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Anemia in institutionalized elderly patients

T Kalchthaler, M E Tan

    Journal of the American Geriatrics Society
    |March 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Anemia is common in long-term care residents, affecting 40% of individuals. Many cases, particularly iron deficiency anemia, are correctable with prompt evaluation and treatment.

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    Area of Science:

    • Gerontology
    • Hematology
    • Internal Medicine

    Background:

    • Anemia is a prevalent condition in elderly populations residing in long-term care facilities.
    • Prevalence and specific causes of anemia in this demographic require detailed investigation.

    Purpose of the Study:

    • To determine the prevalence and incidence of anemia among residents of a long-term care facility.
    • To identify the common causes and demographic patterns of anemia in this population.
    • To assess the response to treatment for correctable anemia.

    Main Methods:

    • A one-year prospective evaluation of 161 residents (44 men, 117 women) in a long-term facility.
    • Anemia diagnosis based on World Health Organization criteria.
    • Assessment of anemia causes, including iron deficiency, gastrointestinal bleeding, and anticoagulant therapy.

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    Main Results:

    • 40% (64 of 161) of residents were anemic.
    • Anemia incidence was higher in women than men, with peak incidence in the 71-80 age group for women and 90+ for men.
    • Iron deficiency was the most common correctable cause; 42% of anemic patients responded to therapy.

    Conclusions:

    • Anemia in institutionalized elderly individuals is often reversible, contrasting with anemia of chronic disease.
    • Comprehensive evaluation including history, physical examination, and laboratory findings is crucial.
    • Invasive procedures are rarely necessary for diagnosing anemia in this population.