Introduction: Older people are exposed to particular health problems that must be
taken into account, including anemia defined by the World Health Organization
(WHO) in people aged 65 and over hemoglobin < 13 g/dl in men and < 12
g/dl in women. Objectives: To determine the frequency of anemia, to
describe its clinical and paraclinical aspects, and to determine the
etiologies. Material and Methods: We conducted a cross-sectional study
with prospective data collection that took place in the Department of Internal
Medicine of the Point G CHU in Mali from January 1st, 2018 to August
31st, 2018, covering all elderly patients. At least 65 years old
hospitalized and/or having consulted and presenting with anemia. Anemia was
defined as Hb < 13 g/dl in men and < 12 g/dl in women (WHO definition).
Biological markers were collected at admission. Results: Anemia was
observed in 42 patients in 160 elderly patients, a prevalence of 26%, the age
of our patients ranged from 65 to 90 years. The sex ratio was 1.33. Fifty percent
(50%) of the patients had high blood pressure as antecedents. Weight loss was
found in 69% of cases; 47.6% of patients had dyspnea on admission. Tachycardia
was the physical sign associated with anemia present in 85.7% of them. The mean
hemoglobin level was 9.2 g/dl ± 2.03: thus 50% of the subjects had microcytic
and or hypochromic anemia. The etiologies found were infectious in 31.0% of
cases, inflammatory in 31.0% of cases, renal in 14.2% of cases. Chronic
hemorrhage, acute haemorrhage, hemolysis
accounted for 2.4% each. We observed 9.5% of unexplained causes. Conclusion: The frequency of anemia is high. Nearly half of the geriatric population has
anemia. The lack of means and the nonperformance of the technical platform
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