FREQUENCY OF ANAEMIA IN PATIENTS PRESENTING TO TERTIARY CARE HOSPITAL IN PESHAWAR (PAKISTAN)
Main Article Content
Abstract
O
OBJECTIVES: To document the frequency of anemia in all patients who presented to out-patient and/or in-patient in a tertiary level hospital in Peshawar PAKISTAN and to find the frequency of various grades of anemia in male and female patients.
METHODOLOGY: This retrospective, chart-based, descriptive, institution-based study was conducted in Department of Pathology, Hayatabad Medical Complex, Peshawar. A total of 16,000 ‘full blood count’ reports were reviewed for this study which were performed from 15th March, 2012 to 15th June, 2012. Simple random sampling was done to select data of 6104 male patients and 1578 female patients. Hemoglobin level <13 mg/dL for males and <12 mg/dL for females was considered as anemic.
RESULTS: Out of a total of 7682 patients, 66.8% (n=5133) were found to be anemic while 33.2% (n=2549) patients had normal hemoglobin levels. There were 4115 male (67.4%) and 1018 female (64.5%) which were found to be anemic. Mean hemoglobin level was 11.64+2.5536 gm/dl for male patients and 11.10+2.1024 gm/dl for female patients. Moderate anemia was more common in female patients (18.5%) as compared to males (16.5%) while mild and severe anemia were more common in male patients as compared to females patients (43% vs. 39%) and (7.6% vs. 7%)] respectively.
CONCLUSION: Frequency of anemia was high in patients presenting to tertiary care hospital in Peshawar. The frequency was slightly higher amongst male patients compared to female patients. Even after excluding the 2 high risk groups i.e. pregnant females and infants, a high frequency rate is very alarming.
KEY WORDS: Anemia, Iron-Deficiency Anemia, Hospital-Based Study.
Article Details
Work published in KMUJ is licensed under a
Creative Commons Attribution 4.0 License
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
References
World Health Organization. Health topics:
Anaemia. [Cited on December 30, 2015].
Available from URL: http://www.who.int/
topics/anaemia/en/
Benoist B. Focusing on anemia: Towards an
integrated approach for effective anemia
control. Joint statement by the World
Health Organization and the United Nations
Children’s Fund, 2004.
Allen LH. Anemia and iron deficiency: effects
on pregnancy outcome. Am J Clinical
Nutrition 2000;71(5):1280s-1284s.
Park K. Preventive and social medicine.
th ed. Jabalpur (India): M/s Banarsidas
bhanot publishers; 2007. p.465.
Iron deficiency. Bulletin of the World
Health Organization, 1998; 76(Suppl-
:121-123.
McKean S, Halasyamani LK, Bennett AL.
Hospital medicine: just the facts. New
York: McGraw-Hill, 2008; p 260.
What works? A review of the efficacy and
effectiveness of nutrition interventions
ACC/SCN nutrition policy paper no.19.
Asian Development Bank Nutrition and
Development series no.5/2001.
Baig NN, Badruddin SH, Karmaliani R,
Harris H, Jehan I, Pasha O, et al. Anemia
prevalence and risk factors in pregnant
women in an urban area of Pakistan. Food
Nutr Bull 2008;29(2):132-9.
WHO. The global prevalence of anaemia
in 2011. Geneva: World Health Organization;
WHO, UNICEF, UNU. Iron deficiency
anemia: assessment, prevention and control,
a guide for programme managers.
Geneva, World Health Organization, 2001.
[Cited on October 11, 2014]. Available
from URL: http://www.who.int/nutrition/
publications/micronutrients/anaemia_
iron_deficiency/WHO_NHD_01.3/
en/index.html
Pappas G, Akhtar T, Peter JG, Wilbur CH,
Khan AQ. Health Status of the Pakistani
Population: a health profile and comparison
with the United States. Am J Public
Health 2001;91:93-8.
Khan MT, Akhtar T, Niazi M. Prevalence
of anemia among university of Peshawar
students. J Postgrad Med Inst 2010; 24(4):
-269.
McKean S, Halasyamani LK, Bennett AL.
Hospital medicine: just the facts. New
York: McGraw-Hill, 2008; p 260.
Shaikh MA, Memon I, Ghori RA. Frequency
of anemia in patients with systemic
lupus erythematosus at tertiary care hospitals.
J Pak Med Assoc 2010; 60(10):822-5.
Kullmann T, Culine S. Treatment of anemia
in medical oncology. Orv Hetil. 2012 Jun
;153(25):973-7.
Ali A, Fathy GA, Fathy HA, El-Ghaffar NA.
Epidemiology of iron deficiency anemia:
Effect on physical growth in primary school
children, the importance of hookworms.
Int J Acad Res 2011;3: 495-500.
Cook JD. Diagnosis and management of
iron-deficiency Anemia. Best Prac Res Clin
Haematol 2005;18: 319-332.
Assunção MC, Santos IS, Barros AJ, Gigante
DP, Victora CG. Flour fortification
with iron has no impact on anemia in
urban Brazilian children.Public Health
Nutr 2012;15:1-6.
Arcanjo NFP, Santos RP, Arcanjo CP, Amancio
OM, Braga JA. Use of Iron-Fortified
Rice Reduces Anemia in Infants. J Trop
Pediatr 2012;58(6):475-80.
Irshad G, Kousar S, Jafri SA, Ali I. Iron
deficiency anemia significance of serum
ferritin in diagnosis in pregnant females
of Pakistan. Prof Med J 2011;18: 475-8.
Siddiqui IA, Jaleel A, Rahman MA. Preventive
Strategy to Control Iron Deficiency
Anemia in Children and Adults. J Pak Med
Assoc 2003; 53:131-6.