Neonatal thrombocytopenia and platelets transfusion

Background: Neonates often develop thrombocytopenia at some time during hospital stay. Platelet transfusion are frequently given to them and are likely to result in unnecessary transfusion. Material and Methods: Thus, we analyzed thrombocytopenia in neonates, its prevalence, and relationship if any,...

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Main Authors: Anil K Gupta, Sudarshan Kumari, Abhishek Singhal, Aruna Bahl
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Asian Journal of Transfusion Science
Subjects:
Online Access:http://www.ajts.org/article.asp?issn=0973-6247;year=2012;volume=6;issue=2;spage=161;epage=164;aulast=Gupta
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author Anil K Gupta
Sudarshan Kumari
Abhishek Singhal
Aruna Bahl
author_facet Anil K Gupta
Sudarshan Kumari
Abhishek Singhal
Aruna Bahl
author_sort Anil K Gupta
collection DOAJ
description Background: Neonates often develop thrombocytopenia at some time during hospital stay. Platelet transfusion are frequently given to them and are likely to result in unnecessary transfusion. Material and Methods: Thus, we analyzed thrombocytopenia in neonates, its prevalence, and relationship if any, between clinical condition and platelet transfusion in neonates, which would have been helpful in developing guidelines and/or protocols for platelet transfusion (and reducing the donor exposure) in neonates. Results: A total of 870 neonates who were admitted in Neonatal Intensive Care Unit (NICU) with various morbidities had platelets count done; of these, 146 (16.7%) neonate revealed thrombocytopenia. Discussion: Low birth weight babies (P 0.009) and babies born with mother having hypertension (P 0.04) showed significant thrombocytopenia. Neonates with intrauterine growth retardation (IUGR) diagnosed during antenatal screening showed lower platelet count (P 0.022). Neonates having associated illness, such as sepsis, gastrointestinal, and respiratory problems, and on vasopressor drugs were found to be associated with low platelet count. Conclusion: In our study, 16.40% of thrombocytopenic neonates required platelet transfusion either alone or with other blood component during their stay in NICU.
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spelling doaj.art-8093ff579c0f4d8098e85c43830396362022-12-22T03:17:11ZengWolters Kluwer Medknow PublicationsAsian Journal of Transfusion Science0973-62471998-35652012-01-016216116410.4103/0973-6247.98924Neonatal thrombocytopenia and platelets transfusionAnil K GuptaSudarshan KumariAbhishek SinghalAruna BahlBackground: Neonates often develop thrombocytopenia at some time during hospital stay. Platelet transfusion are frequently given to them and are likely to result in unnecessary transfusion. Material and Methods: Thus, we analyzed thrombocytopenia in neonates, its prevalence, and relationship if any, between clinical condition and platelet transfusion in neonates, which would have been helpful in developing guidelines and/or protocols for platelet transfusion (and reducing the donor exposure) in neonates. Results: A total of 870 neonates who were admitted in Neonatal Intensive Care Unit (NICU) with various morbidities had platelets count done; of these, 146 (16.7%) neonate revealed thrombocytopenia. Discussion: Low birth weight babies (P 0.009) and babies born with mother having hypertension (P 0.04) showed significant thrombocytopenia. Neonates with intrauterine growth retardation (IUGR) diagnosed during antenatal screening showed lower platelet count (P 0.022). Neonates having associated illness, such as sepsis, gastrointestinal, and respiratory problems, and on vasopressor drugs were found to be associated with low platelet count. Conclusion: In our study, 16.40% of thrombocytopenic neonates required platelet transfusion either alone or with other blood component during their stay in NICU.http://www.ajts.org/article.asp?issn=0973-6247;year=2012;volume=6;issue=2;spage=161;epage=164;aulast=GuptaNeonatal transfusionplatelet transfusionthrombocytopenia
spellingShingle Anil K Gupta
Sudarshan Kumari
Abhishek Singhal
Aruna Bahl
Neonatal thrombocytopenia and platelets transfusion
Asian Journal of Transfusion Science
Neonatal transfusion
platelet transfusion
thrombocytopenia
title Neonatal thrombocytopenia and platelets transfusion
title_full Neonatal thrombocytopenia and platelets transfusion
title_fullStr Neonatal thrombocytopenia and platelets transfusion
title_full_unstemmed Neonatal thrombocytopenia and platelets transfusion
title_short Neonatal thrombocytopenia and platelets transfusion
title_sort neonatal thrombocytopenia and platelets transfusion
topic Neonatal transfusion
platelet transfusion
thrombocytopenia
url http://www.ajts.org/article.asp?issn=0973-6247;year=2012;volume=6;issue=2;spage=161;epage=164;aulast=Gupta
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AT abhisheksinghal neonatalthrombocytopeniaandplateletstransfusion
AT arunabahl neonatalthrombocytopeniaandplateletstransfusion