A cross-sectional survey of coagulation factor VIII inhibitor in children with hemophilia A

OBJECTIVE: To study the current situation of coagulation factor VIII (FVIII) inhibitor development in children with hemophilia A (HA) through a cross-sectional survey, and to explore the risk factors of inhibitor development in order to provide evidence for further prevention and management strategi...

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Veröffentlicht in:Zhonghua er ke za zhi = Chinese journal of pediatrics. - 1960. - 52(2014), 2 vom: 16. Feb., Seite 99-102
1. Verfasser: Wei, Qiqi (VerfasserIn)
Weitere Verfasser: Li, Gang, Tang, Ling, Chen, Zhenping, Zhen, Yingzi, Wu, Xinyi, Zhang, Ningning, Zhang, Jishui, Yu, Guoxia, Wu, Runhui
Format: Aufsatz
Sprache:Chinese
Veröffentlicht: 2014
Zugriff auf das übergeordnete Werk:Zhonghua er ke za zhi = Chinese journal of pediatrics
Schlagworte:English Abstract Journal Article Research Support, Non-U.S. Gov't Blood Coagulation Factor Inhibitors Factor VIII 9001-27-8
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245 1 2 |a A cross-sectional survey of coagulation factor VIII inhibitor in children with hemophilia A 
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520 |a OBJECTIVE: To study the current situation of coagulation factor VIII (FVIII) inhibitor development in children with hemophilia A (HA) through a cross-sectional survey, and to explore the risk factors of inhibitor development in order to provide evidence for further prevention and management strategies 
520 |a METHOD: The clinical data of outpatients with hemophilia A in Beijing Children's Hospital seen from November 2012 to May 2013 were collected, FVIII inhibitor was screened and analyzed its risk factors 
520 |a RESULT: A total of 102 HA children were enrolled, 5 were mild cases, 32 were moderate, and 65 were severe cases; the median age on enrollment was 55.5 (3.0-200.0) months:19(18.6%) of patients had inhibitors and 9 (8.8%) had low-titer inhibitors, 10 (9.8%) had high-titer inhibitors. Receiving FVIII treatment for life-threatening bleeding (P = 0.03) ,OR 4.10 (95%CI:1.17-14.32) was a risk factor for inhibitor generation and patients within 20 exposure days have more chances of inhibitor development (P = 0.04) ,OR 3.32 (95%CI:1.02-10.86) . High and intense FVIII exposure within short term was the risk factor for high titer inhibitor development (P = 0.01) ,OR 5.25 (95%CI:1.45-21.92) 
520 |a CONCLUSION: Intense FVIII exposure for severe hemorrhage was the risk factor of inhibitors development especially of high titer inhibitors 
650 4 |a English Abstract 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
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700 1 |a Li, Gang  |e verfasserin  |4 aut 
700 1 |a Tang, Ling  |e verfasserin  |4 aut 
700 1 |a Chen, Zhenping  |e verfasserin  |4 aut 
700 1 |a Zhen, Yingzi  |e verfasserin  |4 aut 
700 1 |a Wu, Xinyi  |e verfasserin  |4 aut 
700 1 |a Zhang, Ningning  |e verfasserin  |4 aut 
700 1 |a Zhang, Jishui  |e verfasserin  |4 aut 
700 1 |a Yu, Guoxia  |e verfasserin  |4 aut 
700 1 |a Wu, Runhui  |e verfasserin  |4 aut 
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