Manejo de la anemia en el adulto mayor dentro del primer nivel de atención.

Abstract

Background: Anemia has been considered a common health problem in older adults. It is defined as reduced hemoglobin or decreased in body iron <13g / dL in men and <12 g / dL in women. Objective: Describe the management of anemia in the elderly through an updated bibliographic review, to reach conclusions aimed at preventing sequelae and complications in the patients involved; from the competent professional exercise during medical consultation at the first level of care. Methods: A systematic search was carried out for scientific articles, controlled studies, clinical trials and multicenter studies published in indexed journals. In addition, population statistics obtained from the National Institute of Statistics and Censuses and the Ministry of Economic and Social Inclusion of Ecuador were used. Conclusion: Hepcidin blocks intestinal absorption and the release of iron from reserves, which, correlated with the inflammatory state of chronic disease, would represent a failure in conventional treatment. A lower dose on alternate days, resulting in increased iron absorption and reduced gastrointestinal side effects