院内贫血的临床特点

A. A. M. Díaz, A. Aveiro
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引用次数: 0

摘要

简介:院内贫血是指住院期间血红蛋白值(Hb)低于入院值,与客观失血无关。这是一种常见的影响临床发展的现象。目的:了解2018年2 - 11月国立伊塔古医院内科住院患者院内贫血的临床特点。方法:观察性、前瞻性、描述性研究在内科收治的年龄大于15岁的男女患者中横切。住院15天后Hb下降超过2 mg / dL被认为是贫血。结果:共纳入80例患者,其中女性44%,男性56%。平均年龄52±17岁。72%出现贫血。入院患者的平均Hb值为13±1 g / dL,红细胞压积(Hct)为38±8%。15天后,平均Hb值下降11±2 g / dL, Hto下降33±5%。30天平均Hb为10±2 g / dL, Hto为31±5%。研究的采血量平均为348±214毫升,83%的患者在住院期间检测到感染和抗生素的使用。结论:院内贫血发生率高(72%)。它是多因素的,通常被低估的诊断,考虑到院内和院外发病率和死亡率的影响,这种情况应该改变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical features of in-hospital anemia
Introduction: in-hospital anemia is the decrease in hemoglobin values (Hb) during hospital stage below the admission values, not associated with objective blood loss. This is a frequent phenomenon that can affect the clinical evolution. Objective: to determine the clinical characteristics of intrahospital anemia in patients hospitalized in the Department of Internal Medicine of the Hospital Nacional de Itauguá from February to November 2018. Methodology: observational, prospective, descriptive study of transverse cut made in patients of both sexes, older than 15 years admitted in the Department of Internal Medicine. Anemia was considered to be any decrease in Hb of more than 2 mg / dL after 15 days of hospitalization. Results: 80 patients were studied, from which 44% were women and 56% were male. The mean age was 52 ± 17 years. 72% presented anemia. The patients admitted with a mean Hb value of 13 ± 1 g / dL and a hematocrit (Hct) of 38 ± 8%. After 15 days, a decrease in the mean Hb value was at 11 ± 2 g / dL and Hto at 33 ± 5%. At 30 days the mean Hb was 10 ± 2 g / dL and Hto 31 ± 5%. The amount of blood extracted for studies was an average of 348 ± 214 cc. The presence of infection and the use of antibiotics during hospitalization were detected in 83% of the patients studied. Conclusion: intrahospital anemia had a high frequency (72%) in the sample studied. It is multifactorial and is usually an underestimated diagnosis, a situation that should change given the implications in intra and extra hospital morbidity and mortality.
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CiteScore
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11
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4 weeks
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