Universität zu Köln

Roehrig, G., Becker, I., Polidori, M. C., Schulz, R. -J. and Noreik, M. (2015). Association of anemia and hypoalbuminemia in German geriatric inpatients. Relationship to nutritional status and comprehensive geriatric assessment. Z. Gerontol. Geriatr., 48 (7). S. 619 - 624. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1435-1269

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Abstract

Anemia and hypoalbuminemia (HA) are acknowledged independent risk factors for morbidity and mortality in geriatric patients and are associated with nutritional status and frailty. Data exist regarding the association between albumin and frailty, anemia and frailty as well as frailty and nutritional status; however, there is a lack of information on the association between HA, anemia and nutritional status in older people. This study retrospectively analyzed 626 patients admitted to a German geriatrics department (average age 81.1 years, 68.2 % female and 31.8 % male) for anemia and HA. Data from the comprehensive geriatric assessment (CGA) and from the mini-nutritional assessment (MNA) were available in all patients. Patients with anemia suffered significantly more often from HA (p < 0.001) than patients without anemia, with an odds ratio (OR) of 1.99 (95 % confidence interval CI: 1.2-3.2) and of 5.41 (CI 95 %: 2.3-12.6) in patients at risk for malnutrition and in malnourished patients, respectively. A moderately significant association was seen between hemoglobin (Hb) and albumin values (Pearson's correlation r = 0.330; p < 0.001) as well as between albumin values and the Barthel index (Spearman's correlation r = 0.210; p < 0.001). Anemia appears to be a risk factor for HA in inpatients with malnutrition and the observed association between albumin and Hb warrants further research. Geriatric inpatients with anemia should be evaluated in terms of the presence of malnutrition risk and HA.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Roehrig, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Becker, I. UNSPECIFIED UNSPECIFIED UNSPECIFIED Polidori, M. C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schulz, R. -J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Noreik, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-391483
DOI:	10.1007/s00391-015-0872-5
Journal or Publication Title:	Z. Gerontol. Geriatr.
Volume:	48
Number:	7
Page Range:	S. 619 - 624
Date:	2015
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1435-1269
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CHRONIC KIDNEY-DISEASE; SERUM-ALBUMIN; ELDERLY-PEOPLE; OLDER-ADULTS; RISK-FACTORS; PREVALENCE; FRAILTY; COMMUNITY; MALNUTRITION; INFLAMMATION Multiple languages Geriatrics & Gerontology; Gerontology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39148