• Pablo Andrés Miranda Machado, Iván Baños Álvarez, and Hernando Guillermo Gaitán Duarte.
• ALZAK Foundation, Cartagena, Colombia. Address: Carrera 65 30-55, Edificio Castellana Sky, Apartamento 507, Cartagena, Colombia. Email: mmpa9@hotmail.com.
• Medwave. 2019 Mar 26; 19 (2): e7602.

BackgroundThe presence of anemia in chronic obstructive pulmonary disease is not an infrequent event. Exacerbations of this disease have been associated with an increase in mortality in these patients. It is not clear if the presence of anemia is associated with the risk of exacerbations.ObjectiveTo establish the association between anemia and the incidence of outcomes related to exacerbations of chronic obstructive pulmonary disease.MethodsAnalytical study of a dynamic or open concurrent prospective cohort of patients diagnosed with chronic obstructive pulmonary disease at two health care institutions in Cartagena, Colombia, between July 2010 and July 2011.Results43.9% had anemia at the start of follow-up. The cumulative incidence of exacerbations was 63% in the anemic vs. 55.5% in the non-anemic group. The cumulative incidence of recurrence of exacerbations was 30.4% in the anemic vs. 38.8% in the non-anemic group. The rate of hospitalizations for exacerbations was 30.4% in the anemic vs. 33.3% in the non-anemic group.ConclusionsNo significant association was established between anemia and the incidence of exacerbations of chronic obstructive pulmonary disease, the incidence of recurrence of first exacerbation, the rate of hospitalizations for chronic obstructive pulmonary disease exacerbations and the recurrence time of the first exacerbation of chronic obstructive pulmonary disease.

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