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Abstract

Comparison of Fingertip Hemoglobin Value with Venous Hemoglobin Value in Bleeding Patients Followed at the Emergency Department by Ökkeş Zortuk, Salih D. Şimşek, Cihan Bedel, Fatih Selvi, Yusuf Karanci, Günay Yildiz

Background: Hemoglobin's pivotal role in human health is monitored through hospital-based complete blood count (CBC) by utilizing automated methods like electrical impedance and photon scattering. This study explored bedside fingertip hemogram and hematocrit analysis’ reliability versus CBC´s in emergency department patients, crucial for hemorrhagic condition management.
Methods: The study included emergency department patients requiring hemogram monitoring. Participant data, CBC, and fingertip hemogram and hematocrit result values from venous blood using a conventional device were compared during monitoring.
Results: In this study, 88 participants (63.6% female, mean age 47.68 ± 19.80) were assessed for hemoglobin and hematocrit levels using both fingertip and conventional methods. Fingertip hemogram measurements showed a significant correlation with conventional CBC devices, yet tended to be 1.20 g/dL lower. Similarly, fingertip hematocrit measurements correlated positively but were 3.59% lower compared to conventional measurements.
Conclusions: Bedside fingertip devices for hemogram measurement in emergency departments provide time-efficient and resource-saving advantages.

DOI: 10.7754/Clin.Lab.2025.250423