Date of Award

Winter 1-4-2019

Document Type

Dissertation

Degree Name

PharmD

Department

Department of Pharmacy Practice

First Advisor

Girish Thunga

Second Advisor

Dr. Srikiran A Hebbar

Abstract

IntroductionIron Deficiency Anemia (IDA) is a major nutritional problem globally which is especially true in developing countries like India. IDA is associated with worsened quality of life, impaired physical & cognitive performance. Even though treatment patterns are simple & effective, there is a high prevalence of IDA. The reason for this is partly due to non-compliance of the patients & partly due to ineffective/incomplete treatment by physicians.[4] Due to the risks associated with blood transfusions, alternative treatments of anemia in the critically ill are being explored.[5]ObjectivesTo assess the pattern, risk factors and treatment of IDA in adult and pediatric population in a tertiary care hospital in South India. MethodologyA retrospective observational study conducted in Kasturba Hospital on patientswith Iron Deficiency Anemia admitted during the year 2017after ethical committee approval. Medical records of thesepatients were reviewed andrelevant data wasrecorded in the CRF. Demographic information of patients, family and social history, risk factors of each patient, and their treatment pattern were estimated and recorded. Collected Data was documented and analyzed using SPSS version 20.ResultsA total of 894 patients’ data diagnosed as IDA in the year 2017 was included for the study, out of which401(44.8%)were pediatric and 493 (55.1%)were adult patients. It was observed that the highest distributed risk factor in pediatrics was age below 2 years (54.6%) and in adults it was Female gender (55.9%). It wasalsoseen that pallor (pediatric-41.39% and adults-49.08%) was the highest observedclinical manifestation in both the groups. The standard treatment for IDA was provided to 30.1% pediatric patients and 40.3% adult patients. ConclusionStudy concludes that it helps in identifying the various risk factors and clinical manifestation of IDA which will inturn help in prevention of the disease by early assessment of the disease based on these factors. It also gives us an idea of the changes to be made in the treatment pattern and/or to provide counselling to patients regarding medication and food habits for better outcome of the disease.

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