Duman Tuba Taslamacioglu, Aktas Gulali, Meryem Atak Burcin, Kocak Mehmet Zahid, Kurtkulagi Ozge, Bilgin Satilmis
Department of Internal Medicine, Bolu Abant Izzet Baysal University Hospital, Bolu, Turkey.
Aging Male. 2020 Dec;23(5):780-784. doi: 10.1080/13685538.2019.1595571. Epub 2019 Apr 4.
In present study, we aimed to investigate anemia etiologies, underlying causes, laboratory markers of anemia, required interventions in postmenopausal women and elderly men. The medical data of the anemic subjects were recorded from the patients' files and computerized database of the institution and retrospectively analyzed. Study population grouped into two according to the gender; men and women. Medical data of men and women were compared. A total of 113 subjects enrolled to the study; 78 women and 35 men. 51 (65%) of women and 21 (60%) of men had iron deficiency anemia, 5 (6.4%) of women and 1 (2.9%) of men had anemia of chronic disease, 2 (2.6%) of women and 10 (28.6%) of men had vitamin B12 deficiency anemia. Forty seven (60.3%) of the women and 30 (85.7%) of the men had comorbidities. 47% of colonoscopies were normal in study population (44% of women and 50% of men). Etiology and causes of anemia should be carefully investigated in subjects with advanced age. Physicians should kept in mind that B12 deficiency and comorbidities were more common in elderly men and about half of the colonoscopy procedures in this population is unnecessary.
在本研究中,我们旨在调查绝经后女性和老年男性贫血的病因、潜在原因、贫血的实验室指标以及所需的干预措施。从该机构的患者档案和计算机数据库中记录贫血受试者的医疗数据,并进行回顾性分析。研究人群根据性别分为两组:男性和女性。对男性和女性的医疗数据进行了比较。共有113名受试者参与了该研究;78名女性和35名男性。51名(65%)女性和21名(60%)男性患有缺铁性贫血,5名(6.4%)女性和1名(2.9%)男性患有慢性病贫血,2名(2.6%)女性和10名(28.6%)男性患有维生素B12缺乏性贫血。47名(60.3%)女性和30名(85.7%)男性患有合并症。在研究人群中,47%的结肠镜检查结果正常(女性为44%,男性为50%)。对于高龄受试者,应仔细调查贫血的病因。医生应牢记,维生素B12缺乏和合并症在老年男性中更为常见,并且该人群中约一半的结肠镜检查是不必要的。