加的斯(西班牙)一个健康地区 50 岁及以上糖尿病患者贫血症的患病率和特征。

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
A. Michán-Doña , E. Jiménez-Varo , M. Escribano-Cobalea , C. Casto-Jarillo , A. López-Ceres , E. Campos-Dávila , A. Hormigo-Pozo , C. Nieto-Ordoñez , M.Á. Rodríguez-Juliá , J. Escribano-Serrano
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引用次数: 0

摘要

背景贫血是糖尿病(DM)患者,尤其是老年人常见的合并症。目的 描述加的斯省一个医疗区 50 岁或以上 DM 患者(PDM50)的贫血患病率和特征。结果贫血患病率为 29.9% (95% CI: 28.7-31. 1%) ,以女性为主。1%),女性居多(33.3% 对 26.7%;p<;0.01),按年代分,老年人居多(61.7% 在第 9 个年代,12% 在第 5 个年代;p<;0.01),肾病患者居多(44.7% 对 28%;p<;0.01)。大多数病例为轻度(68.3%)、正常红细胞(78.7%)和低色素(52%)。同样,中重度贫血在女性中更为常见(39% 对 23%),其发病率随着年龄的增长而增加(45% 发生在第 9 个 10 年,24% 发生在第 5 个 10 年),并随着肾脏损害的进展而增加,肾脏损害是指肾小球滤过率(GFR)的下降(49% 发生在 G4,25% 发生在 G1)或白蛋白尿的出现(p< 0.01)。结论:本研究描述了 PDM50 中贫血的高发率,尤其是在女性、优势人群和存在肾脏疾病(即使是早期阶段)的人群中,强调了这种并存现象的临床重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalencia y características de la anemia en personas con diabetes mellitus de 50 años o más en un área sanitaria de Cádiz (España)

Background

Anemia is a common comorbidity in patients with diabetes mellitus (DM), particularly in older adults. However, there is a lack of data on the prevalence and the characteristics of anemia in this population in Spain.

Objective

To describe the prevalence and the characteristics of anemia in patients with DM aged 50 or older (PDM50) in a healthcare district in the province of Cádiz.

Methods

A retrospective cross-sectional study was conducted that included outpatient's laboratory tests (OLT) performed over 30 months at PDM50.

Results

The prevalence of anemia was 29.9% (95% CI: 28.7-31.1%), predominating in women (33.3% vs 26.7%; p< 0.01), in older people stratified by decades (61.7% in 9 th decade vs 12% in 5 th decade; p< 0.01), and in those with kidney disease (44.7% vs 28%; p< 0.01). Most cases were mild (68.3%), normocytic (78.7%), and hypochromic (52%). Similarly, moderate-to-severe anemia was more frequent in women (39% vs 23%), their prevalence increased with age (45% in the 9 th decade vs 24% in the 5 th decade), and with the progression of kidney damage, either measured by a decreased glomerular filtration rate (GFR) (49% in G4 vs 25% in G1), or the presence of albuminuria (p < 0.01). No association was found between DM control, based on glycated hemoglobin (HbA1c), and anemia in either sex (p = 0.887).

Conclusion

This study describes a high prevalence of anemia in PDM50, particularly in women, in the most advantageous people and in the presence of kidney disease, even in early stages, highlighting the clinical importance of this coexistence.

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来源期刊
Revista clinica espanola
Revista clinica espanola 医学-医学:内科
CiteScore
4.40
自引率
6.90%
发文量
73
审稿时长
28 days
期刊介绍: Revista Clínica Española published its first issue in 1940 and is the body of expression of the Spanish Society of Internal Medicine (SEMI). The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Revista Clínica Española is subject to a thorough double blind review of the received articles written in Spanish or English. Nine issues are published each year, including mostly originals, reviews and consensus documents.
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