Oral versus intravenous iron therapy in iron deficiency anemia: An observational study

Autor:	Samarendra Nath Das, Abinash Swain, Bibhuti Bhusan Mohanta, Pravat Kumar Thatoi, Amruta Devi, Anurag Choudhury
Rok vydání:	2020
Předmět:	medicine.medical_specialty Constipation Side effect Nausea intravenous iron sucrose lcsh:Medicine 030209 endocrinology & metabolism Iron sucrose Gastroenterology 03 medical and health sciences 0302 clinical medicine Internal medicine medicine 030212 general & internal medicine Adverse effect business.industry lcsh:R medicine.disease Iron-deficiency anemia oral ferrous sulfate Iron deficiency anemia Original Article Hemoglobin medicine.symptom business Anaphylaxis medicine.drug
Zdroj:	Journal of Family Medicine and Primary Care Journal of Family Medicine and Primary Care, Vol 9, Iss 7, Pp 3619-3622 (2020)
ISSN:	2249-4863
Popis:	Background: Intravenous (IV) iron sucrose is claimed to have better safety profile and efficacy in treatment of iron deficiency anemia than conventional oral iron supplements. Aim: The aim of the study was to compare the efficacy and safety of IV iron therapy with oral iron supplements in iron deficiency anemia. Methods: An observational study was carried out by allocating 100 patients with baseline hemoglobin between 5 and 10 g/dL into two groups of oral iron and IV iron group. Hemoglobin and serum ferritin levels were measured at admission, on day 14 and on day 28. Adverse effect profile for each group was tabulated. Mean and standard deviation were calculated for each group and compared. Results: A total of 100 patients participated consisting of 37 males and 63 females. Baseline hemoglobin and serum ferritin for both groups were comparable. After initiation of therapy, hemoglobin in oral iron group raised from 6.45 (0.72) to 8.84 (0.47) on day 14 and to 9.69 (0.47) on day 28. Hemoglobin in IV iron group increased from 6.34 (0.86) to 10.52 (0.61) on day 14 and to 11.66 (0.84) on day 28. Serum ferritin in oral iron group increased from 8.3 (1.9) to 33.8 (1.29) on day 14 and to 43.61 (8.8) on day 28. Serum ferritin in IV iron group raised from 8.23 (4.64) to 148.23 (11.86) on day 14 but decreased to 115.76 (15.3) on day 28. The data were statistically significant for IV iron therapy on day 14 and day 28. Of 100 patients, 18 patients (12 in oral and 6 in IV iron groups) had adverse effects. Among the oral iron group, metallic taste and constipation were major side effects followed by heart burn and nausea. In the IV iron group, arthralgia (4 patients of 6) was the major side effect observed. One patient (of 6) in IV group had hypotension. Anaphylaxis was not observed in any patient in either group. Conclusion: IV iron therapy is effective and safe for management of iron deficiency anemia.
Databáze:	OpenAIRE
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