Observational studyBMC geriatrics2025
The hidden burden of anemia in elderly surgical patients: a prospective study on incidence and contributing factors.
Observational study in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Review of the influence of anaemia on the effect of total hip arthroplasty, and the prognosis of patients: recent advances and future directions.Annals of medicine · 2026Review
- Feeding tube dependence and postoperative complications in older adults after head and neck cancer surgery: a retrospective cohort study.BMC geriatrics · 2026Article
- Red cell distribution width as a prognostic indicator in medical and surgical ICU patients.Frontiers in medicine · 2025Article
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10 authors.
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Abstract
backgroundElderly surgical patients frequently experience anemia due to physiological changes, chronic comorbidities, and dietary deficiencies. Identifying associated risk factors is essential for improving surgical outcomes and reducing complications.
objectiveTo assess the incidence and determinants of anemia in elderly surgical patients at Debre Tabor Comprehensive Specialized Hospital in Ethiopia.
methodA prospective observational study was conducted from June 1, 2024, to February 30, 2025, involving elderly patients undergoing surgery at Debre Tabor Comprehensive Specialized Hospital. Anemia was diagnosed based on World Health Organization (WHO) criteria, with hemoglobin levels assessed both preoperatively and postoperatively. Multivariable logistic regression was used to analyze patient demographics, comorbidities, and surgical factors to identify predictors of anemia.
resultsThe incidence of anemia among elderly surgical patients was 64.8% (95% CI: 59.5-70.4%). Significant predictors included emergency surgery (AOR: 5.3, 95% CI: 3.2-8.3, p < 0.001), preexisting comorbidities (AOR: 2.5, 95% CI: 1.52-7.02, p < 0.001), blood loss > 500 mL (AOR: 9.8, 95% CI: 3.2-29.6, p < 0.001), polypharmacy (AOR: 4.8, 95% CI: 1.3-11.9, p < 0.001), major surgery (AOR: 3.9, 95% CI: 1.71-7.81, p < 0.001), and a history of previous surgeries (AOR: 7.7, 95% CI: 2.3-26.0, p < 0.001). CONCLUSION AND RECOMMENDATION: The incidence of anemia in elderly surgical patients at Debre Tabor Comprehensive Specialized Hospital is high and associated with several modifiable risk factors. Early detection and targeted preoperative optimization strategies are crucial for improving surgical outcomes in this population.
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