Research Advances in the Subtype of Sepsis-Associated Thrombocytopenia

The incidence and mortality of sepsis in the intensive care unit (ICU) are extremely high. Thrombocytopenia, one of the most common laboratory abnormalities, is correlated with prognosis in sepsis. The pathophysiology of sepsis-associated thrombocytopenia (SAT) remains unclear and may be associated...

Full description

Bibliographic Details
Main Authors: Xinghui Wu, Yue Li, Huasheng Tong
Format: Article
Language:English
Published: SAGE Publishing 2020-10-01
Series:Clinical and Applied Thrombosis/Hemostasis
Online Access:https://doi.org/10.1177/1076029620959467
_version_ 1817978511415050240
author Xinghui Wu
Yue Li
Huasheng Tong
author_facet Xinghui Wu
Yue Li
Huasheng Tong
author_sort Xinghui Wu
collection DOAJ
description The incidence and mortality of sepsis in the intensive care unit (ICU) are extremely high. Thrombocytopenia, one of the most common laboratory abnormalities, is correlated with prognosis in sepsis. The pathophysiology of sepsis-associated thrombocytopenia (SAT) remains unclear and may be associated with several factors such as platelet activation due to vascular injury and pathogen, suppression of bone marrow, platelet-targeted antibodies and desialylation. This review summarized all these possible mechanisms in the 3 subtypes of SAT: increased platelet consumption, reduced platelet production and increased platelet destruction. Based on the clinically available platelet parameters, the evidence for identifying SAT subtypes and the recent progress in treatments according to these subtypes are proposed to provide new prospects for the management of SAT.
first_indexed 2024-04-13T22:29:53Z
format Article
id doaj.art-ec0fdc6c7fb74eecb60afee306888d39
institution Directory Open Access Journal
issn 1938-2723
language English
last_indexed 2024-04-13T22:29:53Z
publishDate 2020-10-01
publisher SAGE Publishing
record_format Article
series Clinical and Applied Thrombosis/Hemostasis
spelling doaj.art-ec0fdc6c7fb74eecb60afee306888d392022-12-22T02:26:57ZengSAGE PublishingClinical and Applied Thrombosis/Hemostasis1938-27232020-10-012610.1177/1076029620959467Research Advances in the Subtype of Sepsis-Associated ThrombocytopeniaXinghui Wu0Yue Li1Huasheng Tong2 The First School of Clinical Medicine, , Guangzhou, People’s Republic of China Department of Intensive Care Unit, , Key Laboratory of Tropical Zone Trauma Care and Tissue Repair of PLA, Guangzhou, People’s Republic of China Department of Intensive Care Unit, , Key Laboratory of Tropical Zone Trauma Care and Tissue Repair of PLA, Guangzhou, People’s Republic of ChinaThe incidence and mortality of sepsis in the intensive care unit (ICU) are extremely high. Thrombocytopenia, one of the most common laboratory abnormalities, is correlated with prognosis in sepsis. The pathophysiology of sepsis-associated thrombocytopenia (SAT) remains unclear and may be associated with several factors such as platelet activation due to vascular injury and pathogen, suppression of bone marrow, platelet-targeted antibodies and desialylation. This review summarized all these possible mechanisms in the 3 subtypes of SAT: increased platelet consumption, reduced platelet production and increased platelet destruction. Based on the clinically available platelet parameters, the evidence for identifying SAT subtypes and the recent progress in treatments according to these subtypes are proposed to provide new prospects for the management of SAT.https://doi.org/10.1177/1076029620959467
spellingShingle Xinghui Wu
Yue Li
Huasheng Tong
Research Advances in the Subtype of Sepsis-Associated Thrombocytopenia
Clinical and Applied Thrombosis/Hemostasis
title Research Advances in the Subtype of Sepsis-Associated Thrombocytopenia
title_full Research Advances in the Subtype of Sepsis-Associated Thrombocytopenia
title_fullStr Research Advances in the Subtype of Sepsis-Associated Thrombocytopenia
title_full_unstemmed Research Advances in the Subtype of Sepsis-Associated Thrombocytopenia
title_short Research Advances in the Subtype of Sepsis-Associated Thrombocytopenia
title_sort research advances in the subtype of sepsis associated thrombocytopenia
url https://doi.org/10.1177/1076029620959467
work_keys_str_mv AT xinghuiwu researchadvancesinthesubtypeofsepsisassociatedthrombocytopenia
AT yueli researchadvancesinthesubtypeofsepsisassociatedthrombocytopenia
AT huashengtong researchadvancesinthesubtypeofsepsisassociatedthrombocytopenia