Iron Deficiency Clinical Trial
Official title:
Detection of β Thalassemia Carriers by Red Cell Parameters Obtained From the H2 Automatic Counter. A Clinical Retrospective Study.
β thalassemia is an autosomal recessive hemoglobinopathy and considered as the most
widespread genetic mutation. According to the World Health Organization (WHO) between 1.5-7%
of the world population are carriers for this disease, and every year 60,000-400,000 birth of
new patients are reported. In Israel, the incidence of carriers for β thalassemia is around
20% among the Jewish from Kurdish origin and around 5-10% among the Arab population.
β thalassemia is a severe disease which requires many resources, both medical and financial.
The disease is expressed by chronic hemolytic anemia which requires regular blood
transfusions every 3 weeks. As a result of the blood transfusions and the iron absorption by
the digestive tract, those patients suffer from severe hemosiderosis which is the main
mortality cause in the disease, mainly in the second decade for life. Daily treatment with
iron chelator is required. Moreover, despite the actual treatment, the quality of life of
those patients is still low.
Therefore the implementation of a prevention program which includes finding an effective and
inexpensive way for identifying the β thalassemia carriers is a humanitary and publicly
important goal.
In β thalassemia carriers, laboratory tests will show hypochromic microcytic anemia. Those
findings are similar in iron deficiency anemia, but the RBC number and the RDW are normal in
thalassemia carriers.
Few researchers tried in the past to determine cutoff point for diagnosis of β thalassemia
carriers by different formulas.
We used the algorithm SVM (support vector machine) to find a reliable formula that can
separate patients with Iron deficiency anemia/ healthy from patients with β thalassemia minor
(carriers). This formula can be inserted to any automatic blood counter and search for
suspected carriers without deliberately intention and without any further blood test.
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