Quantitation of bleeding symptoms in a national registry of patients with inherited platelet disorders

Blood Cells Mol Dis. 2017 Sep:67:59-62. doi: 10.1016/j.bcmd.2016.11.013. Epub 2016 Dec 18.

Abstract

Background: Inherited platelet deficiency and/or dysfunction may be more common in the general population than has previously been appreciated. In 2013 the Israeli Inherited Platelet Disorder (IPD) Registry was established.

Methods: Clinical and laboratory data were collected to pre-specified registration forms. The study protocol was approved by the local hospital ethics committees.

Results: To date we have included in the registry 89 patients (male 52%) from 79 families. Most patients (74%) have a not-yet specified inherited thrombocytopenia (n=39) or non-specific platelet function disorder (n=27). Full clinical data were available for 81 (91%) patients. The median (range) age at presentation and time of follow-up were 1.8years (1day-17.8years) and 4.7 (0-26) years, respectively. The Pediatric Bleeding Questionnaire was available for 78patients; abnormal bleeding score (≥2) was recorded in 47 (52.8%, 95% CI 42%-63.5%) patients and was less frequent in patients followed for isolated thrombocytopenia. Abnormal score was associated with a longer time of follow-up, OR 1.19 (95% CI 1.04-1.36).

Conclusion: Long term follow-up of patients with IPDs is important as bleeding risks may increase with time. We expect that clinical and laboratory information of patients/families with IPDs gathered in a systemic format will allow for better diagnosis and treatment of these patients.

Keywords: Bleeding assessment tool; Bleeding score; Inherited platelet disorders; Inherited thrombocytopenia; Registry.

MeSH terms

  • Adolescent
  • Adult
  • Blood Platelet Disorders / complications*
  • Blood Platelet Disorders / pathology
  • Blood Platelets / pathology*
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Hemorrhage / etiology*
  • Humans
  • Infant
  • Male
  • Registries
  • Thrombocytopenia / complications
  • Thrombocytopenia / pathology
  • Young Adult