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- Title
A Clinical and Hematological Profile in Geriatric Patients with Special Emphasis on Morphological and Etiological Classification of Anemia in These Patients - A Pilot Study.
- Authors
Hassan, Mohammad Jaseem; Rehman, Maheeb; Imteyaz, Salamah Parveen; Khan, Sabina; Ahmad, Nehal; Jetley, Sujata
- Abstract
Introduction: Anemia in geriatric population is a very common problem and if untreated, anemia in elderly age group is associated with impairment of functional capacities, poorer health related quality of life, increased morbidity and mortality. Purpose: To study the clinical and anemia profile of geriatric patients and to classify anemia in this age group according to morphology and etiology. Material and Methods: After obtaining informed and written consent from patients, each patient's particulars were noted in a structured proforma. This was followed by detailed physical and systemic examination. Complete blood count was done on automated 6-part hematology analyzer XN-1000i (Sysmex Corporation, Kobe, Japan). Peripheral blood smear was stained by Leishman stain and subsequently studied under microscope. Iron studies, serum B12 levels and folic acid levels were estimated as per the protocol of our lab. Results: During a period of 2 months, 60 patients aged 60 years and above admitted in our hospital were evaluated for anemia. Male to female ratio was 1:2. The age of our cases ranged from 60 - 87 years with mean age of patient being 64.2 years. Clinically majority of our patients presented with generalized weakness and fatigue (66.6%), followed by dyspnea (36.6%) and fever (33.3%). Majority of our patients presented with moderate anemia (65%) followed by severe anemia (18.33%) and mild anemia (16.67%). Morphologically normocytic anemia (75%) was most common type in our study, followed by microcytic anemia (21.7%) and macrocytic anemia (3.3%). Etiologically, anemia of chronic disease was the most common type followed by iron deficiency anemia and Vitamin-B12 deficiency anemia. Conclusion: Keeping in mind the deleterious effect of even mild anemia in geriatric population, an extensive evaluation of anemia in these population is essential so as to make an early diagnosis of potentially treatable cause of anemia.
- Subjects
IRON deficiency anemia; ANEMIA; BLOOD cell count; QUALITY of life; FOLIC acid; PURE red cell aplasia
- Publication
JK Science, 2020, Vol 22, Issue 4, p187
- ISSN
0972-1177
- Publication type
Article