Anaemia in the Elderly with Special Reference to Iron Deficiency

Davison, Wilburt C.

doi:10.1159/000245030

Cited by 6 publications

(3 citation statements)

References 10 publications

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“…Davidson (13) reviewed 400 admissions to a Geriatric Department (Cambridge, England) and found the incidence of anemia to be 32 percent. Lawson (14) reported that of 319 patients admitted to a Geriatric Service, 26 percent were anemic on admission and this proportion rose to 37 percent during hospitalization.…”

Section: Discussionmentioning

confidence: 99%

Anemia in Institutionalized Elderly Patients†

Kalchthaler

Tan

1980

J American Geriatrics Society

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In a one-year period (1976--1977), 161 residents of a long-term facility were evaluated. There were 44 men and 117 women. According to criteria established by the World Health Organization, 64 residents (40 percent) were anemic. The incidence was greater for women than for men. The peak incidence occurred in the 71--80 age group for women, and in the 90+ age group for men. Iron deficiency secondary to surgical procedures, gastrointestinal bleeding or anticoagulant therapy was the most common cause of correctable anemia. Of the 64 anemic patients, 42 percent responded to therapy. Anemia among the elderly in institutions is often reversible, unlike the anemia of chronic disease. Evaluation should include a careful history and physical examination plus readily available laboratory findings. Invasive procedures are rarely indicated.

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Section: Discussionmentioning

confidence: 99%

Anemia in Institutionalized Elderly Patients†

Kalchthaler

Tan

1980

J American Geriatrics Society

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“…The reports of de Leeuw et a1 (1966), Scott & Pritchard (1967) and Hallberg et al (1968) suggest that about a third of apparently healthy non-anaemic women of child-bearing age (in Western countries) have absent or depleted bone marrow iron stores. Few comparable studies in postmenopausal women or in men have been carried out, though Davison (1967) found that as many as 73 % of all patients over 65 years of age admitted to a geriatric unit had reduced i r m stores. Studies of apparently 'normal' adult populations, again in Western countries, have suggested that iron deficiency, as judged by the haemoglobin level, the MCHC, and the response to treatment with iron, becomes increasingly common with increasing age (Kilpatrick & Hardisty 1961, Natvig ,& Vellar 1967, Vellar 1967, Verloop 1970.…”

Section: Discussionmentioning

confidence: 99%

Iron Deficiency in Patients with Chronic Obstructive Airways Disease

Child

Bowry

Knowles

1973

Scandinavian Journal of Haematology

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Red cell indices were determined in two groups of patients with chronic obstructive airways disease, a total of 60 patients. Bone marrow aspiration for the assessment of iron stores was also carried out in the majority of these patients. Values below the accepted lower limit of normal for mean corpuscular haemoglobin concentration (MCHC) and mean corpuscular haemoglobin (MCH), and values above the accepted upper limit of normal for the diameter/thickness ratio (D/T), suggested the possibility of iron deficiency in 20 %, 23 % and 33 % of these patients respectively. 14 (26 %) of the 54 patients whose bone marrows were examined were found to have no stainable iron stores in the marrow fragments and were therefore considered to be definitely iron deficient. There was a probably significant relationship between the absence of iron stores and an increased D/T ratio, a reduced MCH, but not a reduced MCHC. The results of a dietary study suggested a possible relationship between the presence of iron deficiency based on the examination of bone marrow iron stores and a low iron intake. It is concluded that iron deficiency, which may be a common occurrence in chronic obstructive airways disease, is at least a contributory factor in the production of abnormal red cell indices in such patients.

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“…Simil arly, the high incidence of giant gastric ulcer [Strange, 1959], hiatus hernia, diverticulae or haemorrhoids may also cause depletion of iron stores |Berry, 1961; Anderson, 1967]. In addition many of our older patients have chronic arthritis conditions with generalised aches and pains for which they often consume salicylates and phenylbutazone, thus further predisposing themselves to bleeding problems [Davison, 1967],…”

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confidence: 99%

Body Iron Loss in the Geriatric Patient

Jacobs¹

1971

Geront clin

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Anaemia in the Elderly with Special Reference to Iron Deficiency

Cited by 6 publications

References 10 publications

Anemia in Institutionalized Elderly Patients†

Anemia in Institutionalized Elderly Patients†

Iron Deficiency in Patients with Chronic Obstructive Airways Disease

Body Iron Loss in the Geriatric Patient

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