{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:38:50Z","timestamp":1787027930866,"version":"build-2736575974"},"reference-count":70,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Iron deficiency anemia (IDA) continues to be a global public health concern, mostly in the developing countries. However, precise epidemiological data on childhood IDA in Croatia are lacking. In order to establish its frequency, underlying etiologies, the rationale for tertiary care visits, diagnostic practices, and current treatment regimens of IDA, medical records of children referred to pediatric hematologists for iron deficiency in a five-year period at tertiary institutions (Zagreb, Rijeka, Split, Osijek) throughout Croatia were retrospectively analyzed. Eight hundred and sixty-four children, predominately of preschool age, were referred mainly by the primary care pediatricians, who, in general, performed basic diagnostics but failed to initiate oral iron therapy in half of the patients. Approximately one-third of patients were symptomatic, with inadequate nutrition prevailing as underlying etiology. Dextriferron was the preferred iron formulation among hematologists, with a median dose of 5 mg\/kg, with acceptable compliance rates (63.5\u201393.2%). Hospital admission rates varied among the centers (9.4\u201335%), and so did transfusion policies (6.4\u201322.9%). The greatest difference was observed in the frequency of parenteral iron administration (0.3\u201321.5%). In conclusion, the burden of childhood IDA, even in a high-income country, remains substantial, necessitating consistent implementation of national guidelines and additional education of primary health care providers.<\/jats:p>","DOI":"10.3390\/diagnostics13243607","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T11:27:06Z","timestamp":1701775626000},"page":"3607","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Management of Childhood Iron Deficiency Anemia in a Developed Country\u2014A Multi-Center Experience from Croatia"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2860-5805","authenticated-orcid":false,"given":"Izabela","family":"Kranj\u010dec","sequence":"first","affiliation":[{"name":"Department of Oncology and Hematology, Children\u2019s Hospital Zagreb, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1568-5095","authenticated-orcid":false,"given":"Nu\u0161a","family":"Matija\u0161i\u0107 Stjepovi\u0107","sequence":"additional","affiliation":[{"name":"Department of Oncology and Hematology, Children\u2019s Hospital Zagreb, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2865-1847","authenticated-orcid":false,"given":"Domagoj","family":"Buljan","sequence":"additional","affiliation":[{"name":"Department of Oncology and Hematology, Children\u2019s Hospital Zagreb, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0521-3745","authenticated-orcid":false,"given":"Lucija","family":"Ru\u017eman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Hematology, Oncology and Clinical Genetics, University Hospital Center Rijeka, 51000 Rijeka, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4951-0592","authenticated-orcid":false,"given":"Karolina","family":"Mali\u0107 Tudor","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University Hospital of Split, 21000 Split, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marijana","family":"Jovi\u0107 Aramba\u0161i\u0107","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University Hospital Osijek, 31000 Osijek, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2988-3534","authenticated-orcid":false,"given":"Maja","family":"Pavlovi\u0107","sequence":"additional","affiliation":[{"name":"Department of Oncology and Hematology, Children\u2019s Hospital Zagreb, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nada","family":"Raja\u010di\u0107","sequence":"additional","affiliation":[{"name":"Department of Oncology and Hematology, Children\u2019s Hospital Zagreb, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Lovrinovi\u0107 Grozdani\u0107","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Hematology, Oncology and Clinical Genetics, University Hospital Center Rijeka, 51000 Rijeka, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomislava","family":"Brkovi\u0107","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University Hospital of Split, 21000 Split, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kre\u0161imir","family":"\u0160anti\u0107","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University Hospital Osijek, 31000 Osijek, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jelena","family":"Roganovi\u0107","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Hematology, Oncology and Clinical Genetics, University Hospital Center Rijeka, 51000 Rijeka, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,12,5]]},"reference":[{"key":"ref_1","unstructured":"WHO (2023, October 06). 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