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Management of haemophilia patients in the COVID-19 pandemic: Experience in Wuhan and Tianjin, two differently affected cities in China.
Zhang, Ai; Liu, Wei; Poon, Man-Chiu; Liu, Aiguo; Luo, Xiaoping; Chen, Lingling; Hu, Qun; Yang, Renchi.
  • Zhang A; Department of Pediatric Hematology, Tongji Hospital of Tongji Medical College, Huazhong University of Sciences and Technology, Wuhan, China.
  • Liu W; State Key Laboratory of Experimental Hematology, National Clinical Research Center for Hematological Disorders, Institute of Hematology & Blood Diseases Hospital, Tianjin Laboratory of Blood Disease Gene Therapy, CAMS Key Laboratory of Gene Therapy for Blood Diseases, Chinese Academy of Medical
  • Poon MC; Departments of Medicine, Pediatrics and Oncology, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  • Liu A; Southern Alberta Rare Blood and Bleeding Disorders Comprehensive Care Program, Foothills Medical Centre, Alberta Health Services, Calgary, Alberta, Canada.
  • Luo X; Department of Pediatric Hematology, Tongji Hospital of Tongji Medical College, Huazhong University of Sciences and Technology, Wuhan, China.
  • Chen L; Department of Pediatric Hematology, Tongji Hospital of Tongji Medical College, Huazhong University of Sciences and Technology, Wuhan, China.
  • Hu Q; State Key Laboratory of Experimental Hematology, National Clinical Research Center for Hematological Disorders, Institute of Hematology & Blood Diseases Hospital, Tianjin Laboratory of Blood Disease Gene Therapy, CAMS Key Laboratory of Gene Therapy for Blood Diseases, Chinese Academy of Medical
  • Yang R; Department of Pediatric Hematology, Tongji Hospital of Tongji Medical College, Huazhong University of Sciences and Technology, Wuhan, China.
Haemophilia ; 26(6): 1031-1037, 2020 Nov.
Article in English | MEDLINE | ID: covidwho-744737
ABSTRACT

OBJECTIVE:

To identify lessons learned from haemophilia care experience in Wuhan (COVID-19 outbreak epicenter in China) and Tianjin (with relatively low COVID-19 incidence) in the pandemic.

METHODS:

We compared the challenges in haemophilia management attributed to local COVID-19 containment policies, healthcare resource availability, clotting factors supply, daily living restrictions and coping strategies employed.

RESULTS:

Wuhan was in lockdown with strict traffic controls, enforced quarantine and overwhelmed resources. Tianjin was in relatively relaxed countermeasures to COVID-19. In Wuhan, haemophilia treatment (for bleeding, prophylaxis, multidisciplinary team care, immune tolerance induction) and patient education were severely affected, while the challenges in Tianjin were less. In both cities, patients' fear for COVID-19 infection also affected their management. Coping strategy in Wuhan included channelling of clotting factors supply from hospitals to nine pharmacies; timely transfers of in-need patients to healthcare facilities by a volunteer service network jointly coordinated by the government, hospitals and the community. Although factor concentrate supply in each city was adequate, patients still worried whether there would be enough supply to last through the pandemics. Consequently, many downgraded their treatment regimens resulting in increased bleeding episodes. In both cities, telemedicine was promoted for patient care and education.

CONCLUSIONS:

The COVID-19 pandemic had varying adverse impacts on haemophilia care depending on the local infection incidence. Our experience suggests that haemophilia management strategies in the pandemic need to be established according to the local virus containment/mitigation policies, daily living restrictions and resource availability.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Quarantine / SARS-CoV-2 / COVID-19 / Hemophilia A Type of study: Observational study Limits: Humans Country/Region as subject: Asia Language: English Journal: Haemophilia Journal subject: Hematology Year: 2020 Document Type: Article Affiliation country: Hae.14108

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Quarantine / SARS-CoV-2 / COVID-19 / Hemophilia A Type of study: Observational study Limits: Humans Country/Region as subject: Asia Language: English Journal: Haemophilia Journal subject: Hematology Year: 2020 Document Type: Article Affiliation country: Hae.14108