Screening Tests for Latent Anemia in Hospitalized Adults Over the Age of 65

Udristioiu, Aurelian; Cojocaru, Manole; Florescu, Cristina; Radu-Popescu, Manuela-Anda

doi:10.1309/lm21vxh1efugxbbn

Cited by 3 publications

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“…Anemia in elderly is associated with profound morbidity. 1,2 Improper evaluation of anemia in elderly bears the risk of delay in diagnosis or missing the diagnosis of treatable cause of anemia.…”

Section: Discussionmentioning

confidence: 99%

Clinicopathological Profile of Anaemia in Elderly - A One Year Study

Khatib¹,

Bisht²,

Gosavi³

et al. 2016

IOSR

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Background: Anemia is an extremely common problem associated with increased morbidity, poor quality of life regardless of aetiology. Anemia especially observed in geriatric community is more profound owing to the complications arising due to it. Material and Method : The present study was a descriptional cross sectional study conducted in the department of pathology of a tertiary care hospital carried over a period of twelve months i.e. July 2014-June 2015.All the patients above 60 years of age were considered. Result: A total of 256 cases of anemia in geriatric patients were studied. In our study , the majority of patients were male with 138 (53.90%) cases.Females accounted for 118(46.09%) cases .110 (42.96%) cases were of Normocytic Normochromic anemia,indicating the most common type of anemia in the geriatric age group being Normocytic Normochromic. Conclusion: Anemia is a common occurrence in geriatric population given the age. Timely detection can definitely prevent severe morbidity. Further studies should be encouraged for better understanding of this type of anemia.

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Section: Discussionmentioning

confidence: 99%

Clinicopathological Profile of Anaemia in Elderly - A One Year Study

Khatib¹,

Bisht²,

Gosavi³

et al. 2016

IOSR

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“…6 Anaemia in the elderly is an extremely common problem that is associated with increased mortality and poorer health-related quality of life, regardless of the underlying cause of the low haemoglobin. 7,8 A study of anaemia in elderly patients found a wide variation in prevalence ranging from 2.9% to 61% in men and 3.3% to 41% in women. Higher rates were found in hospitalised patients than in community dwellers.…”

Section: Morphologically the Anaemia Can Be Classified Intomentioning

confidence: 99%

Clinical Profile of Anaemia in a Tertiary Care Hospital

Pasha¹,

Ahmed²

2016

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BACKGROUNDAnaemia causes a reduction in the oxygen carrying capacity of the blood resulting in tissue hypoxia. Cardiac output at rest is not usually increased in most chronic anaemia until haemoglobin levels fall below 7 g/dL, but abnormal rise in output with exercise may occur with levels as high as 10 g/dL. The increase in cardiac output has been observed to correlate well with the degree of anaemia. Other compensatory mechanisms to chronic anaemia available to the body include decreased circulation time and increased tissue oxygen uptake. The latter is facilitated by a shift to the right of the oxygen haemoglobin dissociation curve. Cardiomegaly may also be as a result of the increased workload on the heart from the increased viscosity of blood in anaemia patients. Anaemia in the elderly is an extremely common problem that is associated with increased mortality and poorer health-related quality of life, regardless of the underlying cause of the low haemoglobin. A study of anaemia in elderly patients found a wide variation in prevalence, ranging from 2.9% to 61% in men and 3.3% to 41% in women. Higher rates were found in hospitalised patients than in community dwellers. It is easy to overlook anaemia in the elderly, since such symptoms as fatigue, weakness, or shortness of breath may be attributed to the ageing process itself. Our objective is to show the prevalence of anaemia even in a tertiary health care centre. METHODSOne hundred patients were identified who were admitted in the Department of Medicine, Deccan College of Medical Sciences. Among the 100 patients, 38 were male and 62 were female.The study was conducted from Jan 2014 To Jan 2015.Patients having haemoglobin less than 10 g% in the medical wards were enrolled in the study. RESULTSAmong the 100 patients, 38 were male and 62 were female. The average haemoglobin was 6.4 g%, the lowest being 2.8 g%. Peripheral blood smear showed hypochromic picture in 58, macrocytic picture in 22 and the morphology was normocytic normochromic in 20 cases. Tuberculosis leading to anaemia was seen in 24, Internal haemorrhoids/Fissures 5, Taenia infestation in 3, Haematological Malignancies 2, GI Malignancies 3, Connective tissues disorders 3, Nutritional iron deficiency 8 and Anaemia of chronic diseases in remaining cases.Among the 22 cases having macrocytic anaemia, 11 had vitamin B 12 deficiency, 6 had subclinical hypothyroidism, 5 had alcoholism.Among the 20 patients having normocytic normochromic blood picture, 4 had haemolytic anaemia, 1 had aplastic anaemia and remaining were having anaemia of chronic disease mainly chronic kidney disease.Regarding treatment, 23 patients were transfused blood. Out of total 100 patients included in the study, in-hospital mortality was 10. CONCLUSIONSAnaemia is associated with a variety of diseases. As Tuberculosis and B 12 Deficiency are among the leading causes of anaemia, hypochromic and microcytic picture was the predominant picture in peripheral blood smear. Among the patients having normocytic normochromic blood picture, major...

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“…Failure to evaluate anaemia in elderly could lead to delayed diagnosis of potentially treatable conditions. 1 However, there are at least two reasons for considering anaemia in the elderly as a sign of disease. First, most of the older people maintain a normal red cell count, haemoglobin and haematocrit.…”

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A Study of Pallor in Elderly- Haematological Profile

Fernandez¹,

Prabhalakshmi²,

Sankar³

2017

jemds

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BACKGROUND Anaemia in the elderly (age > 65 years) is defined as a haemoglobin concentration below 12 gm/dL and 13 gm/dL in women and men respectively. This decrease in oxygen carrying capacity can lead to overall decline in physical quality of life, disability and hospitalisation at higher rates than those without anaemia. In elderly population anaemia is often taken as one of the age-related changes, which is not a correct approach as anaemia can never be a normal physiological phenomenon. In order to highlight this problem, this study was undertaken on patients attending a tertiary care hospital. The objectives of the study are-1. To study the clinical profile of elderly patients with anaemia. 2. To study the haematological characteristics to know the patterns of anaemia in elderly. MATERIALS AND METHODSA descriptive study was conducted to study the clinical profile and the haematological characteristics to know the patterns of anaemia in elderly patients approaching Department of Medicine, Govt. Medical College, Kottayam during a period of 12 months (May 2015 -May 2016. Statistical analysis was done with available software. RESULTSAmong the 350 patients examined, easy fatigability was the presenting symptom of most of the patients. The patients had varied physical examination findings corresponding to their underlying disease. Haematological profile showed that most of the patients had Grade 1 anaemia and normocytic normochromic blood picture on peripheral smear examination. CONCLUSIONNormocytic normochromic anaemia is the most common pattern on peripheral blood smear of elderly anaemic patients. The findings are comparable to other Indian studies on this subject. KEYWORDSAnaemia; Elderly; Clinical Profile; Haematology Approach. HOW TO CITE THIS ARTICLE: Fernandez SS, Prabhalakshmi KK, Sankar S. A study of pallor in elderly-haematological profile. J. Evolution Med. Dent. Sci. 2017;6(92):6630-6638, DOI: 10.14260/jemds/2017/1437 BACKGROUND In the geriatric age group, usually patients present with common symptoms like fatigue, weakness and shortness of breath; that is why in geriatric age group anaemia is usually ignored by the physicians, confirming the patterns of anaemia is critical to direct the investigation for profiling the aetiology since it is well known that the treatment of anaemia goes a long way in improving the overall outcome and quality of life. Failure to evaluate anaemia in elderly could lead to delayed diagnosis of potentially treatable conditions. 1 However, there are at least two reasons for considering anaemia in the elderly as a sign of disease. First, most of the older people maintain a normal red cell count, haemoglobin and haematocrit. Second, in most elderly patients an underlying cause of anaemia is found for haemoglobin of less 'Financial or Other Competing Interest': None. Submission 12-10-2017, Peer Review 18-11-2017, Acceptance 23-11-2017, Published 04-12-2017. Corresponding Author: Dr. Prabhalakshmi K. K, Department of Pathology, Government Medical College, Kotta...

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Screening Tests for Latent Anemia in Hospitalized Adults Over the Age of 65

Cited by 3 publications

References 11 publications

Clinicopathological Profile of Anaemia in Elderly - A One Year Study

Clinicopathological Profile of Anaemia in Elderly - A One Year Study

Clinical Profile of Anaemia in a Tertiary Care Hospital

A Study of Pallor in Elderly- Haematological Profile

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