Contributions
Abstract: PB2370
Type: Publication Only
Background
Anemia is a frequent entity arising with age, mainly in people over 85 years old, known as "oldest old". Nowadays, this segment of the population is growing, and consequently it will increase along next decades. In our center (Miguel Servet Universitary Hospital), an interdisciplinary Hematology-Geriatrics consultation has been created in order to attend these patients.
Aims
To analyze, in a 15 months follow-up, the profile of elderly patients with anemia in order to optimize their treatment and improve their life quality.
Methods
It is a descriptive, observational and prospective analysis of patients assessed in Hematology-Geriatrics consultation in a tertiary hospital. Period of study: from October 2016 to January 2018. Functional status was determined by Barthel Index. Comorbidity was measured by Charlson Index. Cognitive function was measured by Pfeiffer questionnaire (SPMSQ). Nutrional risk was evaluated by a Mini-Nutritional short version (Mini-MNA).Data collection was included in a SPSS base for clinical parameters and epidemiological variables.
Results
69 patients were analyzed (47%male-53% female), with a mean age of 86 years old. 208 consecutive consultations have been attended with a mean of 3 reviews per patient.
All of them had multi-pathological requirements and were polymedicated. Geriatric syndrome was detected in 80% of patients, and only 53.2% of them required treatment.
19.5% of the patients showed cognitive impairment. 15% of the patients had severe or complete dependence for activities of daily living (ADL), 12.5% had moderate dependence, and 72.5% of them had mild dependence.
Through the brief Charlson Index, we have objectified high comorbidity (>3points) in 22.5% of our patients.
The most frequent causes of anemia were iron deficiency (71%), vitamin B12 deficiency (52%), renal failure (52%) and most of them presented multifactorial causes of anemia (68%).
The percentage of patients requiring transfusion support was 34.8% and erythropoiesis-stimulating agents, as subcutaneous erythropoietin, were prescribed in 33% of them (alpha: 88%, beta: 12%).
Conclusion
Our patient´profile is a 86-year-old female, multi-pathological and polymelicated with multifactorial anemia, that presents mild dependency and moderate comorbidity, with no cognitive impairment.
Carrying out a comprehensive geriatric assessment to these elderly patients with anemia, has allowed us to optimize their treatment, by reducing invasive tests and by avoiding refer them to other hospital services.
Session topic: 36. Quality of life, palliative care, ethics and health economics
Keyword(s): Anemia, Old
Abstract: PB2370
Type: Publication Only
Background
Anemia is a frequent entity arising with age, mainly in people over 85 years old, known as "oldest old". Nowadays, this segment of the population is growing, and consequently it will increase along next decades. In our center (Miguel Servet Universitary Hospital), an interdisciplinary Hematology-Geriatrics consultation has been created in order to attend these patients.
Aims
To analyze, in a 15 months follow-up, the profile of elderly patients with anemia in order to optimize their treatment and improve their life quality.
Methods
It is a descriptive, observational and prospective analysis of patients assessed in Hematology-Geriatrics consultation in a tertiary hospital. Period of study: from October 2016 to January 2018. Functional status was determined by Barthel Index. Comorbidity was measured by Charlson Index. Cognitive function was measured by Pfeiffer questionnaire (SPMSQ). Nutrional risk was evaluated by a Mini-Nutritional short version (Mini-MNA).Data collection was included in a SPSS base for clinical parameters and epidemiological variables.
Results
69 patients were analyzed (47%male-53% female), with a mean age of 86 years old. 208 consecutive consultations have been attended with a mean of 3 reviews per patient.
All of them had multi-pathological requirements and were polymedicated. Geriatric syndrome was detected in 80% of patients, and only 53.2% of them required treatment.
19.5% of the patients showed cognitive impairment. 15% of the patients had severe or complete dependence for activities of daily living (ADL), 12.5% had moderate dependence, and 72.5% of them had mild dependence.
Through the brief Charlson Index, we have objectified high comorbidity (>3points) in 22.5% of our patients.
The most frequent causes of anemia were iron deficiency (71%), vitamin B12 deficiency (52%), renal failure (52%) and most of them presented multifactorial causes of anemia (68%).
The percentage of patients requiring transfusion support was 34.8% and erythropoiesis-stimulating agents, as subcutaneous erythropoietin, were prescribed in 33% of them (alpha: 88%, beta: 12%).
Conclusion
Our patient´profile is a 86-year-old female, multi-pathological and polymelicated with multifactorial anemia, that presents mild dependency and moderate comorbidity, with no cognitive impairment.
Carrying out a comprehensive geriatric assessment to these elderly patients with anemia, has allowed us to optimize their treatment, by reducing invasive tests and by avoiding refer them to other hospital services.
Session topic: 36. Quality of life, palliative care, ethics and health economics
Keyword(s): Anemia, Old