Anaemia in Geriatric Patients

Evans, David M.; Pathy, M. S.; Sanerkin, N. G.; Deeble, T.J.

doi:10.1159/000245188

Cited by 13 publications

(6 citation statements)

References 4 publications

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“…Low levels of serum vitamin B ] 2 or folate in red blood cells cannot be equated with deficiency and additional inves tigations are required to demonstrate a causal relationship [37][38][39]. Our findings confirm those of other series but the incidence of 5% contrasts strikingly with the 51 % incidence of megaloblastic anaemia (mostly in combina tion with iron deficiency) reported in a pre vious study [1], Aplastic anaemia, myelofi brosis and haemolytic anaemia are classical though rather uncommon causes of anaemia. Lymphoproliferative disorders such as leu kaemia, lymphoma, multiple myeloma and macroglobulinaemia are relatively more com mon in the elderly compared to the general population.…”

Section: Discussionsupporting

confidence: 82%

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Prevalence and Causes of Anaemia in a Geriatric Hospitalized Population

et al. 1992

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Of 732 consecutive patients admitted to an acute geriatric ward, 178 (24%) were found to be anaemic (haemoglobin of 115 g/l or below). An appropriate cause responsible for anaemia was identified in 83 %. The anaemia of chronic disorders (ACD) (35%) and iron deficiency anaemia (15%) were the commonest causes. The spectrum of disorders associated with ACD is much broader than the classical category of infectious, inflammatory and malignant disorders. The relatively high prevalence of the myelodysplastic syndrome (5%) is striking and this syndrome as a cause of anaemia in geriatric patients deserves more attention than it has so far received. No obvious cause was found in 17 %. The clinical significance of this finding remains unclear.

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Section: Discussionsupporting

confidence: 82%

“…Extensive studies on the various types of anaemia in hospitalized elderly are rare. The reported prevalence varies enor mously, both in inpatients (from 6.4 to 51 %) [1][2][3][4][5] and in outpatients (from 0 to 20%) […”

Section: Introductionmentioning

confidence: 99%

Prevalence and Causes of Anaemia in a Geriatric Hospitalized Population

et al. 1992

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“…No case of macrocytic anaemia was detected in the present series. This is important, as there have been reports of a high prevalence of megaloblastic anaemia in elderly subjects (Read et al, 1965;Dawson & Donald, 1966;Mosbech, 1967;Girwood et al, 1967;Evans et al, 1968) though this has not always been reported (Killander, 1957;Varadi & Elwis, 1966). It is not unreasonable to suppose that the apparent conflict in these reports is a reflection of the bias introduced by selection of subjects, as none of these reports was based on a sample which was fully representative of the community.…”

Section: Discussionmentioning

confidence: 97%

Haemoglobin, Vitamin B₁₂ and Folate Levels in the Elderly

et al. 1971

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Community-based surveys of a representative sample of 53 3 subjects aged 65 yr and over were conducted in a mining valley and a seaside town in South Wales. Haemoglobin level, PCV, serum vitamin B,, , plasma and red-cell folate were measured and several simple tests of learning and memory were applied. The results give no evidence to suggest that anaemia is common and although low levels of vitamin B,, and folate occurred no evidence of an associated impairment of health was detected.

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“…Anaemia is common in geriatric practice but a very varied in cidence has been recorded in different surveys [M onroe, 1951;Lawson, 1960;D avison, 1967; Evans et al, 1968;G riffiths et al, 1970]. There are also great variations in the incidence of different types of anaemia recorded.…”

Section: Introductionmentioning

confidence: 99%