Anemia del anciano

Ramírez, Susana Gómez; Sevilla, A.; Gómez, Manuel

doi:10.1016/j.medcli.2017.06.025

Cited by 20 publications

(8 citation statements)

References 51 publications

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“…Until newer tests to determine iron need are validated (e.g., reticulocyte Hb content, hypochromic red blood cells, or soluble transferrin receptors), the transferrin saturation remains the most reliable tool to determine the need for iron [5, 16, 17] (Fig. 3).…”

Section: Treatment Options For Iron Deficiencymentioning

confidence: 99%

“…3). The appropriate combination of different laboratory tests within an integrated algorithm will help to establish a correct diagnosis, avoiding the need for patients to return for another blood test and eliminating unnecessary laboratory studies [16, 17]. …”

Section: Treatment Options For Iron Deficiencymentioning

confidence: 99%

“…* More specific tests may be needed (e.g., reticulocyte hemoglobin content, hypochromic red blood cells, serum transferrin receptors) to confirm iron deficiency. ** For surgeries with expected hemoglobin drop >3–4 g/dL due to bleeding; 1 ng/mL ferritin ≈8 mg stored iron [adapted from references 5, 16, 19]. …”

Section: Treatment Options For Iron Deficiencymentioning

confidence: 99%

“…Elderly patients with anemia of unknown etiology, kidney diseases, or mild/moderate myelodysplastic syndrome often have good responses to rHuEPO administration, although adequate iron supplementation should always be ensured, preferably via the intravenous route [16]. …”

Section: Treatment Options For Iron Deficiencymentioning

confidence: 99%

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Management of Perioperative Iron Deficiency Anemia

et al. 2019

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Preoperative anemia affects 30–40% of patients undergoing major surgery and is an independent risk factor for perioperative blood transfusion, morbidity, and mortality. Absolute or functional iron deficiency is its leading cause. Nonanemic hematinic deficiencies are also prevalent and may hamper preoperative hemoglobin optimization and/or recovery from postoperative anemia. As modifiable risk factors, anemia and hematinic deficiencies should be detected and corrected prior to major surgical procedures. Postoperative anemia is even more common (up to 80–90%) due to surgery-associated blood loss, inflammation-induced blunted erythropoiesis, and/or preexisting anemia. Preoperative oral iron may have a role in mild-to-moderate anemia, provided there is sufficient time (6–8 weeks) and adequate tolerance of oral preparations. Postoperative oral iron is of little value and rife with gastrointestinal adverse events. Intravenous iron should preferentially be used in cases of moderate-to-severe iron deficiency anemia, concomitant use of erythropoiesis-stimulating agents, short time to surgery or nonelective procedures, and for postoperative anemia management. Minor infusion reactions to intravenous iron are rare, the incidence of severe anaphylactic reactions is extremely low, and there is no increase in infections with intravenous iron. Currently available intravenous iron formulations allowing administration of large single doses are preferred.

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Section: Treatment Options For Iron Deficiencymentioning

confidence: 99%

Section: Treatment Options For Iron Deficiencymentioning

confidence: 99%

Section: Treatment Options For Iron Deficiencymentioning

confidence: 99%

Section: Treatment Options For Iron Deficiencymentioning

confidence: 99%

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Management of Perioperative Iron Deficiency Anemia

et al. 2019

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“…According to the World Health Organization (WHO), the concentration of hemoglobin (Hb) that defines the presence of anemia in the elderly would be < 13 g/dl in men and < 12 g/dl in women [3] [4]. With these definitions, between 1993 and2005, anemia affected 24% of the elderly in the world (164 million people), but with significant regional differences [5].…”

Section: Introductionmentioning

confidence: 99%

Anemia in the Elderly: Frequency and Etiologies at University Hospital Center of Point G

Sy¹,

Kader²,

Soukho³

et al. 2019

OJCD

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Introduction: Older people are exposed to particular health problems that must be taken into account, including anemia defined by the World Health Organization (WHO) in people aged 65 and over hemoglobin < 13 g/dl in men and < 12 g/dl in women. Objectives: To determine the frequency of anemia, to describe its clinical and paraclinical aspects, and to determine the etiologies. Material and Methods: We conducted a cross-sectional study with prospective data collection that took place in the Department of Internal Medicine of the Point G CHU in Mali from January 1 st , 2018 to August 31 st , 2018, covering all elderly patients. At least 65 years old hospitalized and/or having consulted and presenting with anemia. Anemia was defined as Hb < 13 g/dl in men and < 12 g/dl in women (WHO definition). Biological markers were collected at admission. Results: Anemia was observed in 42 patients in 160 elderly patients, a prevalence of 26%, the age of our patients ranged from 65 to 90 years. The sex ratio was 1.33. Fifty percent (50%) of the patients had high blood pressure as antecedents. Weight loss was found in 69% of cases; 47.6% of patients had dyspnea on admission. Tachycardia was the physical sign associated with anemia present in 85.7% of them. The mean hemoglobin level was 9.2 g/dl ± 2.03: thus 50% of the subjects had microcytic and or hypochromic anemia. The etiologies found were infectious in 31.0% of cases, inflammatory in 31.0% of cases, renal in 14.2% of cases. Chronic hemorrhage, acute haemorrhage, hemolysis accounted for 2.4% each. We observed 9.5% of unexplained causes. Conclusion: The frequency of anemia is high. Nearly half of the geriatric population has anemia.

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