Sadaf Andleeb, Muhammad Shahid Mehmood, Farrukh Iqbal.
To Determine the Frequency of Anemia in Hospitalized patients with Heart Failure and to compare the Outcome between Anemic versus Non-Anemic patients.
Pak J Med Health Sci Jan ;13(2):500-2.

Background: Anemia is particularly common among cardiac patients and is associated with poor outcome. Most of the studies, estimating its prevalence and effect on the outcome contain conflicting results partly owing to population difference. Yet no such study was available in local population . Aims : To determine the frequency of anemia in hospitalized patients with heart failure and to compare the outcome between anemic versus non-anemic patients. Place and duration of study : The study was conducted in Department of Medicine Sheikh Zayad Hospital Lahore from September 2017 to June 2018. Method: It was a descriptive case series study. 260 hospitalized patients with heart failure were taken to determine the frequency of anemia among them and then compare the outcome of anemia in term of their mean hospital stay , readmission and mortality. Statistical analysis was done on SPSS version 12. Results : The mean age of the patients was 59.59+/-11.93 years and 53.8 % of the patients were male. Mean hemoglobin of the patients was 11.96+/-2.23g/dl and 56.2% were anemic. The mean ejection fraction of the patients was 33.26+/-4.46% and was lower among anemics (31.88+/-4.77 vs 35.03+/-3.27; p =0.000) as compare to non- anemics. The mean length of hospital stay was 6.93+/-4.62 days and was longer among anemic (7.56+/-4.87 vs 6.12+/-4.15; p = .012). 7.7% (85% anemics and 15% non-anemics) died within 6 months of first admission into hospital. 24.6% (52% anemics and 12% non-anemics) required admission. Conclusion : Anemia is highly prevalent (56.2%) among heart failure patients in Pakistani population and is independently (excluding age, gender, BMI) associated with poor cardiac function, increased length of stay, readmission rate and mortality.

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