Anemia in the ICU: anemia of chronic disease versus anemia of acute illness.
Anemia is common in the ICU, increasing morbidity and mortality. Its etiology is multifactorial but anemia of inflammation is the most common cause, followed closely by iron deficiency. The two conditions often coexist and it can be difficult to diagnose iron deficiency in the context of anemia of inflammation. Blood transfusions and use of erythropoietin agonists are two modalities used to correct anemia in critically ill patients. Randomized controlled trials have not supported the use of either therapy except in well defined clinical situations. Better understanding of the pathophysiology of anemia of inflammation may lead to development of novel therapies.
Division of Pediatric Hematology Oncology, Stony Brook Long Island Children's Hospital, Stony Brook, NY 11794-8111, USA. devina.prakash@sbumed.org
Devina
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Prakash
D000208:Acute Disease; D000740:Anemia / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D002908:Chronic Disease; D003422:Critical Care; D017707:Erythrocyte Transfusion; D006397:Hematinics / Q000009:adverse effects / Q000627:therapeutic use; D006801:Humans; D007249:Inflammation / Q000150:complications; D007362:Intensive Care Units; D007501:Iron / Q000378:metabolism; D000090463:Iron Deficiencies; D016032:Randomized Controlled Trials as Topic
D006397:Hematinics; D007501:Iron