A Clinico-Pathological Study of Anemias in Geriatric Age Group

Abstract

INTRODUCTION : Anemia in the elderly is a major health problem in India and many parts of the world, since it
signifies an underlying disease and is associated with poor clinical outcome like increased morbidity and poor
health related quality of life. Since symptoms like fatigue or shortness of breath associated with anemia may be
attributed to aging process, anemia can be easily overlooked in the elderly.
AIMS AND OBJECTIVES: Clinico-hematological patterns and morphological types of anemia in elderly are
manifold, hence, this study was undertaken to determine them and to know associated disorders
MATERIALS AND METHODOLOGY : The present study was conducted on a sample size of 200 patients (A one
year study) who were60 years and above and clinically diagnosed as anemic. Routine haematological
investigations including Peripheral Blood smear examination and Completehemogram were done. Special
investigations like Bone-marrow examination, Iron studies etc. were done whenever required.
RESULTS : Males were more affected than females and patients in the age group of 60-69 years were
affected the most. The most common presenting symptom was generalized weakness. Normocytic Norm chromic
anemia was the most common morphological type and chronic diseases were the commonest etiological factors.
CONCLUSION : Despite modern diagnostic advances, geriatric anemias still remain under-reported and
inadequately investigated, necessitating evaluation of even mild anemias. Prompt diagnosis and definite
categorization helps in appropriate management of anemias.