Low-dose Tertiary Prophylactic Therapy for Severe Haemophilia A Adults in A Single Medical Center in Beijing Area / 中国医学科学院学报
Acta Academiae Medicinae Sinicae
;
(6): 398-401, 2015.
Article
Dans Chinois
| WPRIM
| ID: wpr-257622
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the benefit of low-dose tertiary prophylaxis in adults with severe haemophilia A(SHA).</p><p><b>METHODS</b>Twenty-two SHA patients aged 18 to 60 years from the Haemophilia Centre of Peking Union Medical College Hospital, Beijing, China, were retrospectively observed from their one year on-demand treatment to one year tertiary prophylaxis using plasma derived factor 8 concentrates at 5-10 IU/kg 2-3x per week. All the patients had already developed arthropathy. Gilbert and the functional independence scores in hemophilia were used to assess the joint status and the ability in the activities of daily living of the patients.</p><p><b>RESULTS</b>Comparing with on-demand therapy,the annual bleeding frequency during low-dose tertiary prophylaxis decreased significantly by 72.7%,from 39.9 ± 21.5 to 11.1 ± 7.2 (P<0.0001),the total Gilbert score decreased from 50.5±32.1 to 45.2±29.6(P<0.05),and the total functional independence score in hemophilia score increased from 18.6 ± 5.2 to 21.7 ± 4.1 (P<0.05). CONCLUSION Low-dose tertiary prophylaxis in adults with SHA is beneficial by reducing bleeding frequency, improving the health status of joints, and improving the activities of daily living, thus raising the quality of life.</p>
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Qualité de vie
/
Activités de la vie quotidienne
/
Études rétrospectives
/
Pékin
/
Hémarthrose
/
Hémophilie A
/
Hémorragie
Type d'étude:
Étude observationnelle
Limites du sujet:
Adolescent
/
Adulte
/
Humains
Pays comme sujet:
Asie
langue:
Chinois
Texte intégral:
Acta Academiae Medicinae Sinicae
Année:
2015
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS