MORPHOLOGIC AND CYTOMETRIC EVALUATION OF ANEMIA IN GERIATRIC PATIENTS

Shruti S. Desale, Smita P. Bhide, Sneha R. Joshi

Abstract


BACKGROUND: The UN agreed cut off to refer to older patients (i.e. geriatric age group) is 60+ years. Due to the rising tendency of the aging
population in a modern society, the prevalence of anemia is also expected to rise in the future. Geriatric anemia is a unique anemia for several
reasons. Its diagnosis poses a challenge. This is because there are several features of anemia which make it easy to overlook.
OBJECTIVE: To study types of anemia depending upon red cell morphology and red cell indices in geriatric patients.
MATERIALS AND METHODS: The present study was carried in department of pathology of the rural tertiary care
hospital. All the geriatric patients coming to out patient as well as in patient department of the hospital with anemia satisfying the inclusion and
exclusion criteria were included in the study. This study was conducted from October 2015 to August 2017.
RESULTS : Out of 690 total geriatric patients, 414 anemic patients fulfilling inclusion criteria were included in the study. Out of total 414 patients,
220 (67.4 %) were male and 194 (73.7%) were female patients. Majority of the patients were in 60-65 year age group, in both sexes. In present
study, normocytic normochromic was the most common morphological
pattern of anemia found on PBS and anemia of chronic disease was the most common
cause of geriatric anemia, followed by nutritional deficiency.
CONCLUSION : Despite modern diagnostic methods, geriatric anemia still remains underreported and inadequately investigated. There is
clearly a need for greater awareness of anemia in the elderly and of its significance in terms of poorer outcomes, prolonged hospital stay and
increased mortality.
The present study underlines the importance of routine screening and individual assessment of the etiological factors of anemia in elderly allowing
the timely initiation of optimal and appropriate therapy.


Keywords


Anaemia, Geriatric, Morphological

Full Text:

PDF

References


World Health Organization. Definition of an older or elderly person. Retrieved August

,2010. Available online:

www.who.int/healthinfo/survey/ageingdfnolder/en/index.html.

Kim H-S, Lee B-K. Cross-sectional study on the prevalence of anemia among rural elderly in Asan. Nutrition Research and Practice. 2008;2(1):8-12. doi:10.4162/nrp.2008.2.1.8

Smith D.L. Anemia in the elderly. American Family Physician.2000, 62(7):1565-1574.

Duh MS, Mody SH, Lefebvre P, Woodman RC, Buteau S, Peich CT. Anemia and the risk of injurious falls in a community- dwelling elderly population. Drugs Ageing 2008,25(4): 325-334.

Bhasin A, Rao M Y. Characteristics of anemia in Elderly: A Hospital based study in south India. Indian Journal Of Hematology and Blood Transfusion 2011; 27(1): 26-32.

Shrivastav S R, Hippargi S B, Ambali A P, Yelikar B R. Patterns of anemia in geriatric age group. JKIMSU 2013; 2(1): 77-81.

Bisht N, Sofia, Neki N.S. et al. Prevalence and pattern of anemia in elderly – a hospital based study. International journal of current research in medical science (2017), Vol.3, Issue 6 , 27-35

Tilak V, Rani D, Gambhir IS. Characteristic of geriatric anemia in and around Varanasi: A hospital based study. Indian J. Prev. Soc. Med. Vol. 44 No1-2,2013

Prakash KG, Devendrappa KR, Madhukumar MH, Priyashree R, Avinash B. Clinical Profile of Anemia in Elderly: A Cross Sectional Study from a Tertiary Care Center. Sch J App Med Sci. 2015; 3(3C):1266-1270.

Aithal K, Meti K, Jain S et al. A study of pattern of anemia in elderly patients admitted at tertiary centre. Sch. J. App. Med. Sci. 2017; 5(4D) : 1483-1486

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. Egypt J Haematol 2014;39:190-4

Deshpande N, Kakade H, Jathar M, Sangle SA, Deshpande N, Shinde A. Anemia in senior citizens. MedPulse – International Medical Journal, March 2017;4(3);349-350

Mann S, Kumar A, Singh SK, Katyal S, Chopra G, Varma SK. Clinical Evaluation of Anemia in Geriatric Patients - A Cross Sectional Study Conducted At Tertiary Care Hospital. Natl J Community Med. 2010; 5(3): 316-320.

Alwar v, Reethi K, Rameshkumar K. Geriatric Anemia: An Indian perspective. Indian J Hematol Blood Transfus. 2013; 29(2). 126-127

Amarneel S, Sheth N, Pattern of anemia in elderly age group. USRR. 2015; 4(2): 51-56.

VanStaden AM, Weich DJV. Retrospective analysis of the prevalence and causes of anaemia in hospitalised elderly patients. S Afr Fam Pract. 2015; 57(5): 297-299.

DeAmicis MM, Poggiali E, Motta I, Minonzio F, Fabio G, Hu C et al. Anemia in

elderly hospitalized patients: prevalence and clinical impact. Intern Emerg Med. 2015;

l0(5): 581-586


Refbacks

  • There are currently no refbacks.