JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES

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Patterns of Geriatric Anemia – A Clinicopathological Study
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Journal of Clinical and Biomedical Sciences

DOI: 10.58739/jcbs/v14i2.24.47

Year: 2024, Volume: 14, Issue: 2, Pages: 44-48

Original Article

Patterns of Geriatric Anemia – A Clinicopathological Study

Sneha K1∗, Jigalur Parvathi S2

1 Junior Resident, Department of Pathology, Karnataka Institute of Medical Sciences, Hubballi, Karnataka, India
2 Associate professor, Department of Pathology, Karnataka Institute of Medical Sciences, Hubballi, Karnataka, India

*Corresponding author email: [email protected]

Received Date:06 June 2024, Accepted Date:13 July 2024, Published Date:23 July 2024

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Background : Anemia is a common condition in elderly especially in hospitalized geriatric patients and is known to be associated with increased morbidity and mortality. The UN agreed cut off to refer to the older population is 60years and above. Anemia in the elderly is defined as a haemoglobin concentration below12 gm/dl in women and below 13gm/dl in men. Objectives: To study the grade and patterns of anemia in Geriatric age group of both sex with clinicopathological correlation. Materials and Methods: It is a Prospective study of 2 years from May 2018 to April 2020 carried out in KIMS, Hubbali. A statistically significant sample size was 400. Results: Among the total geriatric cases of 400, males were 233 (58.25%) and females were 167 (41.75%). In which majority of them were in the age group between 60-69 years that is 237 (59.25%) cases, followed by 121 (30.25%) cases, 38 (9.5%) cases and 4 (1%) cases were in the age group between 70-79 years, 80-89 and above 90 years respectively. The study showed that majority of the cases belonged to the Grade 1 anemia (69.25%). On smear examination most common morphological pattern was Normocytic Normochromic Anemia (75%), followed by Microcytic Hypochromic Anemia (18%). On clinical history correlation, majority of them were asymptomatic 52% and 38% of cases presented with fatigue. Conclusion: The study concludes that diagnosing different morphological patterns of geriatric anemia and its clinical correlation helps in reducing the morbidity and mortality of geriatrics related to anemia and also facilitate the clinicians to improve the treatment protocols and prophylactic therapy.

Keywords

Geriatrics, Patterns, Anemia

References

  1. Nilsson G, Hedberg P, Öhrvik J. White blood cell count in elderly is clinically useful in predicting long-term survival. Journal of Aging Research. 2014;2014(1):1–6. Available from: https://doi.org/10.1155/2014/475093
  2. Aithal K, Meti K, Jain S. A study of pattern and causes of anaemia in elderly patients admitted at tertiary centre. Scholars Journal of Applied Medical Sciences (SJAMS) . 2017;5(4D):1483–1486. Available from: https://www.saspublishers.com/article/12325/download/
  4. Raina A, Kumar A, Singh A, Gupta G, Malhotra P, Raina SK. A clinicohaematological profile of elderly patientsbeing investigated for anaemia in a tertiary care centre in north-west India. The Egyptian Journal of Haematology . 2014;39(4):190–194. Available from: https://journals.lww.com/egjh/fulltext/2014/39040/a_clinicohaematological_profile_of_elderly.2.aspx
  5. Narayanan SS, Logaraj M, Pulidevan A. Burden of Anemia among elderly population attending Rural Health Training Center in Kancheepuram, Tamil Nadu. National Journal of Research in Community Medicine. 2017;6(0):108–112. Available from: https://europub.co.uk/articles/-A-315386
  6. Tay MRJ, Ong YY. Prevalence and Risk Factors of Anaemia in Older Hospitalised Patients. Proceedings of Singapore Healthcare. 2011;20(2):71–79. Available from: https://journals.sagepub.com/doi/pdf/10.1177/201010581102000202
  7. Sgnaolin V, Engroff P, Ely LS, Schneider RH, Schwanke CH, Gomes I, et al. Hematological parameters and prevalence of anemia among free-living elderly in south Brazil. Revista brasileira de hematologia e hemoterapia. 2013;35(2):115–118. Available from: https://doi.org/10.5581%2F1516-8484.20130032
  8. 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. 2014;9:1187–1196. Available from: https://doi.org/10.2147/cia.s61125
  9. Gangadharan V, Lakshmi SS, Mohan KVM. Morphological Patterns of Geriatric Anemia-A Study. IOSR Journal of Dental and Medical Sciences. 2016;15(3 Ver. II):24–27. Available from: https://www.iosrjournals.org/iosr-jdms/papers/Vol15-Issue%203/Version-2/H015322427.pdf
  10. Kaya T, Açıkgöz SB, Yıldırım M, Nalbant A, Altaş AE, Cinemre H. Association between neutrophil-to-lymphocyte ratio and nutritional status in geriatric patients. Journal of clinical laboratory analysis. 2019;33(1):1–6. Available from: https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcla.22636
  11. Jain V. Pattern of anemia in elderly patients. International Journal of Research in Medical Sciences. 2019;7(7):2524–2529. Available from: https://doi.org/10.18203/2320-6012.ijrms20192576
  12. Hilal N, Mushtaq A. Prevalence of anemia in geriatric population of Kashmir: A hospital based study. Annals of Medical Physiology. 2017;1(1):26–30. Available from: https://doi.org/10.23921/amp.2017v1i1.262231
  13. Shrivastava SR, Hippargi BS, , Ambali AP, Yelikar B. Patterns of Anemia in Geriatric Age Group. Journal of Krishna Institute of Medical Sciences University. 2013;2(1):77–81. Available from: https://www.researchgate.net/publication/286284806_Patterns_of_Anemia_in_Geriatric_Age_Group
  14. Singh R, Gaur BS. Pattern of anemia in geriatric patients-a hospital based prospective study. International Journal of Medical Research & Review. 2016;4(7):1250–1254. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/611
  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(8):2263–2268. Available from: https://doi.org/10.1182/blood-2004-05-1812

Copyright

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Published By Sri Devaraj Urs Academy of Higher Education, Kolar, Karnataka

  • 24 July 2024

Year: 2024, Volume: 14, Issue: 2

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