Yogender P

Abstract

Introduction: Anemia is a common concern in different age groups. Anemia leads to loss in physical function, affecting quality of life and has substantial social and economic effects. Because anemia is a sign, not a diagnosis, an evaluation is almost always warranted to identify the underlying cause. Objectives: As anemia is most commonly seen in children in whom it leads to growth retardation, women of reproductive age group where it can lead to maternal and child mortality and in the elderly in whom there is greater risk of co-morbidities, impaired functional status and greater risk of death, the objective of this study is to assess the patterns of anemia in this age groups. Materials and Methods: A retro spective study was undertaken at Mandya Institute of Medical Sciences, Mandya, Teritiary care centre for a period of 6 months from May 2018 to December 2018. Children (1-15 years), women o f reproductive age group (16 - 60 years), Males (20-60 yrs) and elderly (both males and females) (>60 years) were studied. Routine hematological investigations were done by Hematological analyzer and peripheral smear examination was done to determine the pattern and etiology of anemia. Results: Of the total 1000 hemograms that were studied, Females were 519 (51.9%) and Males were 280 (28 %), children were 201(20.1%) with Female prep onderance. Males and Females also include Elder patients. Most common age group in females was 16-60 years, in males was 20-6 0 years and in children age group was from 1 month to 15 years. Commonest pattern of anemia was observed Microcytic Hypochromic followed by Dimorphic, Macrocytic anemia and normocytic normochromic respectively. Conclusion: Identifying anemia is an important aspect of assessment. It is essential for the further clinical evaluation. Confirming the type of anemia is important to direct the investigation for profiling the etiology since it is well known that the treatment of anemia has long way in improving the overall outcome and quality of life. Keywords: Anemia, Children, Women of reproductive age group, Elderly.

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Abstract

Introduction: Anemia leads to loss in physical function, affecting quality of life and has substantial social and economic effects. Anemia is a sign, not a diagnosis, an evaluation is almost always warranted to identify the underlying cause. Objectives: Anemia in women of reproductive group can lead to maternal and child mortality and in elderly there is greater risk of co-morbidities, impaired functional status and greater risk of death. The objective of this study is to calculate the prevalence of anemia and pattern of anemia in this age groups. Materials and Methods: A prospective study was undertaken at SVS Medical College and Hospital Mahabubnagar. Women of reproductive age group (16-44 years) and elderly (>60 years) were studied. Laboratory investigations like hemoglobin estimation by Cyanmethhemoglobin method, hematocrit (packed cell volume) and peripheral smear examination was done along with other tests as felt necessary to fix the pattern. Results: Microcytic hypochromic anemia accounting for 81% in women of reproductive age group and 44% in elderly followed by normocytic normochromic anemia accounting for 10% and 19% respectively. Iron deficiency anemia accounted for 69% in women of reproductive age group and 48% in elderly followed by anemia of chronic disease accounting for 12% and 38% respectively. Conclusion: Confirming the type of anemia is critical to direct the investigation for profiling the etiology since it is well known that the treatment of anemia goes a long way in improving the overall outcome and quality of life. Keywords: Anemia, Women of reproductive age group, Elderly, Serum ferritin.

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Abstract

Introduction: Anemia is a common concern in different age groups. Anemia leads to loss in physical function, affecting quality of life and has substantial social and economic effects. Because anemia is a sign, not a diagnosis, an evaluation is almost always warranted to identify the underlying cause so as to prompt appropriate clinical attention. Objectives: As anemia is most commonly seen in children in whom it leads to growth retardation, the objective of this thesis is to calculate the prevalence of anemia and to study the pattern of anemia in this age groups, in an area which is of low socioeconomic standards. Materials and Methods: A prospective study was undertaken at SVS Medical College and Hospital. Mahabubnagar. Children (1-15 years) were studied. Routine laboratory investigations like hemoglobin estimation by Cyanmethhemoglobin method, hematocrit (packed cell volume) and peripheral smear examination was done along with other tests as felt necessary to fix the pattern and etiology of anemia. Results: Prevalence of anemia in the study subjects with microcytic hypochromic anemia accounting for 84% in children, followed by normocytic normochromic anemia accounting for 7%. Iron deficiency anemia accounted for 80% in children, followed by anemia of chronic disease accounting for 8%. Conclusion: Identifying anemia is an important aspect of a comprehensive assessment. Confirming the type of anemia is critical to direct the investigation for profiling the etiology since it is well known that the treatment of anemia goes a long way in improving the overall outcome and quality of life. Keywords: Anemia, Children, Serum ferritin.

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