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A Point-of-Care Method with Integrated Decision Support Tool to Estimate Anemia at Population Level
Published on: January 19, 2024
Frequency of hypoferritinemia, iron deficiency and iron deficiency anemia in outpatients
Saadet Akarsu1, Mehmet Kilic, Erdal Yilmaz
1Department of Pediatrics, Medical Faculty of Firat University, Elazig, Turkey. aksaadet@yahoo.com
Insights
Iron deficiency, including iron deficiency anemia, is common in children referred to outpatient clinics, especially in those under two years old. Early detection and treatment are crucial for preventing long-term health issues.
Area of Science:
- Pediatric Hematology
- Nutritional Deficiencies
- Clinical Diagnostics
Background:
- Iron deficiency is a prevalent global health concern, particularly in pediatric populations.
- Accurate assessment of iron status is critical for timely diagnosis and intervention in children.
- Outpatient pediatric clinics serve as a key point for identifying potential iron-related disorders.
Purpose of the Study:
- To investigate the prevalence of hypoferritinemia (IDec), iron deficiency (IDef), and iron deficiency anemia (IDA) in children presenting to outpatient pediatric clinics.
- To analyze the distribution of these conditions across different pediatric age groups.
- To highlight the significance of serum iron concentration abnormalities in young children.
Main Methods:
- A cross-sectional study involving 557 children referred to outpatient pediatric clinics.
- Exclusion of patients with prior iron therapy or chronic illnesses; acute infections were re-sampled after treatment.
- Categorization into four age groups (4 months–2 years, 2–6 years, 7–12 years, 12–18 years) and assessment of iron status indicators (ferritin, transferrin saturation, serum iron, hemoglobin).
Main Results:
- Overall prevalence rates were 26% for IDec, 11.1% for IDef, and 12.7% for IDA.
- Only 50.1% of patients had normal iron status indicators.
- The youngest age group (4 months–2 years) exhibited the highest rates of IDec (37.2%), IDef (21.9%), and IDA (26.2%), with 77.1% showing abnormal serum iron concentrations.
Conclusions:
- Iron deficiency and related disorders are highly prevalent in children attending pediatric outpatient clinics, underscoring a significant public health issue.
- Infants and toddlers (4 months–2 years) represent a particularly vulnerable group requiring focused attention for iron status monitoring.
- Close monitoring and prompt treatment of iron deficiency are strongly recommended, especially during early childhood, to mitigate potential developmental consequences.
Abstract:
The prevalence rates of hypoferritinemia (IDec/one abnormal indicator), iron deficiency (IDef/two abnormal indicators) and iron deficiency anemia (IDA) in children who were referred to the outpatient clinics of the Department of Pediatrics for the first time within 1 month were investigated. Exclusion criteria were iron therapy before and during the study period and a history of chronic illness. Acute-phase reactants, such as erythrocyte sedimentation rate and C-reactive protein levels, were measured in all cases indicative of infectious diseases. Blood samples were obtained from each study patient admitted to the outpatient clinics during the study period. The hospital charts were later further evaluated, and samples of patients with any current illness known to interact with the iron status of the patient were discarded, and patients were contacted to supply new samples about 1 month after treatment of the infection. Thus, in patients with indications of an infection, samples obtained 1 month after treatment were assessed. The children (n = 557) were divided into four age groups: those aged 4 months to 2 years (group I), 2-6 years (group II), 7-12 years (group III) and 12-18 years (group IV). Children with a decrease in serum ferritin levels without anemia (IDec), and those with lower ferritin, transferrin saturation (TS) and serum iron (SI) concentration (IDef) were evaluated. IDA was diagnosed if hemoglobin (Hb) concentrations were lower than those adjusted for age, ferritin <12 ng/ml and TS
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