A study of Anemia Rate and Causes in Hospitalized Geriatric Patients on Medical Wards

Yıl 2022, , 286 - 290, 01.06.2022

İlhami Gültepe

https://doi.org/10.26453/otjhs.1019952

Öz

Objective: The aim of this study is to look at the rate and causes of anemia in geriatric patients over the age of 65 who are hospitalized on the medical wards.

Materials and Methods: We retrospectively investigated the data of 200 elderly older patients who were hospitalized between 2018 and 2021 in a private university hospital.

Results: We determined that 101 (50.5%) of the patients were females and the rest were males 99 (49.5%). The mean age for females was 80.76±3.5 years and for males was 79.93±4.2 years. The oldest patient was aged 102 years, while the youngest one was 66 years. The rate of anemia was 63.5% (127 patients).

Conclusion: The majority of geriatric patients admitted to the medical wards had anemia. We recommended taking anemia into account in geriatric patients at the time of hospitalization and with appropriate management. 

Anahtar Kelimeler

Anemia, geriatric patient, medical ward

İç Hastalıkları Kliniğine Yatan Geriatrik Hastaların Anemi Sıklığı ve Nedenlerinin Araştırılması

Öz

Amaç: Bu araştırmanın amacı iç hastalıkları kliniğinde yatarak tedavi gören 65 yaş üstü geriatrik hasta grubundaki hastalarda anemi sıklığını ve nedenlerini araştırmaktır.

Materyal ve Metot: Tıp Fakültesi İç Hastalıkları Kliniğine 2018 ve 2021 tarihleri arasındaki 3 yıllık sürede yatan 65 yaş üzeri 200 hastanın dosyaları geriye dönük olarak incelenmiştir.

Bulgular: Araştırmaya alınan 200 hastanın 101 (%50,5)’inin kadın, 99 (%49,5)’nun erkeklerden oluşmaktadır. Kadınların yaş ortalamasının 80,76±3,5 ve erkeklerin yaş ortalamasının 79,93±4,2 olduğu saptandı. En yüksek yaş 102 en düşük 66 olarak bulundu. 127 hastada (%63,5) anemi tespit edildi.

Sonuç: İç hastalıkları kliniğine yatış yapılan geriatrik hastaların çoğunluğunda anemi olduğu saptandı. Hastaların kliniğe yatışı yapılırken anemi yönünden değerlendirilmesi ve uygun tedavilerinin yapılması önerilmektedir. 

Anahtar Kelimeler

Anemi, geriatrik hasta, iç hastalıkları kliniği

Kaynakça

• Turkish Statical Instıtute, Geriatrics with Statistics, 2020;37227 https://data.tuik.gov.tr/Bulten/Index?p=37227&dil=2. Accessed February 13, 2022.
• Renjini B, Raj A, Krishnendu V, Rajiv M, Divyamol S, Rakesh P. High prevalence malnutrition and anemia among elderly at old age homes in Kerala, India. J Med Allied Sci. 2019;9(1):32-35. doi:10.5455/jmas.7814
• Son KY, Shin DW, Lee JE, et al. Association of anemia with mobility capacity in older adults: A Korean nationwide population-based cross-sectional study. BMC Geriatr. 2020;20(1):469. doi:10.1186/s12877-020-01879-z
• Ates Bulut E, Soysal P, Isik AT. Frequency and coincidence of geriatric syndromes according to age groups: Single-center experience in Turkey between 2013 and 2017. Clin Interv Aging. 2018;13:1899-1905. doi:10.2147/CIA.S180281
• Unutmaz GD, Soysal P, Tuven B, et al. Costs of medication in older patients: Before and after comprehensive geriatric assessment. Clin Interv Aging. 2018;13:607-613. doi:10.2147/CIA.S159966
• Sakurai R, Kim Y, Inagaki H, et al. MMSE Cutoff Discriminates Hippocampal Atrophy: Neural evidence for the cut off of 24 Points. J Am Geriatr Soc. United States. 2021;69:839-841. doi:10.1111/jgs.17010
• Soysal P, Smith L, Isik AT. Validation of population-based cut-offs for low muscle mass and strength. Eur Geriatric Med. Switzerland. 2020;11:713-714. doi:10.1007/s40520-019-01448-4
• Milagres CS, De Moraes KBD, Franceschini SCC, et al. Prevalence and factors associated with the presence of anemia in the elderly of the municipality of Viçosa, State of Minas Gerais, Brazil. Cien Saude Colet. 2015;20(12):3733-3741.  doi:10.1186/s12889-016-3073-2
• Ahmed T, Vasiliadis H-M. Global cognition modifies the relationship between anemia and depression in old age: a longitudinal analysis of the IMIAS Study. Arch Gerontol Geriatr. 2021;94:104342. doi:10.1016/j.archger.2021.104342
• Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: Evidence for a phenotype. J Gerontol Ser A Biol Sci Med Sci. 2001;56:M146-M157. doi:10.1093/gerona/56.3.m146
• Röhrig G, Gütgemann I, Leischker A, et al. Anemia in the aged - a geriatric syndrome?: Second position paper on anemia in the aged by the working group anemia of the German geriatric society. Z Gerontol Geriatr. 2018;51(8):921-923. doi:10.1007/s00391-018-1457-x
• Stauder R, Valent P, Theurl I. Anemia at older age: Etiologies, clinical implications, and management. Blood. 2018;131(5):505-514. doi:10.1182/blood-2017-07-746446
• Hopstock LA, Utne EB, Horsch A, et al. The association between anemia and falls in community-living women and men aged 65 years and older from the fifth Tromsø Study 2001-02: a replication study. BMC Geriatr. 2017;17(1):292. doi:10.1186/s12877-017-0689-8
• Gonmei Z, Dwivedi S, Toteja GS, Singh K, Vikram NK, Bansal PG. Anemia and vitamin B12 deficiency in elderly. Asian J Pharm Clin Res. 2018;11:402. doi:10.4103/ijmr.IJMR_1768_18
• Neidlein S, Wirth R, Pourhassan M. Iron deficiency, fatigue and muscle strength and function in older hospitalized patients. Eur J Clin Nutr. 2020;75:456–463. doi:10.1038/s41430-020-00742-z
• Lyu Y, Yin Z, Luo J, Shi X, Zeng Y. Association between anemia and 3-year all-cause mortality among oldest old people in longevity areas in China. Zhonghua Liuxingbingxue Zazhi. 2015;36:682-686. doi:10.1093/geronb/gbu007
• Durmaz B, Soysal P, Ellidokuz H, et al. Validity and reliability of geriatric depression scale-15 (short form) in Turkish older adults. North Clin Istanbul. 2018;5 (3):216– 220. doi:10.14744/nci.2017.85047.
• Soysal P, Isik AT, Arik F, et al. Validity of the mini-nutritional assessment scale for evaluating frailty status in older adults. J Am Med Dir Assoc. 2019;20(2):183-187. doi:10.1016/j.jamda.2018.07.016
• Dokuzlar O, Koc Okudur S, Smith L, et al. Assessment of factors that increase risk of falling in older women by four different clinical methods. Aging Clin Exp Res. 2020;32(3):483-490. doi:10.1007/s40520-019-01220-8
• Soni PN, Jawale RB, Soni SP, Pn S, Adv IJ, May M. Study of anemia in geriatric population: A hospital based study in Marathwada region, Maharashtra, India. Int J Adv Med. 2016;3:197-199. doi:10.18203/2349-3933.ijam20161069
• Berliner N. Anemia in the elderly. Trans Am Clin Climatol Assoc. 2013;124:230-237.