A cross-sectional single-centre study of anaemia in the elderly
DOI:
https://doi.org/10.18203/2320-6012.ijrms20232070Keywords:
Anaemia, Elderly, Teaching hospitalAbstract
Background: The geriatric population is increasing globally, and anaemia in the elderly is associated with increased morbidity and mortality. The Anaemia in Elderly study (ANiE study) aimed to assess the prevalence, associations and severity of anaemia in elderly patients attending the outpatient clinics at Rivers State University Teaching Hospital.
Methods: This was a prospective cross-sectional study of consenting patients, 60 years and older, attending the outpatient clinics in our hospital. A blood sample was collected for full blood count, blood glucose, serum creatinine and HIV serology. A data collection tool was used to collect data on comorbidities, occupation and income among others. Descriptive analysis and logistic regression were done to determine factors associated with anaemia in elderly patients in the outpatient clinics.
Results: A total of 288 patients consented to participate, anaemia was prevalent in 101 (35.1%) of the participants, there was no difference in the prevalence between males and females, the mean PCV was 38.33±1.33%, the majority of the anaemic patients had mild anaemia 46 (45.5%). Being a patient on follow-up visit to the hospital, the average monthly income and employment status were significantly associated with the occurrence of anaemia.
Conclusions: Anaemia according to the WHO definition was prevalent in 35.1% of elderly patients attending the out-patients’ clinics in the hospital. Factors associated with anaemia were employment status and average monthly income. It is important to identify patients at risk and provide appropriate care to prevent further morbidity and mortality.
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References
Shamaila Burney MF, AAA. Anemia in elderly hospitalized patients: frequency and association with comorbidities. J Islam Int Med Coll. 2018;13(4):194-9.
Kalache A, Gatti A. Active ageing: a policy framework. Adv Gerontol Uspekhi Gerontol. 2003;11:7-18.
Kowai P. Proposed working definition of an older person in Africa for the MDS Project. Zagreb Int Rev Econ Bus. 2018;18(1):1-15.
World Health Organization. World Population Ageing, 2019. Available at: http://link.springer.com/chapter/10.1007/978-94-007-5204-7_6. Accessed on 23 January 2023.
African Health Organisation. Aging Fact Sheet, 2020. Available at: https://aho.org/fact-sheets/ageing-fact-sheet/. Accessed on 23 January 2023.
Berliner N. Anemia in the elderly. Trans Am Clin Climatol Assoc. 2013;124:230-7.
Beghé C, Wilson A, Ershler WB. Prevalence and outcomes of anemia in geriatrics: A systematic review of the literature. Am J Med. 2004;116(7 SUPPL. 1):3-10.
Culleton BF, Manns BJ, Zhang J, Tonelli M, Klarenbach S, Hemmelgarn BR. Impact of anemia on hospitalization and mortality in older adults. Blood. 2006;107(10):3841-6.
Tanne D, Molshatzki N, Merzeliak O, Tsabari R, Toashi M, Schwammenthal Y. Anemia status, hemoglobin concentration and outcome after acute stroke: A cohort study. BMC Neurol. 2010;10(1):1–7.
Krishnapillai A, Omar MA, Ariaratnam S, Awaluddin S, Sooryanarayana R, Kiau HB, et al. The Prevalence of Anemia and Its Associated Factors among Older Persons: Findings from the National Health and Morbidity Survey (NHMS) 2015. Int J Environ Res Pub Heal. 2022;19(9):4983.
Ramel A, Jonsson PV, Bjornsson S, Thorsdottir I. Anemia, nutritional status, and inflammation in hospitalized elderly. Nutrition. 2008;24(11–12):1116–22.
Adewoyin A, Bazuaye G, Enabudoso E. Burden of anaemia among In- and Out-Patients at the University of Benin Teaching Hospital, Benin City, Nigeria. Ann Trop Pathol. 2023;5(2):93.
Nakashima ATA, de Moraes ACF, Auler F, Peralta RM. Anemia prevalence and its determinants in Brazilian institutionalized elderly. Nutrition. 2012;28(6):640-3.
Melku M, Asefa W, Mohamednur A, Getachew T, Bazezew B, Workineh M, et al. Magnitude of Anemia in Geriatric Population Visiting Outpatient Department at the University of Gondar Referral Hospital, Northwest Ethiopia: Implication for Community-Based Screening. Curr Gerontol Geriatr Res. 2018;2018:9869343.
Tay MRJ, Ong YY. Prevalence and risk factors of anaemia in older hospitalised patients. Proc Singapore Healthc. 2011;20(2):71-9.
Sahin S, Tasar PT, Simsek H, Çicek Z, Eskiizmirli H, Aykar FS, et al. Prevalence of anemia and malnutrition and their association in elderly nursing home residents. Aging Clin Exp Res. 2016;28(5):857-62.
Sgnaolin V, Engroff P, Ely LS, Schneider RH, Schwanke CHA, Gomes I, et al. Hematological parameters and prevalence of anemia among free-livingelderly in south Brazil. Rev Bras Hematol Hemoter. 2013;35(2):115.
Bang SM, Lee JO, Kim YJ, Lee KW, Lim S, Kim JH, et al. Anemia and activities of daily living in the Korean urban elderly population: results from the Korean longitudinal study on health and aging (KLoSHA). Ann Hematol. 2013;92(1):59-65.
Jain V. Pattern of anemia in elderly patients. Int J Res Med Sci. 2019;7(7):2524.
Ferrucci L, Maggio M, Bandinelli S, Basaria S, Lauretani F, Ble A, et al. Low testosterone levels and the risk of anemia in older men and women. Arch Intern Med. 2006;166(13):1380.
Henderson VW. Aging, Estrogens, and Episodic Memory in Women. Cogn Behav Neurol. 2009;22(4):205.
Gupta A, Ramakrishnan L, Pandey RM, Sati HC, Khandelwal R, Khenduja P, et al. Risk factors of anemia amongst elderly population living at high-altitude region of India. J Fam Med Prim Care. 2020;9(2):673.
Greenblum G, DeLouize AM, Kowal P, Snodgrass JJ. Anemia and socioeconomic status among older adults in the Study on global AGEing and adult health (SAGE). J Public Heal Emerg. 2022;6(0):28-8.
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