Evaluation of Hospitalized Pediatric Patients in Terms of Anemia: Single-Center Experience

Abstract

Introduction: Anemia, characterized by reduced hemoglobin and hematocrit levels, affects roughly one-third of the global population and is associated with increased morbidity and mortality. Iron deficiency anemia (IDA) is the most common form, particularly prevalent during childhood, a period of rapid growth. This study aimed to assess the frequency of anemia in pediatric patients hospitalized for various reasons. Material and methods: This study was conducted at SBU Bakırköy Dr. Sadi Konuk Training and Research Hospital, Department of Pediatrics, from September 1 to November 30,2021. The records of pediatric patients treated during this period were retrospectively reviewed. Patients with hematologic diseases were excluded from the study. Demographic data and laboratory results were recorded, and patients were grouped by age (0-2, 2-6, 6-12, 12-17 years) to compare laboratory values across these groups. Results: The study included 100 children, with an equal distribution of 50 girls (50%) and 50 boys (50%), hospitalized between September 1 and November 30, 2021, at SBÜ Bakırköy Dr. Sadi Konuk Training and Research Hospital. The patients' ages ranged from 1 month to 16.2 years, with a mean age of 3.34±3.90 years. The majority (59%) of patients were in the 0-2 age group, followed by 19% in the 2-6 age group, 19% in the 6-12 age group, and 3% in the 12-17 age group. It was observed that 31% of patients had chronic diseases. Hemoglobin levels were measured at 11.11±1.84 g/dL, hematocrit at 33.71±4.85%, mean corpuscular volume (MCV) at 81.35±8.48 fL, red cell distribution width (RDW) at 15.08±2.67%, iron (Fe) at 64.70±38.89 g/dL, ferritin at 228.50±200.04 μg/L, vitamin B12 at 554.83±389.46 ng/L, and folate at 11.34±6.23 ng/L. Conclusions: Anemia is a prevalent issue during childhood in our country and should be carefully considered in hospitalized pediatric patients. Upon detection, a cause-specific treatment plan must be developed to address this condition effectively.

Keywords

• anemia
• pediatric
• iron deficiency