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MANAGEMENT OF CHRONIC IMMUNE THROMBOCYTOPENIA, SINGLE CENTRE EXPERIENCE
Author(s): ,
Claudiu Ionita
Affiliations:
Surgery,University of Medicine and Farmacy Victor Babes Timisoara,Timisoara,Romania
,
Ioana Ionita
Affiliations:
Hematology,University of Medicine and Farmacy Victor Babes Timisoara,Timisoara,Romania
,
Liviu Cheveresan
Affiliations:
Hematology,University of Medicine and Farmacy Victor Babes Timisoara,Timisoara,Romania
,
Despina Calamar
Affiliations:
Hematology,University of Medicine and Farmacy Victor Babes Timisoara,Timisoara,Romania
,
Mihai Ionita
Affiliations:
Internal Medicine,University of Medicine and Farmacy Victor Babes Timisoara,Timisoara,Romania
,
Dacian Oros
Affiliations:
Hematology,University of Medicine and Farmacy Victor Babes Timisoara,Timisoara,Romania
Hortensia Ionita
Affiliations:
Hematology,University of Medicine and Farmacy Victor Babes Timisoara,Timisoara,Romania
(Abstract release date: 05/19/16) EHA Library. Ionita H. 06/09/16; 134993; PB2093
Prof. Hortensia Ionita
Prof. Hortensia Ionita
Contributions
Abstract
Abstract: PB2093

Type: Publication Only

Background
The investigation and management of patients with Chronic immune thrombocytopenic purpura (ITP) varies widely.

Aims
To evaluate the treatment of ITP patients in Departament of Hematology, County Hospital, Timisoara during 10 years (I.2000 –XII.2014).

Methods
A  retrospective study for  325  ITP patients was performed. Patients demographics, medical history, current treatments and side effects,  were abstracted from the patient’s medical charts  for the 12 months prior to their most recent visit.

Results
The average age was 43.2 years, with 57% women and 43% men.  Median time from the diagnosis of  ITP to the start of the observational  period was 20 months. Prior to the observational  period, 34% of patients have been splenectomized and the most used treatment was corticosteroids. During the observational  period,  76% of the patients were treated. The most frequent reasons given for treatment was low platelet count (67%), followed by bleeding symptoms (53%). Corticosteroids represented  64% of treatments, followed by IVIg (20%), azathioprine (8%), rituximab (8%) . Only a few patients (six) were treated with Nplate (Romiplostim). Splenectomies  (15% of patients) and platelet transfusions (32% of patients) were performed during the observational  period. For monitoring the platelet levels, 78% of patients visited their hematologist  1 to 10 times during the observation.  Main reasons for a visit were  low platelet count (46% of visits) and bleeding (37% of visits). Overall, 39% of patients required hospitalization. Mean duration of hospitalization was10,5 days.

Conclusion
The retrospective study of 325 patients provides therapeutic outcomes resulting from treatment methods from our department. It  showed that bleeding symptoms remained quite frequent among patients with chronic ITP, but lifethreatening bleeding rarely occur. Corticosteroids and splenectomy represent the most used treatments from our department.

Session topic: E-poster
Abstract: PB2093

Type: Publication Only

Background
The investigation and management of patients with Chronic immune thrombocytopenic purpura (ITP) varies widely.

Aims
To evaluate the treatment of ITP patients in Departament of Hematology, County Hospital, Timisoara during 10 years (I.2000 –XII.2014).

Methods
A  retrospective study for  325  ITP patients was performed. Patients demographics, medical history, current treatments and side effects,  were abstracted from the patient’s medical charts  for the 12 months prior to their most recent visit.

Results
The average age was 43.2 years, with 57% women and 43% men.  Median time from the diagnosis of  ITP to the start of the observational  period was 20 months. Prior to the observational  period, 34% of patients have been splenectomized and the most used treatment was corticosteroids. During the observational  period,  76% of the patients were treated. The most frequent reasons given for treatment was low platelet count (67%), followed by bleeding symptoms (53%). Corticosteroids represented  64% of treatments, followed by IVIg (20%), azathioprine (8%), rituximab (8%) . Only a few patients (six) were treated with Nplate (Romiplostim). Splenectomies  (15% of patients) and platelet transfusions (32% of patients) were performed during the observational  period. For monitoring the platelet levels, 78% of patients visited their hematologist  1 to 10 times during the observation.  Main reasons for a visit were  low platelet count (46% of visits) and bleeding (37% of visits). Overall, 39% of patients required hospitalization. Mean duration of hospitalization was10,5 days.

Conclusion
The retrospective study of 325 patients provides therapeutic outcomes resulting from treatment methods from our department. It  showed that bleeding symptoms remained quite frequent among patients with chronic ITP, but lifethreatening bleeding rarely occur. Corticosteroids and splenectomy represent the most used treatments from our department.

Session topic: E-poster

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