Courcouronnes, 91014, Evry, France
- 2. Emergency Department, Centre Hospitalier Sud-Francilien, Quartier du Canal, Courcouronnes, 91014, Evry, France
- 3. Hepatogastroenterology Unit, Centre Hospitalier Sud-Francilien, Quartier du Canal, Courcouronnes, 91014, Evry, France