Anaemi - praevalens og ætiologi hos patienter indlagt på en geriatrisk afdeling.

Translated title of the contribution: Anemia--prevalence and etiology among acutely admitted geriatric patients

Andreas James Thestrup Pedersen, Erik Skjelbo

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

INTRODUCTION: The purpose of this study was to determine the prevalence of anemia among acutely admitted geriatric patients, and among these patients to ascertain how often anemia is listed as a diagnosis, the distribution of these diagnoses and to compare the diagnostic approach to anemia with that suggested in the literature. MATERIALS AND METHODS: Age, sex and hemoglobin concentrations (hgb) were registered for patients referred to the acute geriatric ward of Odense University Hospital between 6/1/04 and 8/31/04. The prevalence of anemia was determined on the basis of the local laboratory's sex-specific lower reference limits for hgb. Diagnoses of discharge, laboratory data and, if performed, results of bone marrow and endoscopic investigations were also registered for anemic patients. RESULTS: 110 of 289 patients (38%) were anemic. The prevalence was significantly higher among men (61%, 95% confidence interval 51-71%) than among women (27%, 95% confidence interval 21-34%). 30 of the anemic patients (27%) had anemia listed as a diagnosis, including 14 with the diagnosis anemia without specification. A minority of anemic patients had measurements of serum ferritin (37%), serum iron (10%), plasma cobalamin (35%) and erythrocyte folate (35%), and a blood smear was likewise performed on a minority of anemic patients (26%). CONCLUSION: Anemia often remains undiagnosed or ignored. Clinicians should be aware of the high prevalence of anemia among geriatric patients and should appreciate the importance of a correct diagnostic approach to anemia in the elderly.
Udgivelsesdato: 2008-Apr-21
Translated title of the contributionAnemia--prevalence and etiology among acutely admitted geriatric patients
Original languageDanish
JournalUgeskrift for læger
Volume170
Issue number17
Pages (from-to)1453-7
Number of pages4
ISSN0041-5782
Publication statusPublished - 21. Apr 2008

Keywords

  • Aged
  • Aged, 80 and over
  • Anemia
  • Denmark
  • Female
  • Hemoglobins
  • Humans
  • Male
  • Patient Admission
  • Prevalence

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