Sahadevan S, Choo P W, Jayaratnam F J
Department of Geriatric Medicine, Tan Tock Seng Hospital, Singapore.
Singapore Med J. 1995 Aug;36(4):375-8.
A retrospective study was done to look at the various features of our elderly anaemic patients and to determine the usefulness of evaluating anaemia in this age group. Of the 151 patients admitted to one of the acute admission and rehabilitation wards of our Department from January 1990 to June 1990, 54 were anaemic. The prevalence of anaemia was significantly higher in the old old age group (> or = 75 years) compared to the young old, and those from an institutional background had a significantly higher prevalence of more severe anaemia (Hb < 8g/dl). The majority of causes (66%) could be easily established with a simple work-up and deficiency-related anaemias comprised 44% of the total causes. The clinical usefulness of this work-up may also extend to the mildly anaemic group (Hb > or = 10g/dl) though further studies are needed to determine the level of haemoglobin when the evaluation becomes cost-effective.
我们进行了一项回顾性研究，以观察老年贫血患者的各种特征，并确定评估该年龄组贫血的有用性。1990年1月至1990年6月期间，在我们科室的一个急性入院和康复病房收治的151例患者中，有54例贫血。与年轻老年人相比，高龄组（≥75岁）贫血患病率显著更高，且来自机构背景的患者中重度贫血（血红蛋白<8g/dl）的患病率显著更高。大多数病因（66%）通过简单检查即可轻松确定，与缺乏相关的贫血占总病因的44%。尽管需要进一步研究以确定评估在何时具有成本效益时的血红蛋白水平，但这种检查的临床有用性也可能扩展至轻度贫血组（血红蛋白≥10g/dl）。
