Universität zu Köln

Roehrig, G., Klossok, W., Becker, I., Benzing, T. and Schulz, R. J. (2014). Prevalence of anemia among elderly patients in an emergency room setting. Eur. Geriatr. Med., 5 (1). S. 3 - 8. NEW YORK: SPRINGER. ISSN 1878-7657

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Abstract

Purpose: Anemia is highly prevalent in geriatric patients and associated with increased morbidity, functional and cognitive decline. German prevalence data are rare and no treatment guidelines exist for the elderly. Anemia often remains unconsidered in this population. This study evaluates prevalence of anemia among geriatric patients in an emergency room (ER) setting and the performed diagnostic and therapeutic steps. Subjects: Data of 1045 elderly patients > 70 years admitted to the ER at our university hospital between January and August 2010 were retrospectively analyzed (384 female and 474 male in-patients, 92 female and 95 male out-patients). Anemia definition: hemoglobin < 12 g/dL (female) and < 13 g/dL (male). Diagnostic and therapeutic steps, medication and hemoglobin (hb) characteristics at transfer from ER to other departments were evaluated. Results: Among in-patients anemia was found in 54.2%, among out-patients in 36.4% (P < 0.001). Hb was significantly lower in anemic in-patient men (P = 0.007) compared to anemic out-patient men. No such difference was found among women. Anemic patients' age did not influence the hb level. There were department specific differences in hb level as well as diagnostics and therapy of anemia. Only 12% of all evaluable anemic in-patients received a non-drug anemia treatment, mostly consisting of transfusions. Discussion/Conclusion: More than 50% of all elderly patients suffered from anemia; less than one fifth received either anti-anemic medication or non-drug treatment; insufficiency of medical care in this study group can be assumed; close intersdisciplinary cooperation with geriatrician in ER is necessary with development of diagnostic and therapeutic guidelines for anemic elderly. (C) 2013 Elsevier Masson SAS and European Union Geriatric Medicine Society. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Roehrig, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Klossok, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Becker, I. UNSPECIFIED UNSPECIFIED UNSPECIFIED Benzing, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schulz, R. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-446183
DOI:	10.1016/j.eurger.2013.10.008
Journal or Publication Title:	Eur. Geriatr. Med.
Volume:	5
Number:	1
Page Range:	S. 3 - 8
Date:	2014
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1878-7657
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HEART-FAILURE; OLDER; IRON; RISK; CARE Multiple languages Geriatrics & Gerontology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/44618