Prevalence and pattern of anemia in elderly- A hospital based study
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2017, Vol 3, Issue 6
Abstract
Anemia 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 hemoglobin. A cross sectional study was conducted in the Department of Pathology, Assam Medical College and Hospital, Dibrugarh, in collaboration with the Department of Medicine . The purpose of this study was to study the prevalence of elderly patients with anemia and to study the pattern of anemia in such patients as well as the closest possible etiological profile. Prevalence calculated was 77% .Hundred patients above the age of 60 years were included for studying the pattern of anemia. Clinical profile with laboratory studies of Hemoglobin and diagnostic tests were done to know the etiology. Majority of patients had normocytic blood picture constituting 53%, microcytic 26%, macrocytic/dimorphic 13% and pancytopenia in 8%.Anemia of chronic disease was the commonest cause of anemia followed by iron deficiency anemia. 53/100 patients had normocytic blood picture .45 out of 53 patients had serum ferritin levels more than 100ng/ml. 13/26 of cases showing microcytic anemia had ferritin levels <20ng/ml and 5/26 had no evidence of iron deficiency have ferritin values >100ng/ml. None of the cases with macrocytic anemia and pancytopenia had serum ferritin values <100ng/ml. This shows that serum ferritin closely correlates with iron stores. Absence of iron capable of being stained by pearls stain is considered to be a reliable parameter of iron deficiency. Serum ferritin together with pearls stain in bone marrow is considered to be a reliable parameter of iron deficiency anemia. Confirming the type of anemia is critical to direct the investigation for profiling the etiology since it is well known that the treatment of anemia goes a long way in improving the overall outcome and quality of life.
Authors and Affiliations
*Neeraj Bisht, * Dr. Sofia , **N. S. Neki
Keywords
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- EP ID EP569092
- DOI 10.22192/ijcrms.2017.03.06.004
- Views 102
- Downloads 0
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