Abstract
Aims To assess if anaemia detected in geriatric patients admitted to the Old Peoples Medicine Department at Norfolk and Norwich University Teaching Hospital was investigated with appropriate laboratory tests- haematinics and iron level tests. Also increase awareness among doctors of the high prevalence of anaemia in geriatric patients and the need to investigate to start treat if indicated. Target population or scope All patients aged 80 and above admitted under the care of NNUH OPM department on a given day incidentally found to have anaemia. Criteria All over 80 year olds admitted to hospital found incidentally to have low HB (anaemia) should be investigated by having elemental iron level and haematinic checks; Iron level check Vitamin B12 and folate check Ferritin Target population or scope All patients aged 80 and above admitted under the care of NNUH OPM department on a given day incidentally found to have anaemia.
Highlights
AimsTo assess if anaemia detected in geriatric patients admitted to the Old Peoples Medicine Department at Norfolk and Norwich University Teaching Hospital was investigated with appropriate laboratory testshaematinics and iron level tests
The mean corpuscular volume (MCV) and red cell width (RDW) should guide which investigations should be ordered in anaemia +/macrocytosis, the accepted practice at NNUH is for haematinics to be ordered for all elderly anaemic patients on admission if not recently checked
Norwich & Norfolk University Teaching Hospital has one of the largest Old People’s Medicine department in UK with a capacity of over 300 inpatients at any given day and so this presented us with an excellent opportunity to audit the detection and management of anaemia in geriatric patients admitted to the hospital
Summary
To assess if anaemia detected in geriatric patients admitted to the Old Peoples Medicine Department at Norfolk and Norwich University Teaching Hospital was investigated with appropriate laboratory testshaematinics and iron level tests. All over 80 year olds admitted to hospital found incidentally to have low HB (anaemia) should be investigated by having elemental iron level and haematinic checks; iv) Iron level check. 98% of all anaemic geriatric patients should have haematinics and iron levels checks when the low Hb is detected. This can be arranged by GPs or during hospital admission. A 2 % slippage is allowed to account for patient who are anaemic but don’t attend hospital regularly because they are well
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