A PROSPECTIVE STUDY OF MODERATE TO SEVERE ANAEMIA IN ELDERLY HOSPITALISED PATIENTS IN A TERTIARY CARE CENTRE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 16
Abstract
BACKGROUND The prevalence of anaemia in elderly population is of great significance as it is a manifestation of the underlying disease and produces severe complications in the elderly. The etiopathogenesis of anaemia in this population is multifactorial and its evaluation helps us to rectify and contribute to the overall better outcome in terms of quality of life. Hence our study was focussed on finding the incidence of moderate to severe anaemia in elderly hospitalised patients, and also to identify the aetiology. METHODS This observational study was done in a tertiary care centre on a cohort of 100 patients by screening all patients aged 60 years and above, with haemoglobin of 8 gm/dl and below, admitted in medical ward, for a period of one year. The participants were evaluated with detailed history, clinical examination, complete hemogram and peripheral smear, and routine lab parameters. Special tests like ferritin, TIBC, stool examination, imaging, UGI scopy and colonoscopy, bone marrow studies, and serum electrophoresis, were done on case to case basis. Statistical analysis was done by SPSS method. RESULTS Out of the 100 study subjects, 54% were males, and 46% were females. The maximum number of patients were in the age group 60-69 years. The mean age was 71.3 years. Fatigue was the predominant complaint (41%). The subjects were divided into microcytic anaemia (53%), normochromic anaemia (31%) and macrocytic anaemia (16%). Further evaluation was done to identify the aetiology of anaemia, majority (47%) of the patients had anaemia of chronic disease (ACD) followed by iron deficiency anaemia (37%) and megaloblastic anaemia (16%). In our study, we identified the most common cause of moderate to severe anaemia in elderly hospitalised population as anaemia of chronic disease in which anaemia of CKD is the predominant cause followed by gastrointestinal malignancies. Iron deficiency and vitamin B12 deficiency were the next common cause of moderate to severe anaemia in the elderly in which nutritional deficiency was common. CONCLUSIONS Anaemia is an important cause of mortality and morbidity in the elderly. Characteristics of anaemia in elderly by systematic algorithm will help to identify and formulate the appropriate management which would definitely improve the quality of life.
Authors and Affiliations
Suja L. , Cherian Thampy, Bhaskar Reddy P. V. , Krishnamoorthy S
Keywords
Related Articles
- EP ID EP619654
- DOI 10.18410/jebmh/2019/262
- Views 90
- Downloads 0
EPIDEMIOLOGICAL STUDY OF DIABETIC RETINOPATHY IN DIABETES MELLITUS PATIENTS IN TERTIARY CARE CENTRE
OBJECTIVE The study objective was to examine the effect of glycaemic control and variations on the incidence and progression of diabetic retinopathy (DR) among the diabetes mellitus patients visiting Medicine and Ophthal...
A SCAN BIOMETRY TO SCREEN ANGLE CLOSURE SUSPECT PATIENTS ATTENDING A TERTIARY CARE HOSPITAL
PURPOSE: To evaluate measurable biometric parameters like anterior chamber depth, axial length, lens thickness, relative lens position in normal, angle closure suspects in non cataractous and cataractous eyes. METHODS: A...
A SIMPLE PULMONARY RECRUITMENT MANOEUVRE TO REDUCE SHOULDER TIP PAIN AND POSTOPERATIVE NAUSEA AND VOMITING AFTER GYNAECOLOGICAL LAPAROSCOPIC SURGERY- A RANDOMIZED CONTROLLED STUDY
BACKGROUND To study the efficacy of pulmonary recruitment manoeuvre for removal of residual abdominal carbon dioxide after laparoscopic surgery to reduce shoulder pain and postoperative nausea and vomiting (PONV). METHOD...
PREVENTION OF OCULAR MORBIDITY AMONG MEDICAL STUDENTS BY PREVALENCE ASSESSMENT OF ASTHENOPIA AND ITS RISK FACTORS
PURPOSE To determine the prevalence of asthenopia and to identify modifiable risk factors in medical students. Therefore, as to provide with necessory instruction and precaution to reduce the occurrence of the ocular mor...
EVALUATION OF CHEST MASSES BY USING COMPUTED TOMOGRAPHY IN A TERTIARY CARE HOSPITAL, BURLA
BACKGROUND Thoracic diseases are common and include a wide spectrum of lesions involving distinct compartments, i.e. lung parenchyma, pleura, chest wall and mediastinum. ‘Chest masses’ is a vast topic and includes all th...