在老年人中,贫血的定义
G J Izaks1, R G Westendorp, D L Knook
1Department of General Internal Medicine, Leiden University Medical Center, The Netherlands. GJ.Izaks@wxs.nl
根据世界卫生组织 (WHO) 标准定义的贫血症,在85岁及以上的个体中显著增加死亡风险. 老年人血红蛋白水平较低表明存在潜在疾病,需要注意.
科学领域:
- 老年学是指老年学的学科.
- 血液学 血液学 血液学
- 公共卫生 公共卫生
背景情况:
- 贫血和老年人死亡率之间的关联尚未得到充分证实.
- 世界卫生组织 (WHO) 根据血红蛋白度值来定义贫血.
研究的目的:
- 调查85岁及以上社区居民血红蛋白度与特定原因死亡率之间的关系.
主要方法:
- 一项为期10年的社区基础后续研究 (1986-1996) 在荷兰莱登.
- 血红蛋白度测量了755名85岁以上的参与者 (74%的符合条件的个人).
- 贫血是根据世卫组织的标准定义的:女性<7.5 mmol/L,男性<8.1 mmol/L.
主要成果:
- 贫血与女性死亡风险增加1.60倍,男性死亡风险增加2.29倍有关.
- 随着血红蛋白度的下降,死亡风险在两种性别中都增加.
- 贫血与患恶性和传染性疾病的死亡率较高相关,即使在没有临床疾病的患者中也是如此.
结论:
- 根据世卫组织的标准定义,贫血是非常老年人死亡率增加的重要预测因素.
- 世卫组织的贫血标准适用于评估老年人群的死亡风险.
- 晚年血红蛋白度低是潜在疾病的标志物.
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