Röhrig G, Schulz R J
Klinik für Geriatrie, St.-Marien-Hospital Köln, Kunibertskloster 11-13, 50668, Köln, Deutschland.
Z Gerontol Geriatr. 2012 Apr;45(3):182-5. doi: 10.1007/s00391-012-0321-7.
The prevalence of anemia in the elderly is high and can reach among independent community-dwelling persons > 20% and among hospitalized geriatric patients up to 40%. Anemia in the elderly has numerous causes rather than being clearly age related. Although it is widely acknowledged that anemia influences morbidity and mortality in geriatric patients in a negative manner, guidelines concerning diagnostics and therapeutic steps do not exist in Germany. We present a work-up of guidelines of German (AWMF) and international (G-I-N, NGC) specialists' societies dealing with the subject "anemia." Regarding the demographic changes with a growing population of geriatric patients with anemia, the development of a national (German) guideline for an ethically acceptable and cost-effective management of anemia in the elderly is necessary.
老年人贫血的患病率很高，在独立居住于社区的人群中可达20%以上，在老年住院患者中高达40%。老年人贫血的病因众多，并非明显与年龄相关。尽管人们普遍认识到贫血会对老年患者的发病率和死亡率产生负面影响，但德国尚无关于诊断和治疗步骤的指南。我们展示了德国（AWMF）和国际（G-I-N、NGC）专家协会针对“贫血”主题制定的指南。鉴于贫血老年患者数量不断增加的人口结构变化，制定一项关于以符合伦理且具有成本效益的方式管理老年人贫血的国家（德国）指南很有必要。
