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Erschienen in: Zeitschrift für Gerontologie und Geriatrie 7/2015

01.10.2015 | Originalien

Association of anemia and hypoalbuminemia in German geriatric inpatients

Relationship to nutritional status and comprehensive geriatric assessment

verfasst von: MPH Dr. G. Röhrig, I. Becker, M.C. Polidori, R.-J. Schulz, M. Noreik

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 7/2015

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Abstract

Background

Anemia and hypoalbuminemia (HA) are acknowledged independent risk factors for morbidity and mortality in geriatric patients and are associated with nutritional status and frailty. Data exist regarding the association between albumin and frailty, anemia and frailty as well as frailty and nutritional status; however, there is a lack of information on the association between HA, anemia and nutritional status in older people.

Patients and methods

This study retrospectively analyzed 626 patients admitted to a German geriatrics department (average age 81.1 years, 68.2 % female and 31.8 % male) for anemia and HA. Data from the comprehensive geriatric assessment (CGA) and from the mini-nutritional assessment (MNA) were available in all patients.

Results

Patients with anemia suffered significantly more often from HA (p < 0.001) than patients without anemia, with an odds ratio (OR) of 1.99 (95 % confidence interval CI: 1.2-3.2) and of 5.41 (CI 95 %: 2.3-12.6) in patients at risk for malnutrition and in malnourished patients, respectively. A moderately significant association was seen between hemoglobin (Hb) and albumin values (Pearson’s correlation r = 0.330; p < 0.001) as well as between albumin values and the Barthel index (Spearman’s correlation r = 0.210; p < 0.001).

Conclusion

Anemia appears to be a risk factor for HA in inpatients with malnutrition and the observed association between albumin and Hb warrants further research. Geriatric inpatients with anemia should be evaluated in terms of the presence of malnutrition risk and HA.
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Metadaten
Titel
Association of anemia and hypoalbuminemia in German geriatric inpatients
Relationship to nutritional status and comprehensive geriatric assessment
verfasst von
MPH Dr. G. Röhrig
I. Becker
M.C. Polidori
R.-J. Schulz
M. Noreik
Publikationsdatum
01.10.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 7/2015
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-015-0872-5