JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES

Article

Journal of Clinical and Biomedical Sciences

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

Original Article

Patterns of Geriatric Anemia – A Clinicopathological Study

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

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 survivalJournal of Aging Research2014;2014(1):16. 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 centreScholars Journal of Applied Medical Sciences (SJAMS) 2017;5(4D):14831486. Available from: https://www.saspublishers.com/article/12325/download/
  3. 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 IndiaThe Egyptian Journal of Haematology 2014;39(4):190194. Available from: https://journals.lww.com/egjh/fulltext/2014/39040/a_clinicohaematological_profile_of_elderly.2.aspx
  4. Narayanan SS, Logaraj M, Pulidevan A. Burden of Anemia among elderly population attending Rural Health Training Center in Kancheepuram, Tamil NaduNational Journal of Research in Community Medicine2017;6(0):108112. Available from: https://europub.co.uk/articles/-A-315386
  5. Tay MRJ, Ong YY. Prevalence and Risk Factors of Anaemia in Older Hospitalised PatientsProceedings of Singapore Healthcare2011;20(2):7179. Available from: https://journals.sagepub.com/doi/pdf/10.1177/201010581102000202
  6. 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 BrazilRevista brasileira de hematologia e hemoterapia2013;35(2):115118. Available from: https://doi.org/10.5581%2F1516-8484.20130032
  7. 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 cohortClinical interventions in aging2014;9:11871196. Available from: https://doi.org/10.2147/cia.s61125
  8. Gangadharan V, Lakshmi SS, Mohan KVM. Morphological Patterns of Geriatric Anemia-A StudyIOSR Journal of Dental and Medical Sciences2016;15(3 Ver. II):2427. Available from: https://www.iosrjournals.org/iosr-jdms/papers/Vol15-Issue%203/Version-2/H015322427.pdf
  9. Kaya T, Açıkgöz SB, Yıldırım M, Nalbant A, Altaş AE, Cinemre H. Association between neutrophil-to-lymphocyte ratio and nutritional status in geriatric patientsJournal of clinical laboratory analysis2019;33(1):16. Available from: https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcla.22636
  10. Jain V. Pattern of anemia in elderly patientsInternational Journal of Research in Medical Sciences2019;7(7):25242529. Available from: https://doi.org/10.18203/2320-6012.ijrms20192576
  11. Hilal N, Mushtaq A. Prevalence of anemia in geriatric population of Kashmir: A hospital based studyAnnals of Medical Physiology2017;1(1):2630. Available from: https://doi.org/10.23921/amp.2017v1i1.262231
  12. Shrivastava SR, Hippargi BS, Ambali AP, Yelikar B. Patterns of Anemia in Geriatric Age GroupJournal of Krishna Institute of Medical Sciences University2013;2(1):7781. Available from: https://www.researchgate.net/publication/286284806_Patterns_of_Anemia_in_Geriatric_Age_Group
  13. Singh R, Gaur BS. Pattern of anemia in geriatric patients-a hospital based prospective studyInternational Journal of Medical Research & Review2016;4(7):12501254. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/611
  14. 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 anemiaBlood2004;104(8):22632268. 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

DON'T MISS OUT!

Subscribe now for latest articles and news.