CLINICOPATHOLOGICAL PROFILE OF ANEMIA AMONG ADULT PATIENTS ATTENDING A TERTIARY CARE CENTER

Authors

  • Dr. Nadia Shafi Chikan
  • Dr. Qazi Mohammad Iqba
  • Dr. Altaf Hussain Mir

Abstract

Anemia is a common hematological condition with diverse nutritional, inflammatory, renal, and chronic disease-related causes. Complete blood count parameters are useful for initial anemia screening, severity assessment, and red cell indexbased classification. To assess the clinicopathological profile o anemia among adult patients using an open-access complete blood count dataset. This secondary data analysis used the Complete Blood Count Anemia Diagnosis dataset. Adult patient records aged 18 years and above were included after data cleaning. Variables analyzed included age, sex, hemoglobin, red blood cell count, packed cell volume, mean corpuscular volume, mean corpuscular hemoglobin, mean
corpuscular hemoglobin concentration, red cell distribution width, total leukocyte count, and platelet count. Anemia was classified according to hemoglobin-based severity and red cell index-based morphology. Descriptive statistics, chi-square test, Kruskal-Wallis test, and correlation analysis were applied. A total of 338 adult records were analyzed. Anemia was present in 196 patients (57.99%). Mild anemia was observed in 93 patients (27.51%), moderate anemia in 88 patients (26.04%), and severe anemia in 15 patients (4.44%). Normocytic morphology was predominant, seen in 264 patients (78.11%), followed by microcytic and macrocytic patterns. Hemoglobin showed strong positive correlations with packed cell volume and red blood cell count, while red cell distribution width showed a negative correlation with hemoglobin. CBC parameters provide useful preliminary information for anemia severity and morphological classification. However, etiological confirmation requires clinical evaluation and biochemical investigations.

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References

Balarajan, Y., Ramakrishnan, U., Özaltin, E., Shankar, A. H., & Subramanian, S. V. (2011). Anaemia in low-income

and middle-income countries. The lancet, 378(9809), 2123-2135.

Buttarello, M. (2016). Laboratory diagnosis of anemia: are the old and new red cell parameters useful in classification

and treatment, how?. International journal of laboratory hematology, 38, 123-132.

Camaschella, C. (2015). Iron-deficiency anemia. New England journal of medicine, 372(19), 1832-1843.

Camaschella, C., & Girelli, D. (2020). The changing landscape of iron deficiency. Molecular Aspects of

Medicine, 75, 100861.

Fraenkel, P. G. (2016). Anemia of inflammation: a review. The Medical Clinics of North America, 101(2), 285.

Ganz, T., & Nemeth, E. (2015). Iron homeostasis in host defence and inflammation. Nature Reviews

Immunology, 15(8), 500-510.

Gardner, W. M., Razo, C., McHugh, T. A., Hagins, H., Vilchis-Tella, V. M., Hennessy, C., ... & Dongarwar, D. (2023).

Prevalence, years lived with disability, and trends in anaemia burden by severity and cause, 1990–2021: findings

from the Global Burden of Disease Study 2021. The Lancet Haematology, 10(9), e713-e734.

Girelli, D., Marchi, G., & Camaschella, C. (2018). Anemia in the elderly. Hemasphere, 2(3), e40.

Green, R. (2017). Vitamin B12 deficiency from the perspective of a practicing hematologist. Blood, The Journal of

the American Society of Hematology, 129(19), 2603-2611.

Guralnik, J. M., Eisenstaedt, R. S., Ferrucci, L., Klein, H. G., & Woodman, R. C. (2004). Prevalence of anemia in

persons 65 years and older in the United States: evidence for a high rate of unexplained anemia. Blood, 104(8), 2263-

International Institute for Population Sciences, & ICF. (2021). National Family Health Survey (NFHS-5), 2019-21:

India. International Institute for Population Sciences. https://dhsprogram.com/pubs/pdf/FR375/FR375.pdf

Kassebaum, N. J., Jasrasaria, R., Naghavi, M., Wulf, S. K., Johns, N., Lozano, R., ... & Murray, C. J. (2014). A

systematic analysis of global anemia burden from 1990 to 2010. Blood, 123(5), 615-624.

Nagao, T., & Hirokawa, M. (2017). Diagnosis and treatment of macrocytic anemias in adults. Journal of general and

family medicine, 18(5), 200-204.

Pasricha, S. R., Tye-Din, J., Muckenthaler, M. U., & Swinkels, D. W. (2021). Iron deficiency. The

Lancet, 397(10270), 233-248.

Salvagno, G. L., Sanchis-Gomar, F., Picanza, A., & Lippi, G. (2015). Red blood cell distribution width: a simple

parameter with multiple clinical applications. Critical reviews in clinical laboratory sciences, 52(2), 86-105.

Schop, A., Stouten, K., Riedl, J. A., van Houten, R. J., Leening, M. J., Bindels, P. J., & Levin, M. D. (2021). The

accuracy of mean corpuscular volume guided anaemia classification in primary care. Family practice, 38(6), 735-

Stauder, R., Valent, P., & Theurl, I. (2018). Anemia at older age: etiologies, clinical implications, and

management. Blood, The Journal of the American Society of Hematology, 131(5), 505-514.

Vohra, R., Hussain, A., Dudyala, A. K., Pahareeya, J., & Khan, W. (2022). Multi-class classification algorithms for

the diagnosis of anemia in an outpatient clinical setting. Plos one, 17(7), e0269685.

Vohra, Rajan; pahareeya, jankisharan; Hussain, Abir (2021), “Complete Blood Count Anemia Diagnosis”, Mendeley

Data, V1, doi: 10.17632/dy9mfjchm7.1

Weiss, G., Ganz, T., & Goodnough, L. T. (2019). Anemia of inflammation. Blood, 133(1), 40-50.

World Health Organization. (2024). Guideline on haemoglobin cutoffs to define anaemia in individuals and

populations. World Health Organization. https://www.who.int/publications/i/item/9789240088542

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Published

2025-12-28

How to Cite

Shafi Chikan, D. N., Mohammad Iqba, D. Q., & Hussain Mir, D. A. (2025). CLINICOPATHOLOGICAL PROFILE OF ANEMIA AMONG ADULT PATIENTS ATTENDING A TERTIARY CARE CENTER. International Journal For Research In Biology & Pharmacy, 11(4), 10–19. Retrieved from https://bp.gpubjournal.com/index.php/bp/article/view/2519