Yıl: 2023 Cilt: 12 Sayı: 3 Sayfa Aralığı: 151 - 158 Metin Dili: İngilizce DOI: 10.33880/ejfm.2023120306 İndeks Tarihi: 17-10-2023

Anemia Frequency in Geriatric Patients Receiving Home Health Care: A Retrospective Study

Öz:
Aim: This study aims to investigate the frequency and causes of anemia in geriatric patients registered in the Home Health Services Unit of our hospital and to apply appropriate treatment regimens according to the etiology. Methods: This descriptive study was conducted between 15.03.2022 and 15.03.2023. The files of 282 patients who received service from the Home Health Services Unit between August 1, 2020 and November 30, 2021 were reviewed retrospectively. Geriatric patients who had laboratory tests requested in the last 6 months were included. Socio-demographic data of the patients, chronic diseases, and the number of chronic diseases were recorded. The World Health Organization criteria were considered for the diagnosis of anemia. The causes are grouped as anemia due to iron deficiency, chronic renal failure, vitamin B12 deficiency, folic acid deficiency, and other anemias. Results: A total of 282 individuals, 198 (70.2%) women, were included in the study. The mean age of the participants is 79.2±11.06 years, 218 (77.3%) of them live in rural areas. 33.7% of the patients have 3 chronic diseases. Anemia was detected in 176 (62.4%) patients. 44.9% of the participants had anemia due to chronic renal failure, 28.4% had anemia due to iron deficiency, 13.1% had anemia due to vitamin B12 deficiency, 13.1% had anemia due to folate deficiency, and 26.1% had unclassified anemia. The presence of anemia was significantly higher in patients with a diagnosis of malignancy and in participants with 4 or more chronic diseases. Conclusion: This study shows that anemia is a common health problem in geriatric patients receiving home health care. In this population, effective management of the process by detecting anemia in individuals screened with regular visits as a result of continuous care in home health care, conducting research on the etiology, and controlling comorbidities may be important steps to improve the patient's quality of life. We recommend that physicians dealing with geriatric patients keep in mind the importance of detecting and managing anemia in their patients and organize their routine examinations in this perspective.
Anahtar Kelime: home health care geriatrics patients anemia

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Karahan A, Güven S. Homecare for elderly. Tur J Geriatrics 2002;5(4):155-9.
  • 2. Teigen T. Patients go home for care. But do their doctors make house calls? Minn Med 1991;74(5):15-9. PMID: 1861658
  • 3. Bonne S, Schuerer DJ. Trauma in the older adult: epidemiology and evolving geriatric trauma principles. Clin Geriatr Med 2013;29(1):137-50. doi:10.1016/j.cger.2012.10.008
  • 4. Kozar RA, Arbabi S, Stein DM, Shackford SR, Barraco RD, Biffl WL, et al. Injury in the aged: Geriatric trauma care at the crossroads. J Trauma Acute Care Surg 2015;78(6):1197-209. doi:10.1097/TA.0000000000000656
  • 5. World Health Organization [Internet]. Nutritional anaemias: report of a WHO scientific group [cited 2023 Mar 1]. Available from: https://apps.who.int/iris/handle/10665/40707
  • 6. Denny SD, Kuchibhatla MN, Cohen HJ. Impact of anemia on mortality, cognition, and function in community-dwelling elderly. Am J Med 2006;119(4):327–34. doi: 10.1016/j.amjmed.2005.08.027
  • 7. Phillips R, Wood H, Weaving G, Chevassut T. Changes in full blood count parameters with age and sex: results of a survey of almost 900 000 patient samples from primary care. Br J Haematol 2021;192(4):e102–5. doi: 10.1111/bjh.17290
  • 8. Guralnik JM, Eisenstaedt RS, Ferrucci L, Klein HG, Woodman RC. Prevalence of anemia in persons 65 years and older in the United States: evidence for a high rate of unexplained anemia. Blood 2004;104(8):2263–8. doi: 10.1182/blood-2004-05-1812
  • 9. Stauder R, Valent P, Theurl I. Anemia at older age: etiologies, clinical implications, and management. Blood 2018;131(5):505–14. doi: 10.1182/blood-2017-07-746446
  • 10.Izaks GJ, Westendorp RGJ, Knook DL. The definition of anemia in older persons. JAMA 1999;281(18):1714–7. doi: 10.1001/jama.281.18.1714
  • 11.Penninx BWJH, Pahor M, Woodman RC, Guralnik JM. Anemia in old age is associated with increased mortality and hospitalization. J Gerontol A Biol Sci Med Sci 2006;61(5):474–9. doi: 10.1093/gerona/61.5.474
  • 12.Chaves PHM, Ashar B, Guralnik JM, Fried LP. Looking at the relationship between hemoglobin concentration and prevalent mobility difficulty in older women. Should the criteria currently used to define anemia in older people be reevaluated? J Am Geriatr Soc 2002;50(7):1257–64. doi: 10.1046/j.1532- 5415.2002.50313.x
  • 13.Zhavoronkov A, Bhullar B. Classifying aging as a disease in the context of ICD-11. Front Genet 2015;6(NOV):326. doi: 10.3389/fgene.2015.00326
  • 14.Kaya M, Enginyurt O, Karatas A, Gul T, Hekimliği A, Başvuran P, et al. Evaluation of anemia prevalence and concomitant diseases in elderly patients applying to family medicine polyclinic. Konuralp Med J 2021;13(2):292–8. Available from: doi: 10.18521/ktd.853666
  • 15.Türk Hematoloji Derneği [Internet]. B12 vitamini eksikliği tanı ve tedavi kılavuzu [cited 2023 Mar 1]. Available from: https://www.thd.org.tr/thddata/books/94/bolum-i-b12-vitamini-eksikligi-tani-ve-tedavi- kilavuzu.pdf
  • 16.Petrosyan I, Blaison G, Andrès E, Federici L. Anaemia in the elderly: an aetiologic profile of a prospective cohort of 95 hospitalised patients. Eur J Intern Med 2012;23(6):524–8. doi: 10.1016/j.ejim.2012.03.013
  • 17.Lin CJ, Chang YC, Tsou MT, Chan HL, Chen YJ, Hwang LC. Factors associated with hospitalization for community-acquired pneumonia in home health care patients in Taiwan. Aging Clin Exp Res 2020;32(1):149-55. doi:10.1007/s40520-019-01169-8
  • 18.Altun Y, Eke R. The prevalance of anemia in patients receiving home health care and the effect of serum prealbumin levels on anemia. Aegean Clinics Med J 2020;58(2):115-9.
  • 19.Bang SM, Lee JO, Kim YJ, Lee KW, Lim S, Kim JH, et al. Anemia and activities of daily living in the Korean urban elderly population: results from the Korean Longitudinal Study on Health and Aging (KLoSHA). Ann Hematol 2013;92(1):59–65. Available from: doi: 10.1007/s00277-012-1563-6
  • 20.Chalmers KA, Knuiman MW, Divitini ML, Bruce DG, Olynyk JK, Milward EA. Long-term mortality risks associated with mild anaemia in older persons: the Busselton Health Study. Age Ageing 2012;41(6):759–64. doi: 10.1093/ageing/afs150
  • 21.Anıa BJ, Suman VJ, Faırbanks VF, Melton LJ. Prevalence of anemia in medical practice: community versus referral patients. Mayo Clin Proc 1994;69(8):730–5. doi: 10.1016/s0025-6196(12)61089-1
  • 22.Ferrucci L, Maggio M, Bandinelli S, Basaria S, Lauretani F, Ble A, et al. Low testosterone levels and the risk of anemia in older men and women. Arch Intern Med 2006;166(13):1380–8. doi: 10.1001/archinte.166.13.1380
  • 23.Yeap BB, Beilin J, Shi Z, Knuiman MW, Olynyk JK, Bruce DG, et al. Serum testosterone levels correlate with haemoglobin in middle-aged and older men. Intern Med J 2009;39(8):532–8. doi: 10.1111/j.1445- 5994.2008.01789.x
  • 24.Beghé C, Wilson A, Ershler WB. Prevalence and outcomes of anemia in geriatrics: A systematic review of the literature. Am J Med 2004;116(7 SUPPL 1):3–10. doi: 10.1016/j.amjmed.2003.12.009
  • 25.Lawler PR, Filion KB, Dourian T, Atallah R, Garfinkle M, Eisenberg MJ. Anemia and mortality in acute coronary syndromes: a systematic review and meta-analysis. Am Heart J 2013;165(2):143-53.e5. doi: 10.1016/j.ahj.2012.10.024
  • 26.Riva E, Tettamanti M, Mosconi P, Apolone G, Gandini F, Nobili A, et al. Association of mild anemia with hospitalization and mortality in the elderly: the Health and Anemia population-based study. Haematologica 2009;94(1):22–8. doi: 10.3324/haematol.13449
  • 27.Michalak SS, Rupa-Matysek J, Gil L. Comorbidities, repeated hospitalizations, and age ≥ 80 years as indicators of anemia development in the older population. Ann Hematol 2018;97(8):1337–47. doi: 10.1007/s00277-018-3321-x
  • 28.McIntyre AS, Long RG. Prospective survey of investigations in outpatients referred with iron deficiency anaemia. Gut 1993;34(8):1102–7. doi: 10.1136/gut.34.8.1102
  • 29.Retzlaff JA, Hagedorn AB, Bartholomew LG. Abdominal exploration for gastrointestinal bleeding of obscure origin. JAMA 1961;177(2):104–7. doi: 10.1001/jama.1961.03040280008003
  • 30.Yıldızhan E, Aydın Y, Coşkun H, Kudaş Ö, Önder E. The prevalence and characteristics of anemia in geriatrics in the West Black Sea Region, Turkey. Turkish Journal of Geriatrics 2014;17(1):63-9.
  • 31.Sahin S, Tasar PT, Simsek H, Çicek Z, Eskiizmirli H, Aykar FS, et al. Prevalence of anemia and malnutrition and their association in elderly nursing home residents. Aging Clin Exp Res 2016;28(5):857–62. doi: 10.1007/s40520-015-0490-5
  • 32.Robinson B, Artz AS, Culleton B, Critchlow C, Sciarra A, Audhya P. Prevalence of anemia in the nursing home: contribution of chronic kidney disease. J Am Geriatr Soc 2007;55(10):1566–70. doi: 10.1111/j.1532- 5415.2007.01389.x
  • 33.Patel KV. Epidemiology of anemia in older adults. Semin Hematol 2008;45(4):210–7. doi: 10.1053/j.seminhematol.2008.06.006
  • 34.Bach V, Schruckmayer G, Sam I, Kemmler G, Stauder R. Prevalence and possible causes of anemia in the elderly: a cross-sectional analysis of a large European university hospital cohort. Clin Interv Aging 2014;9:1187-96. doi:10.2147/CIA.S61125
  • 35.UpToDate [Internet]. Causes of anemia in patients with cancer [cited 2023 Mar 22]. Available from: https://www.uptodate.com/contents/causes-of-anemia-in-patients-with-cancer?search=anemi, malignite&topicRef=7149&source=see_link
  • 36.Watine J, Bouarioua N. Anemia as an independent prognostic factor for survival in patients with cancer. Cancer 2002;94(10):2793–6. doi: 10.1002/cncr.10523
  • 37.Crawford J, Cella D, Cleeland CS, Cremieux PY, Demetri GD, Sarokhan BJ, et al. Relationship between changes in hemoglobin level and quality of life during chemotherapy in anemic cancer patients receiving epoetin alfa therapy. Cancer 2002;95(4):888–95. doi: 10.1002/cncr.10763
  • 38.Macciò A, Madeddu C, Gramignano G, Mulas C, Tanca L, Cherchi MC, et al. The role of inflammation, iron, and nutritional status in cancer-related anemia: results of a large, prospective, observational study. Haematologica 2015;100(1):124–32. doi: 10.3324/haematol.2014.112813
APA Türker S, çağlar e, Serçe Özkoç M, Bektaş F, KARAKULLUKÇU S, ARDIÇ C (2023). Anemia Frequency in Geriatric Patients Receiving Home Health Care: A Retrospective Study. , 151 - 158. 10.33880/ejfm.2023120306
Chicago Türker Selma,çağlar ezgi,Serçe Özkoç Merve Nur,Bektaş Furkan,KARAKULLUKÇU SERDAR,ARDIÇ CÜNEYT Anemia Frequency in Geriatric Patients Receiving Home Health Care: A Retrospective Study. (2023): 151 - 158. 10.33880/ejfm.2023120306
MLA Türker Selma,çağlar ezgi,Serçe Özkoç Merve Nur,Bektaş Furkan,KARAKULLUKÇU SERDAR,ARDIÇ CÜNEYT Anemia Frequency in Geriatric Patients Receiving Home Health Care: A Retrospective Study. , 2023, ss.151 - 158. 10.33880/ejfm.2023120306
AMA Türker S,çağlar e,Serçe Özkoç M,Bektaş F,KARAKULLUKÇU S,ARDIÇ C Anemia Frequency in Geriatric Patients Receiving Home Health Care: A Retrospective Study. . 2023; 151 - 158. 10.33880/ejfm.2023120306
Vancouver Türker S,çağlar e,Serçe Özkoç M,Bektaş F,KARAKULLUKÇU S,ARDIÇ C Anemia Frequency in Geriatric Patients Receiving Home Health Care: A Retrospective Study. . 2023; 151 - 158. 10.33880/ejfm.2023120306
IEEE Türker S,çağlar e,Serçe Özkoç M,Bektaş F,KARAKULLUKÇU S,ARDIÇ C "Anemia Frequency in Geriatric Patients Receiving Home Health Care: A Retrospective Study." , ss.151 - 158, 2023. 10.33880/ejfm.2023120306
ISNAD Türker, Selma vd. "Anemia Frequency in Geriatric Patients Receiving Home Health Care: A Retrospective Study". (2023), 151-158. https://doi.org/10.33880/ejfm.2023120306
APA Türker S, çağlar e, Serçe Özkoç M, Bektaş F, KARAKULLUKÇU S, ARDIÇ C (2023). Anemia Frequency in Geriatric Patients Receiving Home Health Care: A Retrospective Study. Eurasian Journal of Family Medicine, 12(3), 151 - 158. 10.33880/ejfm.2023120306
Chicago Türker Selma,çağlar ezgi,Serçe Özkoç Merve Nur,Bektaş Furkan,KARAKULLUKÇU SERDAR,ARDIÇ CÜNEYT Anemia Frequency in Geriatric Patients Receiving Home Health Care: A Retrospective Study. Eurasian Journal of Family Medicine 12, no.3 (2023): 151 - 158. 10.33880/ejfm.2023120306
MLA Türker Selma,çağlar ezgi,Serçe Özkoç Merve Nur,Bektaş Furkan,KARAKULLUKÇU SERDAR,ARDIÇ CÜNEYT Anemia Frequency in Geriatric Patients Receiving Home Health Care: A Retrospective Study. Eurasian Journal of Family Medicine, vol.12, no.3, 2023, ss.151 - 158. 10.33880/ejfm.2023120306
AMA Türker S,çağlar e,Serçe Özkoç M,Bektaş F,KARAKULLUKÇU S,ARDIÇ C Anemia Frequency in Geriatric Patients Receiving Home Health Care: A Retrospective Study. Eurasian Journal of Family Medicine. 2023; 12(3): 151 - 158. 10.33880/ejfm.2023120306
Vancouver Türker S,çağlar e,Serçe Özkoç M,Bektaş F,KARAKULLUKÇU S,ARDIÇ C Anemia Frequency in Geriatric Patients Receiving Home Health Care: A Retrospective Study. Eurasian Journal of Family Medicine. 2023; 12(3): 151 - 158. 10.33880/ejfm.2023120306
IEEE Türker S,çağlar e,Serçe Özkoç M,Bektaş F,KARAKULLUKÇU S,ARDIÇ C "Anemia Frequency in Geriatric Patients Receiving Home Health Care: A Retrospective Study." Eurasian Journal of Family Medicine, 12, ss.151 - 158, 2023. 10.33880/ejfm.2023120306
ISNAD Türker, Selma vd. "Anemia Frequency in Geriatric Patients Receiving Home Health Care: A Retrospective Study". Eurasian Journal of Family Medicine 12/3 (2023), 151-158. https://doi.org/10.33880/ejfm.2023120306