Clinical Implications of the Coexistence of Anemia and Diabetes Mellitus in the Elderly Population

被引:5
|
作者
Michalak, S. S. [1 ]
Wolny-Rokicka, E. [2 ]
Nowakowska, E. [1 ]
Michalak, M. [3 ]
Gil, L. [4 ]
机构
[1] Univ Zielona Gora, Coll Med, Dept Pharmacol & Toxicol, Zielona Gora, Poland
[2] Multidisciplinary Hosp, Dept Radiotherapy, Gorzow Wielkopolski, Poland
[3] Poznan Univ Med Sci, Dept Comp Sci & Stat, Poznan, Poland
[4] Poznan Univ Med Sci, Dept Hematol & Bone Marrow Transplantat, Poznan, Poland
关键词
CORONARY-ARTERY-DISEASE; CHRONIC KIDNEY-DISEASE; INSULIN-RESISTANCE; EUROPEAN-SOCIETY; FASTING GLUCOSE; RISK-FACTORS; TASK-FORCE; ASSOCIATION; MANAGEMENT; MORTALITY;
D O I
10.1155/2021/8745968
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Diabetes mellitus (DM) and also anemia are common in the elderly and have a negative impact on the clinical outcomes of patients. The coexistence of anemia and DM seems to be insufficiently recognized; therefore, the aim of our study is to analyze the incidence and clinical consequences of this coexistence, including mortality, in the population of people aged >= 60. A retrospective study was conducted on 981 primary care clinic patients aged >= 60 during 2013-2014. The prevalence of coexistence of DM and anemia (defined in accordance with WHO) and data on the incidence of comorbidities, hospitalization, medical procedures, and all-cause mortality were analyzed. In the study population, 25% had DM, while 5.4% had both DM and anemia. Peripheral artery disease (PAD) was found in 48 patients (4.89%) of the entire study population, more often in men (p<0.001). Diabetic patients with anemia compared to nonanemic diabetics had more comorbidities (median 4 (4, 5) vs. 3 (2-4); p<0.001)-PAD more often (p=0.004), more hospitalization (median 2 (0-11) vs. 0 (0-11); p<0.001), and more frequent medical procedures (e.g., percutaneous coronary intervention (p<0.001), coronary artery bypass surgery (p=0.027), arteriography (p<0.001), and bypass surgery or endovascular treatments of lower limb ischemia (p<0.001)). The cumulative survival of patients with both DM and anemia vs. nonanemic diabetics at 36 months was 86.4% vs. 99.3% (p<0.001). A multivariate logistic regression model showed anemia to be a significant risk factor for death in diabetic patients (p=0.013). Patients with both DM and anemia have more comorbidities than nonanemic diabetic patients; they are more often hospitalized, require medical procedures more frequently, and are at a higher risk of death. Effective treatment of anemia in patients with DM is advisable and may well improve the prognosis of patients.
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页数:9
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