Anemia in hospitalized patients with pulmonary tuberculosis.
Anemia in hospitalized patients with pulmonary tuberculosis.
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住院肺结核患者贫血。
DOI：
10.1590/s1806-37132014000400008
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发表时间：
2014-07
期刊：
影响因子：
--
通讯作者：
Oliveira MM
中科院分区：
文献类型：
--
作者：
Oliveira MG;Delogo KN;Oliveira HM;Ruffino-Netto A;Kritski AL;Oliveira MM
目的了解肺结核住院患者贫血的患病率及其类型。这是一项描述性的纵向研究，涉及巴西里约热内卢市两家结核病转诊医院之一的肺结核住院患者。我们评估了身体质量指数（BMI）、三头肌皮褶厚度（TST）、手臂肌肉面积（AMA）、ESR、平均红细胞体积、红细胞分布宽度（RDW），以及c反应蛋白、血红蛋白、转铁蛋白和铁蛋白的水平。我们纳入166例患者，其中126例（75.9%）为男性。平均年龄39.0±10.7岁。并非所有患者均可获得所有数据：18.7%为HIV阳性；酗酒者占64.7%；慢性病性贫血和缺铁性贫血患病率分别为75.9%和2.4%；68.7%为低体重（平均BMI = 18.21 kg/m2）。在TST和AMA的基础上，160例患者中126例（78.7%）和157例患者中138例（87.9%）被认为营养不良。发现贫血与以下因素相关：男性（p = 0.03）；低权重（p = 0.0004）；平均红细胞体积低（p = 0.03）；高RDW (p = 0; 0003)；高铁蛋白（p = 0.0005）；高ESR （p = 0.004）。我们还发现贫血和非贫血患者在BMI （p = 0.04）、DCT （p = 0.003）和ESR （p < 0.001）方面存在显著差异。在该样本中，高比例的肺结核患者被归类为体重不足和营养不良，并且慢性病贫血的患病率很高。此外，贫血与高ESR和营养不良有关。
To describe the prevalence of anemia and of its types in hospitalized patients with pulmonary tuberculosis. This was a descriptive, longitudinal study involving pulmonary tuberculosis inpatients at one of two tuberculosis referral hospitals in the city of Rio de Janeiro, Brazil. We evaluated body mass index (BMI), triceps skinfold thickness (TST), arm muscle area (AMA), ESR, mean corpuscular volume, and red blood cell distribution width (RDW), as well as the levels of C-reactive protein, hemoglobin, transferrin, and ferritin. We included 166 patients, 126 (75.9%) of whom were male. The mean age was 39.0 ± 10.7 years. Not all data were available for all patients: 18.7% were HIV positive; 64.7% were alcoholic; the prevalences of anemia of chronic disease and iron deficiency anemia were, respectively, 75.9% and 2.4%; and 68.7% had low body weight (mean BMI = 18.21 kg/m2). On the basis of TST and AMA, 126 (78.7%) of 160 patients and 138 (87.9%) of 157 patients, respectively, were considered malnourished. Anemia was found to be associated with the following: male gender (p = 0.03); low weight (p = 0.0004); low mean corpuscular volume (p = 0.03);high RDW (p = 0; 0003); high ferritin (p = 0.0005); and high ESR (p = 0.004). We also found significant differences between anemic and non-anemic patients in terms of BMI (p = 0.04), DCT (p = 0.003), and ESR (p < 0.001). In this sample, high proportions of pulmonary tuberculosis patients were classified as underweight and malnourished, and there was a high prevalence of anemia of chronic disease. In addition, anemia was associated with high ESR and malnutrition.
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影响因子：
4.2
作者：
Oppenheimer, SJ
通讯作者：
Oppenheimer, SJ
DOI：
10.1016/0041-3879(84)90027-8
发表时间：
1984-01-01
期刊：
TUBERCLE
影响因子：
--
作者：
GRANGE, JM;KARDJITO, T;SETIABUDI, I
通讯作者：
SETIABUDI, I
影响因子：
4.2
作者：
Shah, S;Whalen, C;Semba, RD
通讯作者：
Semba, RD
DOI：
10.1016/j.trstmh.2004.06.007
发表时间：
2005-02-01
影响因子：
2.2
作者：
Metcalfe, N
通讯作者：
Metcalfe, N
DOI：
10.1016/s0732-8893(99)00007-3
发表时间：
1999-06-01
影响因子：
2.9
作者：
Macallan, DC
通讯作者：
Macallan, DC