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Aile Hekimliği Polikliniğine Başvuran Yaşlı Hastalarda Anemi Sıklığı Ve Eşlik Eden Hastalıkların Değerlendirilmesi

Year 2021, Volume: 13 Issue: 2, 292 - 298, 07.06.2021
https://doi.org/10.18521/ktd.853666

Abstract

Amaç: Bu çalışmamızdaki amacımız, giderek yaşlanan nüfusumuzda birçok olumsuzlukların kaynağı olan ve yaşam kalitesini doğrudan etkileyen anemi ve ilişkili olduğu durumların değerlendirilmesi ile güncel yaklaşımların gözden geçirilmesidir.

Gereç ve yöntem: Araştırmanın örneklemini Ordu Üniversitesi Eğitim ve Araştırma Hastanesi Aile Hekimliği polikliniğine Mayıs 2018 - Mayıs 2019 tarihleri arasında başvuran 18 yaş üzeri hastalar oluşturmuştur. Anemi tanımı, Dünya Sağlık Örgütü (DSÖ) kriterlerine göre hemoglobin değerinin erkeklerde 13 g/dl, kadınlarda 12 g/dl altında olması ile değerlendirildi. Ortalama eritrosit hacmine (MCV) göre; mikrositer (MCV<80), normositer (MCV 80-100) ve makrositer (MCV>100) olmak üzere üç gruba ayrıldı.

Bulgular: 65 yaş ve üzeri 401 katılımcı ayrıntılı olarak incelenmiştir. 401 yaşlı katılımcının 237’sinde (%59.1) anemi tespit edilmiştir. Yaşlı anemik hastaların % 42.6 ‘sı kadınlar, % 16.4’ü erkeklerden oluşmaktadır. Yaşlı hastalarda mikrositer anemi % 8.8, normositer anemi % 87.8, makrositer anemi % 3.4 bulunmuştur. Yaşlı hastaların %32.9’unda kronik hastalık anemisi, %2 demir eksikliği anemisi, % 40.5 kronik böbrek hastalığı anemisi vardır.

Sonuç: Yaptığımız çalışma ayaktan polikliniğe başvuran yaşlı hastalarda aneminin tahmin edilenden daha sık ve daha büyük bir sorun olduğunu göstermektedir. Altta yatan nedeni tespit edip tedavi yapıldığında yaşlıların yaşam kalitesinde ve yaşam sürelerinde dramatik düzelmeler sağlanabilir.

References

  • 1. Stauder R, Valent P, Theurl I. Anemia at older age: Etiologies, clinical implications, and management. Blood 2018;131:505–14.
  • 2. Doruk H, Beyan C. Anemia in the Elderly. Tenth National Internal Diseases Congress 2008;159-163.
  • 3. İliçin G, Biberoğlu K, Süleymanlar G, Ünal S. Basic internal medicine, Ankara, Sun medical bookstore 2012; 1592-3.
  • 4. Kaushansky K, Lichtman MA, Prchal JT, Levi MM, Press OW, Burns LJ ve diğerleri. Williams Hematology, New York : McGraw Hill Medical Books; 2016.
  • 5. Kilpatrick GS, Hardisty RM. The prevalence of anaemia in the community. A survey of a random sample of the population. Br Med J 1961; 1(5228),778.
  • 6. Beghe C, Wilson A, Ershler WB . Prevalence and outcomes of anemia in geriatrics: a systematic review of the literature, Am J Med, 2004; 116 Suppl 7A:3S.
  • 7. Penninx BWJH, Pahor M, Cesari M, Corsi AM, Woodman RC, Bandinelli S ve ak. Anemia is associated with disability and decreased physical performance and muscle strength in the elderly. Journal of the American Geriatrics Society, 2004; 52:719-24
  • 8. Eisenstaedt R, Penninx BWJH, Woodman RC. Anemia in the elderly: current understanding and emerging concepts. Blood Rev 2006; 20:213-26.
  • 9. Joshi K, Kumar R, Avasthi A. Morbidity profile and its relationship with disability and psychological distress among elderly people in Northern India. Journal of the American Geriatrics Society. 2003:32:978–87.
  • 10. Guralnik JM, Eisenstaedt RS, Ferrucci L, Klein HG, Woodman RC. Prevalence of anemia in persons 65 years and older in the United States: evidence for a high rate of unexplained anemia. Blood 2004; 104:2263-8.
  • 11. Balducci L, Ershler WB , Krantz S. Anemia in the elderly clinical findings and impact on health. Critical Reviews Oncology/Hematology 2006; 58(2):156-65.
  • 12. Royston E. The prevalance of nutritional anemia in women in developing countries'; critical review of available information. World Health Statistics 1982; 25:94-115.
  • 13. Bach V, Schruckmayer G, Sam I, Kemmler G, Stauder R. Prevalence and possible causes of anemia in the elderly: a cross-sectional analysis of a large European university hospital cohort. Clinical Interventions in Aging,Dove press journal, 2014; 9:1187-1196.
  • 14. Memisogullari R, Yıldırım HA, Ucgun T, Erkan ME, Günes C, Erbas M ve ark. Prevalence and etiology of anemias in the adult Turkish population. Turkish Journal of Medical Sciences 2012; 42 (6): 957-963.
  • 15. Guralnik JM, Eisenstaedt RS, Ferrucci L, Klein HG, Woodman RC. Prevalence of anemia in persons 65 years and older in the United States: evidence for a high rate of unexplained anemia. Blood 2004; 104:2263-8.
  • 16. Amin MG, Tighiouart H, Weiner DE, Stark PC, Griffith JL, MacLeod B ve ark. Hematocrit and left ventricular mass: the Framingham Heart study. Journal of the American College of Cardiology 2004; 43: 1276-82.
  • 17. Karakuş V, Giden A, Soysal DE, Bozkurt S, Kurtoğlu E. Evaluation of Anemia in Terms of Etiology, Risk Factors, and Relaps in Adult Patients. Medical Journal of Mugla Sitki Kocman University 2016;, 3(1):1-6.
  • 18. Tariq M, Khalid J, Sania SH, Sarfraz S, Aslam Z, Butt LQ. Morbidity profile of chronic diseases in geriatric patients. Students Corner Short Report 2018; Vol.68, No.6,978-981.
  • 19. Yüksel M, Saka B, Vatansever S. Etiology and Prevalence of Iron Deficiency Anemia in Elderly, Journal of Internal Medicine 2012; 19: 87-97.H
  • 20. İmdat D, Altun S, Tuncer İ, Uygan İ, Topal C, Aksoy H. Evaluation of hemoglobin, hematocrit values, erythrocyte indices and etiological reasons in iron deficiency anemia. Van Medical Faculty Journal. 2000;7(2):51-6.
  • 21. Şahin MK, Şahin G, Yazıcıoğlu B, Dikici MF, İğde AAF, Yarış F. Frequency and Morphological Distribution of Anemia in Elderly Patients. Fall school 2013.
  • 22. Stauffer ME, Fan T. Prevalence of Anemia in Chronic Kidney Disease in the United States. PLoS ONE 2014; 9(1): e84943.
  • 23. Çoban E, Akın M, Aykut A, Timurağaoğlu A. The Frequency And Morphological Distribution Of Anemia in Elderly Patients, Turkish Journal of Geriatrics 2004; 7(3):131-2.
  • 24. Erkan E, Muslu M, Sandıkçı S. The Prevalence and Clinical Characteristics of Anemia in Elderly Patients, Akad Geriatri, 2011;3:29-34.
  • 25. Emiroğlu C, Görpelioğlu S.,Aypak C. The Relationship between nutritional Status,Anemia and Other Vitamin Deficiencies in the Elderly Receiving Home C Journal of the Nutrition Health Aging 2019; 23(7):677-682.
  • 26. Sezer DS, Demir B, Gülle S, Topaloğlu Ö, Akyurt MH. Incidence And Etiology Of Anemia In The Hospitalized Geriatric Patients. The Journal Of tepecik Education and research Hospital 2013; 23 (2): 61-64.

Evaluation of Anemia Prevalence and Concomitant Diseases in Elderly Patients Applying to Family Medicine Polyclinic

Year 2021, Volume: 13 Issue: 2, 292 - 298, 07.06.2021
https://doi.org/10.18521/ktd.853666

Abstract

Objective: The aim of this study was to review current approaches by evaluating anemia, which is the source of many negativities in increasingly aging population and directly affecting the quality of life, and the conditions associated with it.

Methods: The population of the study consisted of patients over 18 years old who applied to Family Medicine polyclinic in Ordu University Training and Research Hospital between May 2018 and May 2019. According to World Health Organization (WHO) criteria, a hemoglobin value below 13 g / dL in men and 12 g / dL in women is defined as anemia. The patients were divided into three groups according to their mean erythrocyte volume (MCV) as microcyte (MCV <80), normocyte (MCV 80-100) and macrocyte (MCV>100).

Results: Four hundred one participants aged 65 and over were analyzed in detail. Anemia was detected in 237 (59.1%) of 401 elderly participants. Of the elderly anemic patients, 42.6% were women and 16.4% were men. Of the elderly patients, 8.8% had microcytic anemia, 87.8% had normocytic anemia, and 3.4% had macrocytic anemia. Of the elderly patients, 32.9% had chronic disease anemia, 2% had iron deficiency anemia, and 40.5% had chronic kidney disease anemia.

Conclusions: The study conducted shows that anemia is a more frequent and greater problem than predicted in elderly patients admitted to an outpatient clinic. When the underlying cause is identified and treated, dramatic improvements can be achieved in the quality of life and life span of the elderly.

References

  • 1. Stauder R, Valent P, Theurl I. Anemia at older age: Etiologies, clinical implications, and management. Blood 2018;131:505–14.
  • 2. Doruk H, Beyan C. Anemia in the Elderly. Tenth National Internal Diseases Congress 2008;159-163.
  • 3. İliçin G, Biberoğlu K, Süleymanlar G, Ünal S. Basic internal medicine, Ankara, Sun medical bookstore 2012; 1592-3.
  • 4. Kaushansky K, Lichtman MA, Prchal JT, Levi MM, Press OW, Burns LJ ve diğerleri. Williams Hematology, New York : McGraw Hill Medical Books; 2016.
  • 5. Kilpatrick GS, Hardisty RM. The prevalence of anaemia in the community. A survey of a random sample of the population. Br Med J 1961; 1(5228),778.
  • 6. Beghe C, Wilson A, Ershler WB . Prevalence and outcomes of anemia in geriatrics: a systematic review of the literature, Am J Med, 2004; 116 Suppl 7A:3S.
  • 7. Penninx BWJH, Pahor M, Cesari M, Corsi AM, Woodman RC, Bandinelli S ve ak. Anemia is associated with disability and decreased physical performance and muscle strength in the elderly. Journal of the American Geriatrics Society, 2004; 52:719-24
  • 8. Eisenstaedt R, Penninx BWJH, Woodman RC. Anemia in the elderly: current understanding and emerging concepts. Blood Rev 2006; 20:213-26.
  • 9. Joshi K, Kumar R, Avasthi A. Morbidity profile and its relationship with disability and psychological distress among elderly people in Northern India. Journal of the American Geriatrics Society. 2003:32:978–87.
  • 10. Guralnik JM, Eisenstaedt RS, Ferrucci L, Klein HG, Woodman RC. Prevalence of anemia in persons 65 years and older in the United States: evidence for a high rate of unexplained anemia. Blood 2004; 104:2263-8.
  • 11. Balducci L, Ershler WB , Krantz S. Anemia in the elderly clinical findings and impact on health. Critical Reviews Oncology/Hematology 2006; 58(2):156-65.
  • 12. Royston E. The prevalance of nutritional anemia in women in developing countries'; critical review of available information. World Health Statistics 1982; 25:94-115.
  • 13. Bach V, Schruckmayer G, Sam I, Kemmler G, Stauder R. Prevalence and possible causes of anemia in the elderly: a cross-sectional analysis of a large European university hospital cohort. Clinical Interventions in Aging,Dove press journal, 2014; 9:1187-1196.
  • 14. Memisogullari R, Yıldırım HA, Ucgun T, Erkan ME, Günes C, Erbas M ve ark. Prevalence and etiology of anemias in the adult Turkish population. Turkish Journal of Medical Sciences 2012; 42 (6): 957-963.
  • 15. Guralnik JM, Eisenstaedt RS, Ferrucci L, Klein HG, Woodman RC. Prevalence of anemia in persons 65 years and older in the United States: evidence for a high rate of unexplained anemia. Blood 2004; 104:2263-8.
  • 16. Amin MG, Tighiouart H, Weiner DE, Stark PC, Griffith JL, MacLeod B ve ark. Hematocrit and left ventricular mass: the Framingham Heart study. Journal of the American College of Cardiology 2004; 43: 1276-82.
  • 17. Karakuş V, Giden A, Soysal DE, Bozkurt S, Kurtoğlu E. Evaluation of Anemia in Terms of Etiology, Risk Factors, and Relaps in Adult Patients. Medical Journal of Mugla Sitki Kocman University 2016;, 3(1):1-6.
  • 18. Tariq M, Khalid J, Sania SH, Sarfraz S, Aslam Z, Butt LQ. Morbidity profile of chronic diseases in geriatric patients. Students Corner Short Report 2018; Vol.68, No.6,978-981.
  • 19. Yüksel M, Saka B, Vatansever S. Etiology and Prevalence of Iron Deficiency Anemia in Elderly, Journal of Internal Medicine 2012; 19: 87-97.H
  • 20. İmdat D, Altun S, Tuncer İ, Uygan İ, Topal C, Aksoy H. Evaluation of hemoglobin, hematocrit values, erythrocyte indices and etiological reasons in iron deficiency anemia. Van Medical Faculty Journal. 2000;7(2):51-6.
  • 21. Şahin MK, Şahin G, Yazıcıoğlu B, Dikici MF, İğde AAF, Yarış F. Frequency and Morphological Distribution of Anemia in Elderly Patients. Fall school 2013.
  • 22. Stauffer ME, Fan T. Prevalence of Anemia in Chronic Kidney Disease in the United States. PLoS ONE 2014; 9(1): e84943.
  • 23. Çoban E, Akın M, Aykut A, Timurağaoğlu A. The Frequency And Morphological Distribution Of Anemia in Elderly Patients, Turkish Journal of Geriatrics 2004; 7(3):131-2.
  • 24. Erkan E, Muslu M, Sandıkçı S. The Prevalence and Clinical Characteristics of Anemia in Elderly Patients, Akad Geriatri, 2011;3:29-34.
  • 25. Emiroğlu C, Görpelioğlu S.,Aypak C. The Relationship between nutritional Status,Anemia and Other Vitamin Deficiencies in the Elderly Receiving Home C Journal of the Nutrition Health Aging 2019; 23(7):677-682.
  • 26. Sezer DS, Demir B, Gülle S, Topaloğlu Ö, Akyurt MH. Incidence And Etiology Of Anemia In The Hospitalized Geriatric Patients. The Journal Of tepecik Education and research Hospital 2013; 23 (2): 61-64.
There are 26 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Mervegül Kaya 0000-0001-9399-5307

Özgür Enginyurt 0000-0002-5966-9126

Ahmet Karataş 0000-0001-9095-6054

Tuba Gül 0000-0001-6003-5975

Publication Date June 7, 2021
Acceptance Date May 20, 2021
Published in Issue Year 2021 Volume: 13 Issue: 2

Cite

APA Kaya, M., Enginyurt, Ö., Karataş, A., Gül, T. (2021). Evaluation of Anemia Prevalence and Concomitant Diseases in Elderly Patients Applying to Family Medicine Polyclinic. Konuralp Medical Journal, 13(2), 292-298. https://doi.org/10.18521/ktd.853666
AMA Kaya M, Enginyurt Ö, Karataş A, Gül T. Evaluation of Anemia Prevalence and Concomitant Diseases in Elderly Patients Applying to Family Medicine Polyclinic. Konuralp Medical Journal. June 2021;13(2):292-298. doi:10.18521/ktd.853666
Chicago Kaya, Mervegül, Özgür Enginyurt, Ahmet Karataş, and Tuba Gül. “Evaluation of Anemia Prevalence and Concomitant Diseases in Elderly Patients Applying to Family Medicine Polyclinic”. Konuralp Medical Journal 13, no. 2 (June 2021): 292-98. https://doi.org/10.18521/ktd.853666.
EndNote Kaya M, Enginyurt Ö, Karataş A, Gül T (June 1, 2021) Evaluation of Anemia Prevalence and Concomitant Diseases in Elderly Patients Applying to Family Medicine Polyclinic. Konuralp Medical Journal 13 2 292–298.
IEEE M. Kaya, Ö. Enginyurt, A. Karataş, and T. Gül, “Evaluation of Anemia Prevalence and Concomitant Diseases in Elderly Patients Applying to Family Medicine Polyclinic”, Konuralp Medical Journal, vol. 13, no. 2, pp. 292–298, 2021, doi: 10.18521/ktd.853666.
ISNAD Kaya, Mervegül et al. “Evaluation of Anemia Prevalence and Concomitant Diseases in Elderly Patients Applying to Family Medicine Polyclinic”. Konuralp Medical Journal 13/2 (June 2021), 292-298. https://doi.org/10.18521/ktd.853666.
JAMA Kaya M, Enginyurt Ö, Karataş A, Gül T. Evaluation of Anemia Prevalence and Concomitant Diseases in Elderly Patients Applying to Family Medicine Polyclinic. Konuralp Medical Journal. 2021;13:292–298.
MLA Kaya, Mervegül et al. “Evaluation of Anemia Prevalence and Concomitant Diseases in Elderly Patients Applying to Family Medicine Polyclinic”. Konuralp Medical Journal, vol. 13, no. 2, 2021, pp. 292-8, doi:10.18521/ktd.853666.
Vancouver Kaya M, Enginyurt Ö, Karataş A, Gül T. Evaluation of Anemia Prevalence and Concomitant Diseases in Elderly Patients Applying to Family Medicine Polyclinic. Konuralp Medical Journal. 2021;13(2):292-8.