Abstract

IntroductionHaematological reference values are very important for diagnostic orientation and treatment decision. The aim of this study was to establish haematological reference values for Malian healthy adults.MethodsA cross-sectional study including 161 male Malians aged between 19 and 54 years old was performed. Median and reference ranges were calculated for haematological and biochemical parameters. Parametric student's t-test was used to determine any statistically significant differences by age, smoker status, body mass index (BMI) and occupation. Ranges were further compared with those reported for other African, Afro-American and Caucasian populations.ResultsIncreased levels of MCV, MCH, PLT and EOS were found in younger Malians who had abnormal BMI and altered platelets parameters. Notably, significantly lower eosinophil and monocyte counts were observed in Malians compared to Europeans The smoking status did not seem to directly affect RIs.ConclusionThis is the first study to determine normal laboratory parameters in Malian adult males. Our results underscore the necessity of establishing region-specific clinical reference ranges that would allow clinicians and practitioners to manage laboratory tests, diagnosis and therapies. These data are useful not only for the management of patients in Mali, but also to support European and American clinicians in the health management of asylum seekers and migrants from Mali.

Highlights

  • Haematological reference values are very important for diagnostic orientation and treatment decision

  • Since haematological reference values have never been established for Malian people, the present study aimed to evaluate the Reference intervals (RIs) for haematological and biochemical parameters in healthy Malian male adult asylum seekers (ASs) housed in the largest Italian Asylum Seekers Center (ASC)

  • Taking into account the natural variations in the distributions of laboratory test results among racial/ethnic groups, this work will contribute to reduce disease misdiagnosis and to improve the quality of clinical care provided to migrants in the host country

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Summary

Introduction

Haematological reference values are very important for diagnostic orientation and treatment decision. The aim of this study was to establish haematological reference values for Malian healthy adults. Our results underscore the necessity of establishing regionspecific clinical reference ranges that would allow clinicians and practitioners to manage laboratory tests, diagnosis and therapies. These data are useful for the management of patients in Mali, and to support European and American clinicians in the health management of asylum seekers and migrants from Mali. The main aim of our study was to determine RIs of hematological and clinical chemistry parameters in healthy male adults coming from Mali, recruited at the Asylum Seekers Center (ASC) in Castelnuovo di Porto, Italy. The secondary objective was to evaluate the impact of anthropometric, behavioral, social and metabolic variables on haematological and biochemical analyses

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