Retrospective analysis of the prevalence and causes of anaemia in hospitalised elderly patients

Staden, Anna M. Van; Weich, D.J.V.

doi:10.1080/20786190.2015.1071538

Cited by 4 publications

(7 citation statements)

References 12 publications

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“…In geriatric age group, anemia is a common concern and public health problem [ 3 – 6 ]. It is frequently underdiagnosed and often not reported to the patient because it is mostly perceived as a mere consequence of aging or as a disease marker [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Magnitude of Anemia in Geriatric Population Visiting Outpatient Department at the University of Gondar Referral Hospital, Northwest Ethiopia: Implication for Community-Based Screening

Melku

Asefa

Mohamednur

et al. 2018

Current Gerontology and Geriatrics Research

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Objective This study is aimed at assessing the magnitude and its associated factors of anemia in geriatric population visiting outpatient department at the University of Gondar referral hospital, northwest Ethiopia. Method A cross-sectional study was conducted among elder patients in Gondar town, North Gondar District, in May 2013. A total of 200 randomly selected geriatric population participated in the study. Summary statistics were computed and presented in tables and figure. Both bivariate and multivariable binary logistic regression were fitted to identify associated factors. A P value < 0.05 was considered as statistically significant. Result The median age of the study participants was 65 years (Interquartile range (IQR): 8 years). The prevalence of anemia in the geriatric patients was 54.5% (n = 109), of which 61.5% (n = 67) were males. Mild type anemia was predominant, 55.96% (n = 61). Geriatric patients with an elevated erythrocyte sedimentation rate (AOR = 9.04, 95% CI: 4.2–19.7) and who are vegetarians (AOR = 2.2, 95% CI: 1.03–4.71) were at high risk of developing anemia. Conclusion The magnitude of anemia was high in geriatrics. Mild anemia was the predominant type. Vegetarians and geriatrics with elevated erythrocyte sedimentation rate were more likely to develop anemia. Hence, early diagnosis and management of anemia have paramount importance to prevent adverse outcomes in geriatrics.

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Section: Introductionmentioning

confidence: 99%

Magnitude of Anemia in Geriatric Population Visiting Outpatient Department at the University of Gondar Referral Hospital, Northwest Ethiopia: Implication for Community-Based Screening

Melku

Asefa

Mohamednur

et al. 2018

Current Gerontology and Geriatrics Research

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“…About 4.8% (13/273) cases in our study were attributed to post-hemorrhagic state. The percentage reported in vanStaden [Van Staden et al, 2015] study was 6.4%. Similar incidence has been reported in literature (Anía et al, 1997).…”

Section: Post-hemorrhagic Anemiamentioning

confidence: 87%

Clinicohematological Study Of Anemia In Geriatric Patients

Kshirsagar

Patil

2020

ijrps

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The present study was conducted in the Hematology section of the Department of Pathology over two years. Two hundred and seventy-three geriatric patients diagnosed as anaemic as per WHO criteria were included in the study—maximum 51.2%number of cases from the age group of 60-65 years. Geriatric anaemia showed slight male preponderance (52.4%) over females (47.6%). Lowest haemoglobin value observed was 3.4 gm/dl, while the highest value was 12.3 gm/dl in males and 11.9 gm/dl in females. Most of the study population presented with moderate grade anaemia (47.6%) Patients requiring hospitalisation (71.8%) outnumbered the patients treated on OPD basis (28.2%). Among the hospitalised patients, moderate grade (51.5%) was common Generalised weakness was the most common symptom (69.6%) followed by fatigue (62.2%). There was a significant association (p= 0.009) observed between the severity of anaemia and dyspnoea Underlying malignancy (20.1%) was the most common comorbid condition among the anaemic subjects. Amongst the 148 cases of anaemia of chronic disease, 120 cases (81%) had normocytic normochromic blood picture, and the majority of the cases had mild anaemia (75 cases-50.6%). Iron deficiency was 2nd leading cause of geriatric anaemia (15.3%); presenting with moderate grade anaemia in a majority (69%). Chronic blood loss was the most common contributing factor for iron deficiency anaemia (61.9%). The incidence of anaemia is quite high among elderly patients, more so when associated with chronic diseases and malignancies. Despite modern diagnostic advances, geriatric anaemia remains underreported and inadequately investigated.

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“…In Cape Town, >95% of patients with anaemia and HIV-associated TB had AI [ 23 ]. In patient populations where there are very low levels of HIV and TB diagnoses, AI was the commonest type of anaemia, but prevalences were much lower at 25.7% in elderly inpatients in South Africa [ 18 ] and 41.9% of medical inpatients in Italy [ 52 ]. In the U.S., one-third of elderly community-dwellers with anaemia had AI, one-third nutrient deficiencies, and one-third unexplained anaemia [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

“…ID is probably the most common cause in South Africa [ 9 ]. Anaemia of inflammation (AI), which is synonymous with anaemia of chronic disease, is the second most common cause globally in clinical practice [ 16 ] and, most probably, in South Africa [ 17 , 18 ]. In persons living with HIV (PLWHIV), causes may be multifactorial, but anaemia of chronic disease is the predominant cause [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Causes of Moderate and Severe Anaemia in a High-HIV and TB-Prevalent Adult Population in the Eastern Cape Province, South Africa

O'Mahony

Mabunda

Mntonintshi

et al. 2023

IJERPH

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Background: Anaemia affects one in four adults in South Africa, with a higher prevalence in persons with HIV and tuberculosis. The aim of this study is to characterise the causes of anaemia in primary care and a district hospital setting. Methods: A cross-sectional study design investigated a purposive sample of adult males and non-pregnant females at two community health centres and a hospital casualty and outpatients. Fingerpick blood haemoglobin was measured with HemoCueHb201+. Those with moderate and severe anaemia underwent clinical examination and laboratory tests. Results: Of 1327 patients screened, median age was 48 years, and 63.5% were female. Of 471 (35.5%) with moderate and severe anaemia on HemoCue, 55.2% had HIV, 16.6% tuberculosis, 5.9% chronic kidney disease, 2.6% cancer, and 1.3% heart failure. Laboratory testing confirmed 227 (48.2%) with moderate and 111 (23.6%) with severe anaemia, of whom 72.3% had anaemia of inflammation, 26.5% iron-deficiency anaemia, 6.1% folate deficiency, and 2.5% vitamin B12 deficiency. Overall, 57.5% had two or more causes of anaemia. Multivariate modelling showed that patients with severe anaemia were three times more likely to have tuberculosis (OR = 3.1, 95% CI = 1.5–6.5; p-value = 0.002). Microcytosis was present in 40.5% with iron deficiency, macrocytosis in 22.2% with folate deficiency, and 33.3% with vitamin B12 deficiency. The sensitivities of the reticulocyte haemoglobin content and % hypochromic red blood cells in diagnosing iron deficiency were 34.7% and 29.7%, respectively. Conclusions: HIV, iron deficiency, and tuberculosis were the most prevalent causes of moderate and severe anaemia. The majority had multiple causes. Iron, folate, and vitamin B12 deficiencies should be identified by biochemical testing rather than by red cell volume.

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Retrospective analysis of the prevalence and causes of anaemia in hospitalised elderly patients

Cited by 4 publications

References 12 publications

Magnitude of Anemia in Geriatric Population Visiting Outpatient Department at the University of Gondar Referral Hospital, Northwest Ethiopia: Implication for Community-Based Screening

Magnitude of Anemia in Geriatric Population Visiting Outpatient Department at the University of Gondar Referral Hospital, Northwest Ethiopia: Implication for Community-Based Screening

Clinicohematological Study Of Anemia In Geriatric Patients

Causes of Moderate and Severe Anaemia in a High-HIV and TB-Prevalent Adult Population in the Eastern Cape Province, South Africa

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