• Am. J. Hematol. · Jan 2014

    Review

    Evaluation and management of anemia in the elderly.

    • Lawrence Tim Goodnough and Stanley L Schrier.
    • Department of Pathology and Medicine, Stanford University School of Medicine, Stanford, California; Department of Medicine, Stanford University School of Medicine, Stanford, California; Division of Hematology, Stanford University School of Medicine, Stanford, California.
    • Am. J. Hematol. 2014 Jan 1;89(1):88-96.

    AbstractAnemia is now recognized as a risk factor for a number of adverse outcomes in the elderly, including hospitalization, morbidity, and mortality. What constitutes appropriate evaluation and management for an elderly patient with anemia, and when to initiate a referral to a hematologist, are significant issues. Attempts to identify suggested hemoglobin levels for blood transfusion therapy have been confounded for elderly patients with their co-morbidities. Since no specific recommended hemoglobin threshold has stood the test of time, prudent transfusion practices to maintain hemoglobin thresholds of 9-10 g/dL in the elderly are indicated, unless or until evidence emerges to indicate otherwise.Copyright © 2013 Wiley Periodicals, Inc.

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