Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot13310.32687/0869-866X-2019-27-4-443-448Научная статьяThe characteristics of application of computer registry in organization of ambulatory polyclinic care of patients with iron-deficiency anemiaNechaevV. S.-SaurinaO. S.-NatarovA. A.-LetnikovaL. I.-BudnevskyA. V.-TokmachevR. E.r-tokmachev@mail.ruThe Federal State Budget Scientific Institution «The N. A. Semashko National Research Institute of Public Health»The Federal State Budget Institution of Higher Education «The N. N. Burdenko Voronezh State Medical University» of Minzdrav of Russia1512201927444344806042021Copyright © 2019,2019Anemia is a clinical hematological syndrome and also a risk factor for the adverse outcome of many chronic somatic diseases. To assess effectiveness of out-patient polyclinic care for patients with anemia, the computer program “Patient Monitoring System with Anemic Syndrome” was used. The study included 1498 patients (males - 491; females - 1007) aged from 18 to 80 years old, who were under medical observation by general practitioners. The prevalence of anemic syndrome in different age and gender groups varied from 11 to 58%. Statistically significant differences between subgroups of men and women were found in the categories 18-30 years, 31-40 years and 41-50 years. In adult patients of working age, anemic syndrome during routine examination was detected in 37% of cases of seeking outpatient medical care (anemic syndrome in women was three times more common than in men). In patients older than working age, the prevalence of anemic syndrome was lower and averaged 25.7%.In the structure of anemia, 48.4% are hypochromic, 5.4% are hyperchromic, 46.2% are normochromic. The study for serum iron was prescribed in 33.9% of cases of hypochromic anemia, in 22.5% of cases of normochromic anemia and in 11.1% of cases of hyperchromic anemia. Serum iron was detected in every second patient with diseases of the urogenital system, every third patient with neoplasm. Therapy with iron preparations was prescribed in 30.6%, and the administration of vitamin B12 - in 1.4% of cases.anemiairon deficiencycomputer registerанемиядефицит железакомпьютерный регистр1.WHO. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System. Geneva: World Health Organization; 2011 (WHO/NMH/NHD/MNM/11.1).2.WHO. Iron deficiency anemia: assessment, prevention and control. A guide for programme managers. Geneva; 2001 (WHO/NHD/01.3).3.Kip M. M., Schop A., Stouten K. Assessing the cost-effectiveness of a routine versus an extensive laboratory work-up in the diagnosis of anaemia in Dutch general practice. Ann. Clin. Biochem. 2018;55(6):630-8.4.Schop A., Kip M. M., Stouten K. The effectiveness of a routine versus an extensive laboratory analysis in the diagnosis of anemia in general practice. Ann. Clin. Biochem. 2018;55(5):535-42.5.Brooke E. M. The current and future use of registers in health information systems. Geneva: World Health Organization; 1974; Publication N 8.6.De Benoist B., McLean E., Egli I., Cogswell M. Worldwide prevalence of anaemia 1993-2005: WHO global database of anaemia. 2008.7.Чернов В. М. (ред.). Анемия: скрытая эпидемия. М.: МегаПро; 2004.8.Pasricha S. R., Drakesmith H., Black J. Control of iron deficiency anemia in low- and middle-income countries. Blood. 2013;121(14):2607-17.9.Вёрткин А. Л., Ховасова Н. О., Ларюшкина Е. Д., Шамаева К. И. Анемия: Руководство для практических врачей. М.: Эксмо; 2017.10.Вёрткин А. Л., Ховасова Н. О., Ларюшкина Е. Д., Шамаева К.И Анемия у амбулаторного больного. Эффективная фармакотерапия. 2014;(8):6-9.