Röhrig G, Doehner W, Schaefer R M, Schulz R J
Klinik für Geriatrie, St.-Marien-Hospital Köln, Kunibertskloster 11-13, 50668, Köln, Deutschland.
Z Gerontol Geriatr. 2012 Apr;45(3):191-6. doi: 10.1007/s00391-012-0320-8.
The prevalence of anemia in geriatric patients is high. With some variation in different patient cohorts, prevalence of anemia can reach 40%. Anemia is not an age-related disease on its own, but is a symptom with multifactorial genesis and high risk potential. It directly influences mortality, morbidity, and the rate of hospitalization, particularly in older patients suffering from chronic heart failure or chronic kidney disease. The high prevalence of anemia in chronic kidney disease is explained by a combination of erythropoietin and iron deficiency. This review summarizes the recommendations of the iron symposium at the 2010 German Geriatric Society Meeting in Potsdam, Germany. It intends to provide current information on prevalence, diagnostic work-up, and therapeutic options for anemia in the rapidly growing group of elderly patients.
老年患者贫血的患病率很高。在不同患者群体中存在一定差异，贫血患病率可达40%。贫血本身并非一种与年龄相关的疾病，而是一种具有多因素成因和高风险潜力的症状。它直接影响死亡率、发病率和住院率，尤其是在患有慢性心力衰竭或慢性肾病的老年患者中。慢性肾病中贫血的高患病率是由促红细胞生成素和铁缺乏共同导致的。本综述总结了2010年在德国波茨坦举行的德国老年医学会会议上铁专题研讨会的建议。旨在为快速增长的老年患者群体中的贫血患病率、诊断检查和治疗选择提供最新信息。
