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贾坎德邦部落人口占主导的街区一所教学医院就诊人群中贫血的患病率及人口统计学分布:基于回顾性记录的分析

Prevalence and demographic distribution of anaemia among those visiting a teaching hospital located in tribal predominant block of Jharkhand: Retrospective record based analysis.

作者信息

Chellamuthu Vasanth, Chelladurai Srinivasan, Venogopal Vinayagamoorthy, Ray Bhagyasri, Sharanabasappa S, Kalyani Vasantha C, Patra Satya

机构信息

Department of Nursing, All India Institute of Medical Science (AIIMS), Deoghar, Jharkhand, India.

Department of Community and Family Medicine, All India Institute of Medical Science (AIIMS), Deoghar, Jharkhand, India.

出版信息

J Family Med Prim Care. 2024 Dec;13(12):5599-5603. doi: 10.4103/jfmpc.jfmpc_535_24. Epub 2024 Dec 9.

DOI:10.4103/jfmpc.jfmpc_535_24
PMID:39790768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11709018/
Abstract

BACKGROUND

Anaemia is a major public health concern in developing countries, with cases increasing rapidly among women, young girls, and children under age 5.

AIMS

This study aimed to estimate the prevalence of anaemia and to identify the age and gender distribution of anaemia among those attending IPD/OPD of a teaching hospital located in the tribal block.

METHODOLOGY

The study was conducted at a multispecialty tertiary care hospital in tribal predominant area, Jharkhand, India. A retrospective, chart-based study design was adopted to achieve the objectives. All inpatient case records available from the Department of Laboratory Medicine and the electronic hospital information system of the institute were reviewed between January 1, 2021, and January 31, 2024.

RESULT

A total of 15004 reports were screened for detecting anaemia, of them 7095 (47.3%) were males and 7909 (52.7%) were females. The overall prevalence of any grade of anaemia was found in 6579 (43.8%; 95% CI: 43.1-44.6). Univariate logistic regression analysis to predict status of anaemia among study participants showed the odds of being anaemic was 1.5 times (95% CI: 1.2-2.1) higher among those with age >60 years compared to those who were in the age group of 1-4 years. Females had 2.3 times (95% CI: 2.2-2.5) higher odds of having anaemia than males.

CONCLUSION

This study shows that half of the patients attending hospital are anaemic and the burden increases as the age increases and highest among elderly >60 years. The results of our secondary data analysis should contribute to better screening and identifying the cases among people attending the hospital and also could aid planning services at the primary care level.

摘要

背景

贫血是发展中国家主要的公共卫生问题,在女性、年轻女孩和5岁以下儿童中的病例迅速增加。

目的

本研究旨在估计贫血的患病率,并确定位于部落地区的一家教学医院住院部/门诊部就诊人群中贫血的年龄和性别分布。

方法

该研究在印度贾坎德邦部落占主导地位地区的一家多专科三级护理医院进行。采用回顾性、基于图表的研究设计来实现研究目标。对2021年1月1日至2024年1月31日期间医学检验部提供的所有住院病例记录以及该机构的电子医院信息系统进行了审查。

结果

共筛查了15004份报告以检测贫血,其中7095份(47.3%)为男性,7909份(52.7%)为女性。发现任何程度贫血的总体患病率为6579例(43.8%;95%置信区间:43.1 - 44.6)。预测研究参与者贫血状况的单因素逻辑回归分析显示,年龄>60岁的人群贫血几率是1 - 4岁年龄组人群的1.5倍(95%置信区间:1.2 - 2.1)。女性患贫血的几率是男性的2.3倍(95%置信区间:2.2 - 2.5)。

结论

本研究表明,住院患者中有一半患有贫血,且贫血负担随着年龄增长而增加,在60岁以上老年人中最高。我们二次数据分析的结果应有助于更好地筛查和识别医院就诊人群中的病例,也可为基层医疗服务规划提供帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/690e/11709018/20c1c053e26f/JFMPC-13-5599-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/690e/11709018/304619218497/JFMPC-13-5599-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/690e/11709018/20c1c053e26f/JFMPC-13-5599-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/690e/11709018/304619218497/JFMPC-13-5599-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/690e/11709018/20c1c053e26f/JFMPC-13-5599-g002.jpg

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本文引用的文献

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Measuring the global burden of anaemia.衡量贫血的全球负担。
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