Clinical significance of ITP-BAT bleeding grading system for patients with immune thrombocytopenia / 中华血液学杂志
Chinese Journal of Hematology
;
(12): 812-815, 2014.
Artículo
en Chino
| WPRIM
| ID: wpr-242053
ABSTRACT
<p><b>OBJECTIVE</b>To explore the clinical significance, reliability and responsiveness of ITPBAT bleeding grading system for patients with immune thrombocytopenia (ITP).</p><p><b>METHODS</b>One hundred and eighty-three patients with ITP were assessed by using of ITP-BAT bleeding grading system. Test-retest reliability, responsiveness of ITP-BAT bleeding grading system and association between bleeding grades and platelet counts, age, gender, disease stage were analyzed.</p><p><b>RESULTS</b>Bleeding degree of ITP patients and the platelet count were negatively correlated (r=- 0.744, P<0.01) and bleeding degree increased significantly with platelet counts below 20×10⁹/L (χ²=82.40,P<0.01). Mild bleeding rate in children was 68.5%, higher than that in adult(χ²=8.839,P<0.01), and severe bleeding rate in the elderly was 14.3%, higher than that in non-elderly(χ²=7.056,P<0.01). There were no significant differences in bleeding degree in patients with different gender and disease stage (χ²=4.922, P>0.05 and χ²=3.411, P>0.05). Bleeding grades before and after treatment had more significant difference(Z=-6.61, P<0.01). Scoring consistency of two doctors was 66.1% (κ=0.561), and scoring consistency of the same doctor was 94.7% (κ=0.874).</p><p><b>CONCLUSION</b>ITP-BAT bleeding grading system in China has good validity and responsiveness, closely related to clinical indicators. It is sensitive to the variation of the hemorrhage in patients. ITP-BAT could be used as a reference index of the treatment, and also be used as an observation index of curative effect.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Recuento de Plaquetas
/
Reproducibilidad de los Resultados
/
Púrpura Trombocitopénica Idiopática
/
Hemorragia
Límite:
Humanos
Idioma:
Chino
Revista:
Chinese Journal of Hematology
Año:
2014
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS