Prevalence of anemia in hospitalized patients in University Hospital San José of Popayán
Prevalencia de anemia en pacientes hospitalizados en el Hospital Universitario San José de Popayán
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Abstract
Objective: To determine the prevalence of anemia in a group of hospitalized patients and to characterize these patients with anemia in the ICU, gynecology, internal medicine, traumatology and other surgical specialties other than orthopedics and gynecology.
Materials and methods: This is a retrospective observational descriptive study in 373 patients discharged from the University Hospital of San José in the city of Popayán, from July to December 2015, obtained through a survey. The database was analyzed using the XLSTAT 2016 statistical software. All study documents were evaluated and approved by the Institutional Ethics Committee.
Results: 373 patients were included, 39.7% were women, with a mean age of 54 ± 19 years.
The overall prevalence of anemia at hospitalization was 38.8% and at discharge was 53.8%.
The most common anemia was normochromic, normocytic. The most common diagnosis of discharge was the infections in 27%, traumas 23% and other diagnoses 27%. The prevalence of anemia in patients with prolonged hospital stay was 73% with a p = 0.035 compared to patients with no prolonged stay, and on the other hand, the mortality in patients with anemia was 16.4 vs. 11% in patients without anemia.
Discussion: In the hospitalized patient according to the reviewed literature the most common anemia is associated with nutritional deficits and chronic diseases. Finding in the study an increase in the hospital days of the stay, and the tendency to increase the mortality in patient with anemia.
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2. World Health Organization. Worldwide prevalence of anaemia 1993–2005 WHO Global Database on Anaemia. España: World Health Organization; 2008. p. 40.
3. Donis DA, Noriega L, Navarro M, Salvador V, Galviz A, Maltéz R. Anemia en pacientes ingresados en el Hospital Roosevelt. Rev Med Interna Guatem. 2015;19:26–54.
4. Bartolomé A, Castro P, Zamora CJV. Prevalencia y caracterización de anemia en el paciente hospitalizado en medicina interna. Rev Clin Esp. 2015;2015:791 (Espec Congr).
5. Novo-Veleiro I, Ternavasio-de la Vega HG, Marcos M, Gómez-Lesmes S-P, Calle de la C, Llorente Cancho H, et al. Prevalencia e importancia pronóstica de la anemia en pacientes pluripatológicos. Galicia Clin. 2012;73:11–20.
6. Zakai NA, Katz R, Hirsch C, Shlipak MG, Chaves PH, Newman AB, et al. A prospective study of anemia status, hemoglobin concentration, and mortality in an elderly cohort: the Cardiovascular Health Study. Arch Intern Med. 2005;165:2214–20. Publicación electrónica 26 Oct 2005.
7. Culleton BF, Manns BJ, Zhang J, Tonelli M, Klarenbach S, Hemmelgarn BR. Impact of anemia on hospitalization and mortality in older adults. Blood. 2006;107:3841–6. Publicación electrónica 13 ene 2006.
8. Arboix A, Massons J, García-Eroles L, Targa C, Oliveres M, Comes E. Clinical predictors of prolonged hospital stay after acute stroke: relevance of medical complications. Int J Clin Med. 2012;3:502–7.
9. Barba R, Marco J, Canora J, Plaza S, Juncos SN, Hinojosa J, et al. Prolonged length of stay in hospitalized internal medicine patients. Eur J Intern Med. 2015;26:772–5. Publicación electrónica 14 Nov 2015.
10. Rachoin JS, Cerceo E, Milcarek B, Hunter K, Gerber DR. Prevalence and impact of anemia in hospitalized patients. South Med J. 2013;106:202–6. Publicación electrónica 7 Mar 2013.
11. Migone de Amicis M, Poggiali E, Motta I, Minonzio F, Fabio G, Hu C, et al. Anemia in elderly hospitalized patients: prevalence and clinical impact. Intern Emerg Med. 2015;10:581–6. Publicación electrónica 31 Ene 2015.
12. Nathavitharana RL, Murray JA, D’Sousa N, Sheehan T, Frampton CM, Baker BW. Anaemia is highly prevalent among unselected internal medicine inpatients and is associated with increased mortality, earlier readmission and more prolonged hospital stay: an observational retrospective cohort study. Intern Med J. 2012;42:683–91. Publicación electrónica 28 Jul 2011.
13. Sanchez-Torrijos J, Gudin-Uriel M, Nadal-Barange M, Jacas-Osborn V, Trigo-Bautista A, Gimenez-Alcala M, et al. Valor pronóstico de las cifras de hemoglobina en el momento del alta en pacientes hospitalizados por insuficiencia cardiaca [Prognostic value of discharge hemoglobin level in patients hospitalized for acute heart failure]. Rev Esp Cardiol. 2006;59:1276–82. Publicación electrónica 30 Dic 2006.
14. Roy CN. Anemia of inflammation. Hematology Am Soc Hematol Educ Program. 2010;2010:276–80. Publicación electrónica 18 Ene 2011.
15. Gentille Lorente D, Gentille Lorente J, Salvadó Usach T. Repetición de la medición de creatinina sérica en atención primaria: no todos tienen insuficiencia renal crónica. Nefrología. 2015;35:395–402.
16. Kazmi WH, Kausz AT, Khan S, Abichandani R, Ruthazer R, Obrador GT, et al. Anemia: an early complication of chronic renal insufficiency. Am J Kidney Dis. 2001;38:803–12. Publicación electrónica 29 Sep 2001.
17. Koch CG, Li L, Sun Z, Hixson ED, Tang A, Phillips SC, et al. Hospital-acquired anemia: prevalence, outcomes, and healthcare implications. J Hosp Med. 2013;8:506–12. Publicación electrónica 23 Jul 2013.
18. Garlo K, Williams D, Lucas L, Wong R, Botler J, Abramson S, et al. Severity of anemia predicts hospital length of stay but not readmission in patients with chronic kidney disease: A retrospective cohort study. Medicine. 2015;94:e964. Publicación electrónica 25 Jun 2015.
19. Ariza-Sole A, Formiga F, Salazar-Mendiguchia J, Garay A, Lorente V, Sanchez-Salado JC, et al. Impact of anaemia on mortality and its causes in elderly patients with acute coronary syndromes. Heart, lung & circulation. 2015;24:557–65. Publicación electrónica 24 Ene 2015.
20. Velescu A, Clara A, Cladellas M, Penafiel J, Mateos E, Ibanez S, et al. Anemia increases mortality after open or endovascular treatment in patients with critical limb ischemia: A retrospective analysis. Eur J Vasc Endovasc Surg. 2016;51:543–9. Publicación electrónica 27 Ene 2016.