Evaluation of RET-He values as an early indicator of iron deficiency anemia in pregnant women.

Hematol Transfus Cell Ther

Faculdade de Farmácia, Universidade Federal do Rio Grande do Sul (FacFar UFRGS), Porto Alegre, RS, Brazil.

Published: July 2021

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Article Abstract

Introduction: During pregnancy, women are at an increased risk of developing iron-deficiency anemia.

Objective: The objective of this study was to assess the diagnostic performance of the reticulocyte hemoglobin equivalent (RET-He) in the early detection of iron-deficiency anemia in a group of pregnant women and to establish a reference range for this parameter in a group of control individuals.

Method: A total of 60 patients and 130 control subjects were included in the study. Blood samples collected from the subjects were submitted to a complete blood count and a serum ferritin test and the data were analyzed by comparing the groups and ROC curves.

Results: The reference range found for the RET-He was between 29.75pg and 38.24pg, with a median of 35pg. The receiver operating characteristic (ROC) curve analysis for the ferritin parameter showed an area under the curve of 0.732 for the RET-He, 0.586 for hemoglobin, 0.551 for the mean corpuscular hemoglobin concentration and 0.482 for the mean corpuscular volume.

Conclusion: Early diagnosis of iron deficiency anemia in pregnancy is essential to prevent damage to both maternal and fetal health. The RET-He presents an excellent potential as an auxiliary tool for the diagnosis of iron deficiency in pregnant women.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9938494PMC
http://dx.doi.org/10.1016/j.htct.2021.05.006DOI Listing

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