Prevalence of Anemia of Chronic Disease/Inflammation at a Tertiary Care Hospital in North India

Sidheshwar Vishnu Bhendekar, Jay Kirtani, Rahul Naithani
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Abstract

Background: There is lack of data from India on prevalence of anemia of chronic disease or inflammation (ACD). Patients & methods: This was a prospective observational cross sectional prevalence study. Anemic patients underwent a complete blood count with peripheral smear, serum ferritin level, iron, total iron binding capacity, transferrin saturation, vitamin B12 and folic acid level, reticulocyte count and stool for occult blood. Other investigations were performed as required according to patients clinical profile. Results: Three hundred fifty five patients were enrolled. A total of 109 patients (30.7%) had anemia of chronic disease ACD (30.7%). Sixty three/263 (24%) females had ACD compared to 46/95 (48.4%) males. ACD was four times more common in age group 80 years and above (56.5%) compared to age group 18 to 39 years (13.9%). Seventy two (66%) patients had mild anemia, 19 patients (17%) had moderate anemia and 18 patients (16%) had severe anemia. Diabetes mellitus (44%), hypertension (39%) and chronic kidney disease (25%) were the commonest underlying morbidity. Thirty six patients (33%) had no underlying comorbidity or cause. Conclusion: The prevalence of anemia of chronic disease increases with age. Majority of anemia of chronic disease patients have mild anemia.
印度北部一家三级医院的慢性病/炎症贫血患病率
背景:印度缺乏有关慢性疾病或炎症性贫血(ACD)患病率的数据。患者&方法:这是一项前瞻性横断面患病率观察研究。贫血患者接受全血细胞计数和外周涂片、血清铁蛋白水平、铁、总铁结合能力、转铁蛋白饱和度、维生素 B12 和叶酸水平、网织红细胞计数以及粪便隐血检查。根据患者的临床情况,还进行了其他必要的检查。结果共登记了 355 名患者。共有 109 名患者(30.7%)患有慢性疾病性贫血(ACD)。63/263(24%)名女性患有 ACD,而 46/95 (48.4%)名男性患有 ACD。与 18 至 39 岁年龄组(13.9%)相比,80 岁及以上年龄组(56.5%)的 ACD 患病率高出四倍。72名患者(66%)患有轻度贫血,19名患者(17%)患有中度贫血,18名患者(16%)患有重度贫血。糖尿病(44%)、高血压(39%)和慢性肾病(25%)是最常见的基础疾病。36名患者(33%)没有潜在的并发症或病因。结论慢性病贫血的发病率随着年龄的增长而增加。大多数慢性病贫血患者有轻度贫血。
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