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Rev Esp Geriatr Gerontol. 2015 May-Jun;50(3):122-5. doi: 10.1016/j.regg.2014.09.002. Epub 2015 Mar 4.

[Anemia in elderly patients admitted to an acute geriatric ward].

[Article in Spanish]

Author information

1
Servicio de Medicina Interna, Hospital Universitario Vall d'Hebron, Barcelona, España. Electronic address: sheilarr1980@hotmail.com.
2
Servicio de Medicina Interna, Hospital Universitario Vall d'Hebron, Barcelona, España.

Abstract

OBJECTIVE:

To describe the characteristics, prevalence and prognostic of anemia in older patients admitted to an acute geriatric unit.

MATERIAL AND METHODS:

A prospective descriptive study was conducted on patients admitted to a geriatric unit. Anemia was defined using the World Health Organization criteria. A comprehensive geriatric assessment was performed on all patients. When possible, a telephone follow-up re-evaluation (mortality, functional status) was performed one year after discharge.

RESULTS:

A total of 145 patients were studied. The mean age was 81 years, and 93 (64.13%) were anemic. Chronic diseases and iron deficiency anemia were the most frequent. Anemic patients had lower scores in the Barthel Index (P<.05). The mortality one year after discharge was 47.9%, with no differences between anemic or non-anemic patients (OR 2.07, [0.98-4.4]). All the geriatric indexes (Barthel index; Charlson comorbidity index, Mini-mental state examination and Mini Nutritional Assessment) showed worse scores in patients who died one year after discharge.

CONCLUSIONS:

The prevalence of anemia in the elderly admitted to a geriatric unit is elevated, and associated with a poorer functional status.

KEYWORDS:

Anemia; Comprehensive geriatric assessment; Edad avanzada; Elderly; Functional status; Mortalidad; Mortality; Situación funcional; Valoración geriátrica integral

PMID:
25749584
DOI:
10.1016/j.regg.2014.09.002
[Indexed for MEDLINE]

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