Amano Shiho, Ohta Ryuichi, Sano Chiaki
Community Care, Unnan City Hospital, Daito-cho Iida, Unnan 699-1221, Japan.
Department of Community Medicine Management, Faculty of Medicine, Shimane University, Enya-cho, Izumo 693-8501, Japan.
Int J Environ Res Public Health. 2021 Oct 25;18(21):11179. doi: 10.3390/ijerph182111179.
Anemia in the elderly is a common disease associated with increased mortality and hospitalization rates. It is not clear how adequately elderly patients are assessed and treated in actual clinical practice. This study clarifies the frequency of anemia recognition before assessment and the factors related to recognition among older people in a rural community hospital. This cross-sectional study evaluated 156 elderly patients aged > 65 years. Data on several different variables were collected from patient medical records. Anemia was defined as a hemoglobin level < 11 g/dL. Patients were classified into "anemia recognition" and "no anemia recognition" groups. Statistical analysis of the data included multivariable logistic regression to examine the association between anemia recognition and other factors. The anemia recognition group comprised 63 (40.4%) patients. Age was significantly associated with the recognition of anemia (adjusted odds ratio = 0.70, 95% confidence interval: 0.53-0.92, = 0.011). Appropriate medical care should be provided to the elderly; however, it may be limited according to age.
老年人贫血是一种常见疾病，与死亡率和住院率升高相关。目前尚不清楚在实际临床实践中，老年患者的评估和治疗是否充分。本研究阐明了农村社区医院老年人在评估前贫血的识别频率以及与识别相关的因素。这项横断面研究评估了156名年龄大于65岁的老年患者。从患者病历中收集了几个不同变量的数据。贫血定义为血红蛋白水平<11 g/dL。患者被分为“贫血识别”组和“无贫血识别”组。数据的统计分析包括多变量逻辑回归，以检验贫血识别与其他因素之间的关联。贫血识别组包括63名（40.4%）患者。年龄与贫血识别显著相关（调整后的优势比=0.70，95%置信区间：0.53-0.92，P=0.011）。应该为老年人提供适当的医疗护理；然而，这可能会因年龄而受到限制。
