P09 | Prevalence and correlates of anemia in patients admitted to a General Medicine unit
C. Ballabio, M. Andreoletti, C. Marchesi, E. Molteni, M. Nigro, C. Piemonti, D. Polvara, M. Antivalle | Casa di Cura Talamoni, Lecco, Italy
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Premises and purpose of the study: Anemia is frequently overlooked in patients admitted to hospital. Our study aimed to investigate the prevalence and correlates of anemia on admission to a General Medicine unit.
Materials and Methods: Consecutive patients admitted to our department were studied. The following definitions were applied: anemia (WHO): Hb <13 g/dL in males, <12 g/dL in females; iron deficiency: absolute (AID)=ferritin <30 ng/mL; functional (FDI): ferritin <100 ng/mL or ferritin=100 – 299 ng/mL and transferrin saturation <20%. Insufficient (I) and deficient (D) vitamin blood levels: VitB12 <300 and <200 pg/mL, folate <5.38 and <3.39 ng/mL respectively. eGFR was calculated with CKD-EPI equation. All analyses were performed with IBM SPSS software.
Results: 707 patients (M: 320 (45.3%), F: 387 (54.7%) were studied. Mean age was 78.02±13.49 yrs, mean BMI 25.11±5.13. 52.8% of patients were treated with PPIs, and 11.7% with metformin. Anemia was detected in 67.8% of patients, and was more common in males (75% vs. 61.8%) and in patients >65 yrs. (70.9% vs. 48.5%). FID and AID were diagnosed in 47.8% and 10.5% of cases respectively. Insufficient and deficient blood levels were detected in 31.3% and 27.4% of patients for VitB12 and in 19.0% and 25.0% of patients for folates. In multivariate analysis, anemia was significantly associated with male sex, AID, and PPI assumption, but not with eGFR, BMI, metformin assumption or low vitamin levels.
Conclusions: Our study confirms the high prevalence of anemia and iron deficiency in general medicine patients.
Altmetrics
Downloads
Citations
How to Cite
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.