Hematological Patterns of Anemia in Geriatric Patients
Keywords:
Anemia, Normocytic normochromic, microcytic hypochromic anemia, geriatric anemia
Abstract
Background: Anemia in the elderly is a significant health problem in India and many parts of the World, since it signifies an underlying disease and is associated with poor clinical outcomes. In elderly patients, in whom anemia has a higher prevalence; neither the hemoglobin threshold for concern nor the identity of the anemia causing disease is easily established. Hematological patterns of anemia in elderly are manifold, hence, this study was undertaken to determine them Methods: The present study was conducted on a sample size of 350 patients who were 60 years and above and clinically diagnosed as anaemic. Routine haematological investigations including Peripheral blood smear examination and complete haemogram were done. Special investigations like Bone-marrow examination, Iron studies, Stool and Urine examination were done wherever possible. Result: In the present study Males were more affected than females and patients in the age group of 60-69 years were affected the most. Normocytic normochromic anemia was the most common morphological type of anemia and chronic diseases were the commonest etiological factors. Conclusion: Despite modern diagnostic advances, geriatric anemias still remain under-reported and inadequately investigated; necessitating evaluation of even mild anemias. Prompt diagnosis and definite categorization helps in appropriate management of anemias.References
1. World Health Organization; Definition of Anemia. Available from: http://www.who.int/topics/anaemia/en
2. Molivares, Eltertrompf, Capurro MT, Wegner D. Prevalence of anemia in elderly subjects living at home: role of micronutrient deficiency and inflammation. European Journal of Clinical Nutrition 2000; 54:834-9.
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9. Mann S, Kumar A, Singh SK, Katyal S, Chopra G, Varma SK. Clinical Evaluation of Anemia I Geriatric Patients-A Cross Sectional Study Conducted At Tertiary Care Hospital.Natl J Community Med 2014:5(3);316-20.
10. Tilak V, Rani D, Gambhir IS. Characteristics of Geriatric Anemia in and around Varanasi: A hospital-based study. Indian J Prev Soc Med 2013; 44(1):93-101.
2. Molivares, Eltertrompf, Capurro MT, Wegner D. Prevalence of anemia in elderly subjects living at home: role of micronutrient deficiency and inflammation. European Journal of Clinical Nutrition 2000; 54:834-9.
3. World Health Organization; vitamin and mineral nutrition information system. Available from: http://www.who.int/vmnis/anaemia/prevalence/summary/anaemia_data_status_t2/en/.
4. Steensma DP, Tefferi A. Anemia in the elderly: How should we define it, when does it matter and which can be done? Mayo Clin Proc. 2007; 82(8):958-66.
5. Shrivastava SR, Hipparagi SB, Ambali AP, Yelikar BR. Patterns of Anemia in Geriatric Age Group.JKIMSU 2013; 2(1):77-81.
6. Bhasin A, Rao MY. Characteristics of Anemia in Elderly: A Hospital based study in South India. Indian Journal of Haematology and Blood Transfusion 2011; 27(1):26-32.
7. Guralnik JM, Eisenstaedt RS, Ferrucci, Klein HG, Woodman RC. Prevalence of anemia in persons 65 years and older in United States: evidence for a high rate of unexplained anemia. Blood 2004; 104(8); 2263-8
8. Geisel T, Martin J, Schulze B, Schaefer R, Bach M, Virgin G et al. An Etiological profile of Anemia in 405 Geriatric Patients.Hindawi publishing Corporation 2014:1-7.
9. Mann S, Kumar A, Singh SK, Katyal S, Chopra G, Varma SK. Clinical Evaluation of Anemia I Geriatric Patients-A Cross Sectional Study Conducted At Tertiary Care Hospital.Natl J Community Med 2014:5(3);316-20.
10. Tilak V, Rani D, Gambhir IS. Characteristics of Geriatric Anemia in and around Varanasi: A hospital-based study. Indian J Prev Soc Med 2013; 44(1):93-101.
Published
2019-10-25
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