Abstract
Severe iron deficiency anemia remains a continuing major health hazard among inner city children in Los Angeles. Over a 24-month period, 60 children in whom hemoglobin values were below 7 grams per dl were admitted to hospital; 11 (18 percent) of them were in overt congestive heart failure. Contrary to the popular conceptions, two thirds of the anemic children were undernourished, approximating the 16th percentile for weight on the Iowa growth chart, and the frequency of premature birth was not greater than in the general population. There were no deaths in this series. A management protocol which included partial exchange transfusion of children in congestive heart failure and supportive transfusion for children with hemoglobin levels below 5 grams per dl was employed.
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Selected References
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- Blackwell B. Drug therapy: patient compliance. N Engl J Med. 1973 Aug 2;289(5):249–252. doi: 10.1056/NEJM197308022890506. [DOI] [PubMed] [Google Scholar]
- Cropp G. J. Cardiovascular function in children with severe anemia. Circulation. 1969 Jun;39(6):775–784. doi: 10.1161/01.cir.39.6.775. [DOI] [PubMed] [Google Scholar]
- Cropp G. J. Hemodynamic responses to oxygen breathing in children with severe anemia. Circulation. 1969 Oct;40(4):493–500. doi: 10.1161/01.cir.40.4.493. [DOI] [PubMed] [Google Scholar]
- DUKE M., HERBERT V. D., ABELMANN W. H. HEMODYNAMIC EFFECTS OF BLOOD TRANSFUSION IN CHRONIC ANEMIA. N Engl J Med. 1964 Nov 5;271:975–980. doi: 10.1056/NEJM196411052711902. [DOI] [PubMed] [Google Scholar]
- FULLERTON W. T., TURNER A. G. Exchange transfusion in treatment of servere anaemia in pregnancy. Lancet. 1962 Jan 13;1(7220):75–78. doi: 10.1016/s0140-6736(62)91722-1. [DOI] [PubMed] [Google Scholar]
- Fuerth J. H. Incidence of anemia in full-term infants seen in private practice. J Pediatr. 1971 Oct;79(4):560–562. doi: 10.1016/s0022-3476(71)80300-1. [DOI] [PubMed] [Google Scholar]
- Hillman Robert W., Smith Howard S. Hemoglobin patterns in low-income families. Public Health Rep. 1968 Jan;83(1):61–68. [PMC free article] [PubMed] [Google Scholar]
- Hutcheson R. H., Jr Iron deficiency anemia in Tennessee among rural poor children. Public Health Rep. 1968 Nov;83(11):939–943. [PMC free article] [PubMed] [Google Scholar]
- O'Connor P. A., DeCastro F. Maternal knowledge of nutritional anemia. Public Health Rep. 1969 Jun;84(6):527–530. [PMC free article] [PubMed] [Google Scholar]
- Pollitt E., Leibel R. L. Iron deficiency and behavior. J Pediatr. 1976 Mar;88(3):372–381. doi: 10.1016/s0022-3476(76)80250-8. [DOI] [PubMed] [Google Scholar]
- Rios E., Hunter R. E., Cook J. D., Smith N. J., Finch C. A. The absorption of iron as supplements in infant cereal and infant formulas. Pediatrics. 1975 May;55(5):686–693. [PubMed] [Google Scholar]