Revista médica de Chile
versión impresa ISSN 0034-9887
ALVO A, Miriam; ELGUETA S, Leticia; ARAGON V, Henry y COTERA F, Alejandro. Use of intravenous iron without erythropoietin for the treatment of anemia of hemodialysis. Rev. méd. Chile [online]. 2002, vol.130, n.8, pp. 865-868. ISSN 0034-9887. doi: 10.4067/S0034-98872002000800004.
Background: In the last two decades, the use of erythropoietin for the correction of anemia in hemodialysis patients has been recommended. In Chile, only 10% of hemodialysis patients use erythropoietin, therefore, the correction of iron deficiency must be optimized. Aim: To report the effects of intravenous iron without erythropoietin in the management of anemia in hemodialysis patients. Material and methods: Retrospective analysis of 42 patients that received intravenous ferrous sacarate in doses of 100 mg/week during 5 weeks and 100 mg bimonthly during six months. These patients did not receive erythropoietin. Results. Thirty six patients had iron deficiency. Basal ferritin was 137±22 µg/l and increased to 321±28 µg/l after treatment. Packed red cell volume increased from 24±2% to 29±3%. No adverse effects were reported. Conclusions: Iron deficiency is frequent in hemodialyzed patients. Intravenous iron is safe and effective in the treatment of iron deficiency in these patients (Rev Méd Chile 2002; 130: 865-8)
Palabras clave : Anemia, iron-deficiency; Erythropoietin; Hemodialysis; Iron compunds.