The prevalence and impact of anemia in hospitalized older adults: A single center experience from Bahrain

Saeed, Mahmood Al; Ahmed, Suha Sufyan; Seyadi, Khaled; Ahmed, Abdulla Jaffar; Alawi, Ahmed; Abulsaad, Khalid

doi:10.1016/j.jtumed.2022.02.003

Cited by 8 publications

(9 citation statements)

References 28 publications

(68 reference statements)

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“…Further differentiation showed that most anemias were mild in severity and more commonly of normochromic normocytic and mixed types. The present ndings were consistent with those of previous studies reporting a prevalence ranging from 40-50 % in community-dwelling cohorts [20] and up to 70-80 % in older patients admitted to hospital [21][22][23].…”

Section: Discussionsupporting

confidence: 93%

“…It is not surprising that older patients are more likely to experience normochromic normocytic anemias and mixed forms. Indeed, studies conducted in large cohorts of community-dwelling older patients from the National Health and Nutrition Examination Survey (NHANES) showed that anemia of chronic in ammatory diseases and unexplained forms represent over 50 % of causes, while pure iron de ciency is detected in less than onethird of patients [20,24]; similar data were found in studies conducted in hospitalized older patients, that were however monocentric or focused on CKD-related anemia only [21,22,27].…”

Section: Discussionmentioning

confidence: 73%

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Prevalence, risk factors, and treatment status of anemia in hospitalized older patients: a focus on differences between Geriatric and Nephrological Hospital Setting in Italy

Soraci,

De Vincentis,

Aucella

et al. 2024

Preprint

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Anemia is a common but often underdiagnosed and undertreated geriatric syndrome in hospitalized older patients. In this retrospective multicenter study, we aimed at characterizing the prevalence, risk factors, diagnostic and treatment approach to anemia in older patients admitted to acute care hospitals, focusing on differences between nephrology and geriatrics units. Prevalence and risk factors for anemia, diagnostic inertia (lack of iron, vitamin B12, and folate status assessment), replacement inertia (omitted treatment with iron, vitamin B12 or folic acid), and erythropoiesis stimulating factors (ESA) inertia were explored. 1,963 patients aged 82.7 (6.8) years were included in the study; 66.7 % of the study population had anemia; among anemic patients, diagnostic inertia and replacement inertia were common with rates of 22-31% and 50-87 %, respectively; omitted treatment with ESA affected 67.2 % of patients and was more prevalent in geriatric units. In most cases, patients with ESA inertia were not routinely screened for iron tests. COPD, cancer, eGFR 45-60 ml/min were associated with increased tendency to ESA inertia. In conclusion, anemia had a high prevalence in older patients discharged from acute care units, but it is often underdiagnosed and undertreated.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 73%

Prevalence, risk factors, and treatment status of anemia in hospitalized older patients: a focus on differences between Geriatric and Nephrological Hospital Setting in Italy

Soraci,

De Vincentis,

Aucella

et al. 2024

Preprint

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“…The prevalence of anemia in hospitalized patients is substantial, with studies reporting rates as high as 71.6% among older patients. [9][10][11] Anemia is particularly common in older and multi-morbid patients, and its presence has been associated with a longer length of hospital stay, increased risk of re-admission, and higher mortality rates. [9][10][11][12] Hospital-acquired anemia, defined as new-onset anemia in hospitalized patients with a normal hemoglobin level at admission, is also a concern, with one study finding that one in five patients became anemic during hospitalization.…”

Section: Introductionmentioning

confidence: 99%

“…[9][10][11] Anemia is particularly common in older and multi-morbid patients, and its presence has been associated with a longer length of hospital stay, increased risk of re-admission, and higher mortality rates. [9][10][11][12] Hospital-acquired anemia, defined as new-onset anemia in hospitalized patients with a normal hemoglobin level at admission, is also a concern, with one study finding that one in five patients became anemic during hospitalization. 13 The clinical implications of anemia in hospitalized adults are far-reaching, affecting recovery, morbidity, and mortality.…”

Section: Introductionmentioning

confidence: 99%

“…Anemia in hospitalized adults is of great importance owing to its high prevalence and impact on patient outcomes. The prevalence of anemia in hospitalized patients is substantial, with studies reporting rates as high as 71.6% among older patients 9–11 . Anemia is particularly common in older and multi‐morbid patients, and its presence has been associated with a longer length of hospital stay, increased risk of re‐admission, and higher mortality rates 9–12 .…”

Section: Introductionmentioning

confidence: 99%

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Low hemoglobin levels are associated with compromised muscle health: Insights from a post‐stroke rehabilitation cohort

Yoshimura,

Nagano,

Matsumoto

et al. 2024

Geriatrics Gerontology Int

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AimThere is limited evidence concerning the association between anemia and alterations in muscle health among hospitalized older patients. We aimed to evaluate the associations between baseline hemoglobin (Hb) levels and changes in muscle function in patients undergoing rehabilitation after stroke.MethodsThis retrospective cohort study included consecutive hospitalized post‐stroke patients. Data on serum Hb level were extracted from medical records on tests performed within 24 h of admission. The main outcomes were discharge score for the skeletal muscle mass index (SMI) obtained through bioimpedance analysis and the corresponding change in SMI during hospitalization. Other outcomes were handgrip strength (HGS) at discharge and the alteration in HGS during hospitalization. Multivariate linear regression analyses were used to determine the association between Hb levels at admission and outcomes of interest, adjusted for potential confounders.ResultsData from 955 patients (mean age 73.2 years; 53.6% men) were included in the analysis. The median Hb level at admission was 13.3 [11.9, 14.5] g/dL. After fully adjusting for confounding factors, the baseline Hb level was significantly and positively associated with SMI at discharge (β = 0.046, P = 0.039) and with SMI gain (β = 0.010, P = 0.039). Further, the baseline Hb level was independently and positively associated with HGS at discharge (β = 0.058, P = 0.014) and with its change from baseline (β = 0.100, P = 0.014).ConclusionDiminished baseline Hb levels were demonstrated be correlated with compromised muscle health in patients after stroke. Evaluating anemia at the outset serves as a crucial prognostic indicator. Geriatr Gerontol Int 2024; ••: ••–••.

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Prevalence of anemia in older adults: A systematic and meta-analysis study

Mohammadi,

Kazeminia,

Chogan

et al. 2024

International Journal of Africa Nursing Sciences

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The prevalence and impact of anemia in hospitalized older adults: A single center experience from Bahrain

Cited by 8 publications

References 28 publications

Prevalence, risk factors, and treatment status of anemia in hospitalized older patients: a focus on differences between Geriatric and Nephrological Hospital Setting in Italy

Prevalence, risk factors, and treatment status of anemia in hospitalized older patients: a focus on differences between Geriatric and Nephrological Hospital Setting in Italy

Low hemoglobin levels are associated with compromised muscle health: Insights from a post‐stroke rehabilitation cohort

Prevalence of anemia in older adults: A systematic and meta-analysis study

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