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长期护理机构中的贫血:常规筛查与鉴别诊断

Anemia in the long-term care setting: routine screening and differential diagnosis.

作者信息

Dharmarajan T S

机构信息

Department of Medicine, Our Lady of Mercy Medical Center, Bronx, New York, USA.

出版信息

Consult Pharm. 2008 Mar;23 Suppl A:5-10.

PMID:18454574
Abstract

OBJECTIVE

To provide an overview of the epidemiology of anemia in the geriatric patient, to identify common diagnostic issues in this population, and to determine practical strategies for overcoming barriers to the recognition of anemia in older adults.

DATA SOURCES

Recent literature, epidemiological studies, and clinical practice guidelines related to the diagnosis and management of anemia in older adults.

DATA EXTRACTION

This clinical review includes data relevant to routine screening and the differential diagnosis of anemia in the long-term care setting.

DATA SYNTHESIS

Anemia is often unrecognized and untreated in the long-term care setting. The adverse effects of anemia (morbidity, mortality, and decreases in quality of life) on the geriatric population make its management a high priority. A proactive approach to screening and diagnosis is required in this setting.

CONCLUSION

Anemia is often unrecognized and under-diagnosed in the geriatric population, especially in the long-term care setting. Because anemia has been associated with substantial morbidity and mortality rates and with decline in quality of life, strategies must be implemented for screening and treating geriatric patients for anemia.

摘要

目的

概述老年患者贫血的流行病学情况,识别该人群常见的诊断问题,并确定克服老年人贫血识别障碍的实用策略。

数据来源

近期与老年人贫血诊断和管理相关的文献、流行病学研究及临床实践指南。

数据提取

本临床综述纳入了与长期护理环境中贫血的常规筛查及鉴别诊断相关的数据。

数据综合

在长期护理环境中,贫血常常未被识别和治疗。贫血对老年人群的不良影响(发病率、死亡率及生活质量下降)使其管理成为高度优先事项。在此环境中需要采取积极主动的筛查和诊断方法。

结论

贫血在老年人群中常常未被识别和诊断不足,尤其是在长期护理环境中。由于贫血与相当高的发病率和死亡率以及生活质量下降相关,必须实施针对老年患者贫血的筛查和治疗策略。

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