TY - JOUR A2 - Chao, Yun-Peng AU - Addai-Mensah, Otchere AU - Gyamfi, Daniel AU - Duneeh, Richard Vikpebah AU - Danquah, Kwabena O. AU - Annani-Akollor, Max E. AU - Boateng, Lillian AU - Owiredu, Eddie-Williams AU - Amponsah, Francis A. AU - Afriyie, Edward Y. AU - Asare, Renate AU - Ofosu, David Ntiamoah PY - 2019 DA - 2019/02/05 TI - Determination of Haematological Reference Ranges in Healthy Adults in Three Regions in Ghana SP - 7467512 VL - 2019 AB - Laboratory results interpretation for diagnostic accuracy and clinical decision-making in this period of evidence-based medicine requires cut-off values or reference ranges that are reflective of the geographical area where the individual resides. Several studies have shown significant differences between and within populations, emphasizing the need for population-specific reference ranges. This cross-sectional experimental study sought to establish the haematological reference values in apparently healthy individuals in three regions in Ghana. Study sites included Nkenkaasu, Winneba, and Nadowli in the Ashanti, Central, and Upper West regions of Ghana, respectively. A total of 488 healthy participants were recruited using the Clinical and Laboratory Standards Institute (United States National Consensus Committee on Laboratory Standards, NCCLS) Guidance Document C28A2. Medians for haematological parameters were calculated and reference values determined at 2.5th and 97.5th percentiles and compared with Caucasian values adopted by our laboratory as reference ranges and values from other African and Western countries. RBC count, haemoglobin, and haematocrit (HCT) were significantly higher in males compared to females. There were significant intraregional and interregional as well as international variations of haematological reference ranges in the populations studied. We conclude that, for each geographical area, there is a need to establish geography-specific reference ranges if accurate diagnosis and concise clinical decisions are to be made. SN - 2314-6133 UR - https://doi.org/10.1155/2019/7467512 DO - 10.1155/2019/7467512 JF - BioMed Research International PB - Hindawi KW - ER -