Haematological Profile of Adolescents at a tertiary care centre in Konkan region of Maharashtra state, India
Haematological Profile of Adolescents at a tertiary care centre
Keywords:CBC, Hematology, Adolescents, Anemia
Lack of studies and information on hematological parameters for adolescent population (10-19 yrs) is obvious on extensive research. In adolescent stage, nutritional deficiency is more common, more so in girls which are vulnerable to anaemia. Assessment of Hematological parameters in young, growing population is important in determination of normal values worldwide and for identification of anemia.
The present study was a cross sectional, observational, retrospective study. The study period is of 1 year and 3 months (1st January 2020 to 31st March 2021). This study is based on hematological profile of 250 Adolescents (aged 10-19 years). For each of the adolescents, a blood sample by venipuncture was derived in an EDTA vacutainer. The blood sample was used to determine both the complete blood count and peripheral smear findings in each case. The automated hematology analyzer "Horiba Yumizen 500" was used to measure the variables of full blood count. All the data was tabulated in Microsoft excel sheet and analyzed using descriptive statistics.
In our study, out of 250 cases studied, Males were 95 (38%) and females were 155 ( 62%). According to Age distribution, maximum cases were in 17-19 years of age group (57.6%) and minimum cases were in 10-13 age group (19.2 %). The haemoglobin level among these adolescents ranged from 12-18 gm/dl (52.4%) . 28.8% cases were present in 10-12 gm/dl range . The hemoglobin level <10 gm/dl were present in 18.8% cases. RBC count ranged from 4.20-6.00 millions/cu mm in the maximum cases of adolescents with 69.2%. In the present study, the hematocrit range in adolescents (10-19 yrs) age group, the maximum cases (66.8% cases) show <39% haematocrit. Cases with MCV between 76-100 fl, 69.6% cases were seen. The level of MCV count <76 fl , cases of adolescents were 27.6%. In the present study, MCH count <32 pg was seen in 90.4% adolescents. MCH level >35 pg was seen in 0.8% cases. MCHC count >34 g/dl was seen in 53.6% cases, whereas <26 gm/dl seen in 0.8% cases. The total leucocytes count less than 4,000 cell/mm3 was present in 7.2% cases, whereas a total leucocytes count more than 11,000 cell/mm3 was present 26% cases. Maximum cases had platelet count range from 150000 to 4,50,000 /cu mm. 2.4% cases show thrombocytopenia. Thrombocytosis was noted in 4.45% cases.
Nutritional deficiency anaemia was more prevalent in adolescent girls in this region. Anaemia was seen more in girl adolescents compared to boys. Hematological parameters were better in boys compared to girl adolescents in this region.