Study of anaemia profile in a tertiary care hospital in Karnataka, India

Authors

  • Appu Patil Department of Medicine, S. Nijalingappa Medical College, Bagalkot, Karnataka, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20201081

Keywords:

Anaemia, Clinical profile, Laboratory profile

Abstract

Background: Anaemia is a major public health problem worldwide especially in developing countries like India. Nutritional cause of anaemia continues to predominate as the most common cause of anaemia. Objective of this study is to determine the clinical and laboratory profile of anaemia among patients admitted to our hospital.

Methods: Our study was a prospective study in which thirty nine patients of anemia admitted to Medicine ward in SNMC and HSK hospital were studied for their clinical and laboratory characteristics. Duration of the study was 7 months from July 2019 to January 2020.

Results: Anaemia was more common among females (65.1% of total patients). Patients aged less than 60 years contributed to 85% of patients. Pallor was the universal finding present in 100% of patients. On systemic examination haemic murmurs on auscultation was the most common finding present in 28.2% followed by hepatomegaly (17.94%). Microcytic and dimorphic anaemia constitute the bulk of anaemia.

Conclusions: Nutritional anaemia particularly iron deficiency anaemia is the most common cause of anaemia. It tends to affect the working age group and females predominantly. Patients continue to present with severe anaemia to the hospital.

References

Means RT Jr, Glader B. Anemia general considerations. In:Glader B, Greer JP. Wintrobe's clinical hematology. 13th ed. Philadelphia: Lippincott Williams and Wilkins; 2014:587.

Wintrobe MM. Blood of normal men and women. Erythrocyte counts, hemoglobin and volume of packed red cells of 229 individuals. Bull Johns Hopkins Hospital. 1933;53:118-30.

Khusun H, Yip R, Schultink W, Dillon DH. World Health Organization haemoglobin cut-off points for the detection of anaemia are valid for an Indonesian population. J Nutr. 1999 Sep 1;129(9):1669-74.

Nutritional anaemia. Report of a WHO scientific group. World Health Org. 1968;405:5-37.

World Health Organization. The world health report 2002: reducing risks, promoting healthy life. World Health Organization; 2002.

Iron deficiency anaemia: assessment, prevention, and control. A guide for programme managers. Geneva: World Health Organization; 2001.

Macgregor MW. Maternal anaemia as a factor in prematurity and perinatal mortality. Scottish Med J. 1963 Apr;8(4):134-40.

Scholl TO, Hediger ML. Anemia and iron-deficiency anaemia: compilation of data on pregnancy outcome. Am J Clini Nutr. 1994 Feb 1;59(2):492S-501S.

Bothwell TH, Charlton RW. Iron Deficiency in Women: Prepared as a Report for the International Nutritional Anemia Consultative Group (INACG). Nutrition Foundation; 1981.

Azad KL, Dwivedi SK. A study of profile of patients with different degrees of anemia. Int J Res Med Sci. 2017 Sep;5(9):4008-12.

Alvarez-Uria G, Naik PK, Midde M, Yalla PS, Pakam R. Prevalence and severity of anaemia stratified by age and gender in rural India. Anaemia. 2014;2014.

Talwelkar SR, Dhruva GA, Goswami SH. Survey of different types of anaemia. Schol J Appl Med Sci, 2019;7(12):3925-8.

Anaemia ID, Assessment P. Control: A Guide for Programme Managers. World Health Organisation: Geneva: Switzerland; 2001.

Dasharatham P, Reddy VS. A study of etiological and clinical profile of patients with severe anaemia in a tertiary care hospital. Int J Adv Med. 2018;5:1422-7.

Gayathri BN, Rao KS. Pancytopenia: a clinico haematological study. J lab physic. 2011;3(1):15.

Selvamuthukumaran S. A clinical study of severity of anaemia in adults attending outpatient department with regard to signs and symptoms in rural south indian medical college. Inter J Contempor Med Res. 2018;5(12):L21-L4.

Unnikrishnan V, Dutta TK, Badhe BA, Bobby Z, Panigrahi AK. Clinico-aetiologic profile of macrocytic anemias with special reference to megaloblastic anaemia. Ind J Hematol Blood Transfus. 2008 Dec 1;24(4):155-65.

Kouli R, Pegu AK, Teronpi J, Shukla R, Bhattarcharjee S, Sonowal S, et al. Study of anaemia in correlation with haematological parameters among adults in a tertiary care centre of North-East India. Int J Med Res Prof. 2016;2(4):84- 7.

Milman N. Intestinal absorption of folic acid-new physiologic and molecular aspects. Indian J Med Res. 2012 Nov;136(5):725.

Downloads

Published

2020-03-21

Issue

Section

Original Research Articles