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IJSTR >> Volume 8 - Issue 4, April 2019 Edition



International Journal of Scientific & Technology Research  
International Journal of Scientific & Technology Research

Website: http://www.ijstr.org

ISSN 2277-8616



Hospital-Acquired Anemia In Chronic Kidney Disease

[Full Text]

 

AUTHOR(S)

Mehmet Nur Kaya, Burcu Caner, Ömer Toprak

 

KEYWORDS

chronic kidney disease, anemia, hospital

 

ABSTRACT

Chronic kidney disease (CKD) has become an important public health problem with the increasing incidence and prevalence of life with increasing life expectancy in developed countries and increasing the life expectancy in our country as well as facilitating access to health services. There was no study on hospital-acquired anemia (HEA) in patients with CKD. The aim of our study was to determine the prevalence of HEA and the factors affecting the development of HEA in patients with chronic renal failure who did not undergo hemodialysis. This study was performed prospectively between March and September 2014 at the Nephrology Clinic, Faculty of Medicine, Balıkesir University. Patients aged between 18- 80 years and 100 without any renal replacement therapy were included in the study. Of the 100 patients included in the study, 48 were female and 52 were male. The mean age in the group was 61.58, the mean age was 62.02 in males and 60.90 in females. Of the patients included in the study, 47 had diabetes mellitus, 73 had hypertension, 18 had atherosclerotic heart disease, 8 had heart failure, 11 patients had hypothyroidism, 2 had hyperthyroidism, 6 had chronic obstructive pulmonary disease, 59 had metabolic syndrome was detected. The patient's hemoglobin level decreased by 0.5 g/dl after the hospitalization was defined as HEA positive, and the reduction of less than 0.5 g/dl was defined as HEA negative. According to our study, hypothyroidism and CKD stage were found to be significantly related to the presence of HEA in the HEA positive group. All 11 patients with hypothyroidism developed HEA. The increase in the number of patients with HEA with an increased CKD stage is evident (for hypothyroidism and CKD stage p=0.021). Anticoagulant use and CKD were significantly associated with the presence of HEA (p=0.025 for anticoagulant use and p=0.002 for CKD). The prevalence of HEA was found to be high in CKD. When we investigated the factors that may affect HEA development in CKD patients, only CKD stage and hypothyroidism were significantly associated with HEA development. Comparison of these results with healthy individuals; To investigate the effect on prognosis, mortality, and morbidity, we think that a large patient series should be studied.

 

REFERENCES

[1] Koch CG, Li L, Sun Z, Hixson ED, Tang A, Phillips SC., (2013). Hospital-acquired anemia: Prevalence, outcomes, and healthcare implications. J Hosp Med, 8(9): 506-12.
[2] Musallam KM, Tamim HM, Richards T., (2011). Preoperative anemia and postoperative outcomes in non-cardiac surgery: a retrospective cohort study. Lancet, 378: 1396–407.


[3] Felding P, Tryding N, Hyltoft Petersen P, Hørder M. (1980). Effects of posture on concentrations of blood constituents in healthy adults: practical application of blood specimen collection procedures recommended by the Scandinavian Committee on Reference Values. Scand J Clin Lab Invest, 40(7): 615-21.

[4] Clive DM. (1997). Postural hemodilution in nephrotic edema: a cause of spurious hemorrhage after renal biopsy. Am J Kidney Dis, 29(4): 627-30.

[5] Wong P, Intragumtornchai T. (2006). Hospital-acquired anemia. J Med Assoc Thai, 89(1): 63-7.

[6] Eyster E, Bernene J. (1973). Nosocomial anemia. JAMA, 223(1): 73–4.

[7] Salisbury AC, Alexander KP, Reid KJ. (2010). Incidence correlates, and outcomes of acute, hospital-acquired anemia in patients with acute myocardial infarction. Circulation, 3: 337–46.

[8] Thavendiranathan P. (2005). Do blood tests cause anemia in hospitalized patients? J Gen Intern Med, 20: 520–4.

[9] Salisbury AC, Alexander KP, Reid KJ. (2010). Incidence correlates, and outcomes of acute, hospital-acquired anemia in patients with acute myocardial infarction. Circ Cardiovasc Qual Outcomes, 3(4): 337–346.

[10] Chant C, Wilson G, Friedrich JO. (2006). Anemia, transfusion, and phlebotomy practices in critically ill patients with prolonged ICU length of stay: a cohort study. Critical Care, 10: 140-136.