Demographic and clinical analysis on hospitalized patients with thrombocytopenia

Introduction: Thrombocytopenia is a common hematological abnormality observed in hospitalized patients. Objective: The present study was conducted to determine the prevalence of thrombocytopenia and its underlying causes. Patients and Methods: A retrospective analysis was performed on 221 thrombocyt...

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Main Authors: Fatma H Sajwani, Hala O Al Tunaiji
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Journal of Applied Hematology
Subjects:
Online Access:http://www.jahjournal.org/article.asp?issn=1658-5127;year=2014;volume=5;issue=2;spage=58;epage=64;aulast=Sajwani
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author Fatma H Sajwani
Hala O Al Tunaiji
author_facet Fatma H Sajwani
Hala O Al Tunaiji
author_sort Fatma H Sajwani
collection DOAJ
description Introduction: Thrombocytopenia is a common hematological abnormality observed in hospitalized patients. Objective: The present study was conducted to determine the prevalence of thrombocytopenia and its underlying causes. Patients and Methods: A retrospective analysis was performed on 221 thrombocytopenia patients (platelet count <100 × 10 9 /L) admitted to a single center (Al Qassimi Hospital-United Arab Emirates, Sharjah) between the years 2005 and 2010, and the demographics, associated conditions, therapy and outcome assessed. Results: Median age at diagnosis was 39 years (range 0-90 years), including 18.5% children. The majority of patients presented with platelet counts ≥71 × 10 9 /L. Thrombocytopenia was more common in younger women (20-40 years); the proportion of men was greater in the elderly population. Thrombocytopenia was associated in 28.5% of the patients with infections, in 14% with pregnancy, in 10.4% with cardiac disease, in 10.0% with surgical interventions and in 7.7% with liver/kidney disease. Immune thrombocytopenia was diagnosed in 3.6% of the patients. Spontaneous recovery was observed for 72.5% of the untreated patients, and 71.9% of the patients receiving antibiotics to treat underlying infections subsequently recovered. Conclusion: The reason for low platelet counts may be multi-factorial for many patients and not restricted to a single underlying condition. Standard treatment options are generally effective, but newer treatment modalities may be explored for patients which fail to respond.
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spelling doaj.art-e4a417e287fe4a55af03541ff094ed5f2022-12-21T17:43:07ZengWolters Kluwer Medknow PublicationsJournal of Applied Hematology1658-51272014-01-0152586410.4103/1658-5127.137147Demographic and clinical analysis on hospitalized patients with thrombocytopeniaFatma H SajwaniHala O Al TunaijiIntroduction: Thrombocytopenia is a common hematological abnormality observed in hospitalized patients. Objective: The present study was conducted to determine the prevalence of thrombocytopenia and its underlying causes. Patients and Methods: A retrospective analysis was performed on 221 thrombocytopenia patients (platelet count <100 × 10 9 /L) admitted to a single center (Al Qassimi Hospital-United Arab Emirates, Sharjah) between the years 2005 and 2010, and the demographics, associated conditions, therapy and outcome assessed. Results: Median age at diagnosis was 39 years (range 0-90 years), including 18.5% children. The majority of patients presented with platelet counts ≥71 × 10 9 /L. Thrombocytopenia was more common in younger women (20-40 years); the proportion of men was greater in the elderly population. Thrombocytopenia was associated in 28.5% of the patients with infections, in 14% with pregnancy, in 10.4% with cardiac disease, in 10.0% with surgical interventions and in 7.7% with liver/kidney disease. Immune thrombocytopenia was diagnosed in 3.6% of the patients. Spontaneous recovery was observed for 72.5% of the untreated patients, and 71.9% of the patients receiving antibiotics to treat underlying infections subsequently recovered. Conclusion: The reason for low platelet counts may be multi-factorial for many patients and not restricted to a single underlying condition. Standard treatment options are generally effective, but newer treatment modalities may be explored for patients which fail to respond.http://www.jahjournal.org/article.asp?issn=1658-5127;year=2014;volume=5;issue=2;spage=58;epage=64;aulast=SajwaniCardiac diseaseplatelet countsthrombocytopenia
spellingShingle Fatma H Sajwani
Hala O Al Tunaiji
Demographic and clinical analysis on hospitalized patients with thrombocytopenia
Journal of Applied Hematology
Cardiac disease
platelet counts
thrombocytopenia
title Demographic and clinical analysis on hospitalized patients with thrombocytopenia
title_full Demographic and clinical analysis on hospitalized patients with thrombocytopenia
title_fullStr Demographic and clinical analysis on hospitalized patients with thrombocytopenia
title_full_unstemmed Demographic and clinical analysis on hospitalized patients with thrombocytopenia
title_short Demographic and clinical analysis on hospitalized patients with thrombocytopenia
title_sort demographic and clinical analysis on hospitalized patients with thrombocytopenia
topic Cardiac disease
platelet counts
thrombocytopenia
url http://www.jahjournal.org/article.asp?issn=1658-5127;year=2014;volume=5;issue=2;spage=58;epage=64;aulast=Sajwani
work_keys_str_mv AT fatmahsajwani demographicandclinicalanalysisonhospitalizedpatientswiththrombocytopenia
AT halaoaltunaiji demographicandclinicalanalysisonhospitalizedpatientswiththrombocytopenia