Prevalence and Patterns of Anemia Among Patients With Heart Failure in Mogadishu, Somalia: A Retrospective Study

Document Type : Original Article

Authors

1 Mogadishu Somali Turkish Training and Research Hospital, Mogadishu, Somalia.

2 Jazeera University Hospital, Mogadishu, Somalia.

Abstract

Background: Anemia is considered an independent predictor of death in patients with heart failure (HF). The main objective of this study was to determine the prevalence and patterns of anemia among patients with HF in Mogadishu, Somalia.
Methods: This is a retrospective assessment of patients with HF admitted to the cardiology outpatient and emergency departments of Mogadishu Somali Turkish Training and Research Hospital between January 2021 and March 2021.
Results: The study population consisted of 200 patients at a mean age of 62.26 years (SD= ±14 y). Male was the predominant sex with 114 patients (57%). Fifty-nine patients (29.5%) had anemia. Iron-deficiency anemia was reported in 37 patients (18.5%), vitamin B12 deficiency anemia in 9 (4.5%), anemia of chronic disease in 9 (4.5%), folic acid deficiency anemia in 2 (1%), both iron deficiency and folic acid deficiency in 1 (0.5%), and a combination of iron, folic acid, and B12 deficiency in 1 (0.5%). The majority of the studied patients (n=141, 70.5%) were non-anemic. No association existed between anemia and age, sex, and HF type (P<0.776, P<0.605, and P<0.553, respectively).
Conclusions: The prevalence rate of anemia among patients with HF in Mogadishu was 29.5%. Anemia was more prevalent in the older population, and iron-deficiency anemia was the most common type of anemia. (Iranian Heart Journal 2022; 23(2): 61-67)

Keywords

References

  1. "Anemia". www.nhlbi.nih.gov. NHLBI. Retrieved 26 May 2021.
  2. Rodak BF (2007). Hematology: Clinical Principles and Applications (3rd). Philadelphia: Saunders. p. 220. ISBN 978-1-4160-3006-5. Archived from the original on 2016-04-25.
  3. Anand, Inder S. "Anemia and chronic heart failure: implications and treatment options." Journal of the American College of Cardiology 52, no. 7 (2008): 501-511.
  4. Janz TG, Johnson RL, Rubenstein SD (November 2013). "Anemia in the emergency department: evaluation and treatment". Emergency Medicine Practice. 15 (11): 1–15, quiz 15–16. PMID 24716235. Retrieved 28 June 2021.
  5. Stamos, Thomas D., and Marc A. Silver. "Management of anemia in heart failure." Current opinion in cardiology 25, no. 2 (2010): 148-154.
  6. Grote Beverborg, Niels, Dirk J. van Veldhuisen, and Peter van der Meer. "Anemia in heart failure: still relevant?." JACC: Heart Failure 6, no. 3 (2018): 201-208.
  7. Jankowska, Ewa A., Piotr Rozentryt, Agnieszka Witkowska, Jolanta Nowak, Oliver Hartmann, Beata Ponikowska, Ludmila Borodulin-Nadzieja et al. "Iron deficiency: an ominous sign in patients with systolic chronic heart failure." European heart journal 31, no. 15 (2010): 1872-1880.
  8. Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coats AJS, Falk V, González-Juanatey JR, Harjola VP, Jankowska EA, Jessup M, Linde C, Nihoyannopoulos P, Parissis JT, Pieske B, Riley JP, Rosano GMC, Ruilope LM, Ruschitzka F, Rutten FH, van der Meer P, ESC Scientific Document Group. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 2016; 37: 2129–2200.
  9. Von Haehling, Stephan, Joerg C. Schefold, Lea Majc Hodoscek, Wolfram Doehner, Marwan Mannaa, Stefan D. Anker, and Mitja Lainscak. "Anaemia is an independent predictor of death in patients hospitalized for acute heart failure."Clinical research in cardiology 99, no. 2 (2010): 107-113.
  10. Jeele, Mohamed Osman Omar, Rukia Omar Barei Addow, Faduma Nur Adan, and Liban Hassan Jimale. "Prevalence and Risk Factors Associated with Hepatitis B and Hepatitis C Infections among Patients Undergoing Hemodialysis: A Single-Centre Study in Somalia."International Journal of Nephrology 2021 (2021).
  11. Braunwald, Eugene. "The war against heart failure: the Lancet lecture."The Lancet 385, no. 9970 (2015): 812-824.
  12. Mozaffarian, Dariush, Emelia J. Benjamin, Alan S. Go, Donna K. Arnett, Michael J. Blaha, Mary Cushman, Sandeep R. Das et al. "Executive summary: heart disease and stroke statistics—2016 update: a report from the American Heart Association."Circulation 133, no. 4 (2016): 447-454.
  13. Ponikowski, Piotr, Stefan D. Anker, Khalid F. AlHabib, Martin R. Cowie, Thomas L. Force, Shengshou Hu, Tiny Jaarsma et al. "Heart failure: preventing disease and death worldwide."ESC heart failure 1, no. 1 (2014): 4-25.
  14. Berry, Colin, Katrina K. Poppe, G. D. Gamble, N. J. Earle, Justin A. Ezekowitz, I. B. Squire, John JV McMurray et al. "Prognostic significance of anaemia in patients with heart failure with preserved and reduced ejection fraction: results from the MAGGIC individual patient data meta-analysis."QJM: An International Journal of Medicine 109, no. 6 (2016): 377-382.
  15. Venkateswaran, Ramkumar V., Carolyn Freeman, Neal Chatterjee, Jagdesh Kandala, Mary Orencole, Eszter M. Vegh, Kimberly A. Parks et al. "Anemia and its association with clinical outcome in heart failure patients undergoing cardiac resynchronization therapy."Journal of Interventional Cardiac Electrophysiology 44, no. 3 (2015): 297-304.
  16. Tim Goodnough, Lawrence, Josep Comin‐Colet, Santiago Leal‐Noval, Sherri Ozawa, Jacqueline Takere, David Henry, Mazyar Javidroozi et al. "Management of anemia in patients with congestive heart failure."American journal of hematology 92, no. 1 (2017): 88-93.
  17. Cavalini, W. L., Nico Ceulemans, Ramon Bedenko Correa, Patrick Willian Padoani, E. F. Delfrate, and E. M. Maluf. "Prevalence of anemia in patients with heart failure. "International Journal of Cardiovascular Sciences 29, no. 1 (2016): 6-12.
  18. Cleland, John GF, Jufen Zhang, Pierpaolo Pellicori, Ben Dicken, Riet Dierckx, Ahmad Shoaib, Kenneth Wong, Alan Rigby, Kevin Goode, and Andrew L. Clark. "Prevalence and outcomes of anemia and hematinic deficiencies in patients with chronic heart failure. "JAMA cardiology 1, no. 5 (2016): 539-547.
  19. Son, Youn-Jung, and Bo Hwan Kim. "Prevalence of anemia and its influence on hospital readmissions and emergency department visits in outpatients with heart failure. "European Journal of Cardiovascular Nursing 16, no. 8 (2017): 687-695.
  20. Chobufo, Muchi Ditah, Ebad Rahman, Vijay Gayam, Joyce Bei Foryoung, Valirie N. Agbor, Fatima Farah, Alix Dufresne, Tonga Nfor, and Mehiar El-Hamdani. "Prevalence and association of iron deficiency with anemia among patients with heart failure in the USA: NHANES 2017-2018. "Journal of Community Hospital Internal Medicine Perspectives 11, no. 1 (2021): 124-127.
Iranian Heart Journal
Volume 23, Issue 2
April 2022
Pages 61-67

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