Journal of Isfahan Medical School

Journal of Isfahan Medical School

Prevalence and Predictors of Platelet Refractoriness

Document Type : Original Article(s)

Authors
Sahar Ravanshad 1
Farzaneh Ghadamgahi Moghaddam 2
Sadaf Hassani 3
Hosein Rahimi 4
Abolghasem Allahyari 4
Mina Akbari Rad 4
Mohammadreza Taheri 5
Maryam Emadzadeh 6
Zahra Mozaheb 4
Mohhamad Moeini Nedeh 1
Sajjad Ataei Azimi 1
Mostafa Kamandi 1
Mohsen Seddigh Shamsi 1
Samaneh Sajaddi 1
1 Assistant Professor, Department of Internal Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2 Internal Medicine Resident, Department of Internal Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 Bachelor of Nursing, Mashhad University of Medical Sciences, Mashhad, Iran
4 Associate Professor, Department of Internal Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
5 Medical Science Student, Islamic Azad University of Mashhad, Mashhad, Iran
6 Assistant Professor, Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
10.48305/jims.v40.i701.1059
Abstract
Background: Platelet transfusion is one of the main treatments for thrombocytopenia to reduce severity and frequency of bleeding. Inadequate increase in platelets following platelet transfusion is known as platelet refractoriness. The aim of this study is to investigate the prevalence, as well as predictive factors, of platelet refractoriness.
Methods: In a cross sectional study, 73 patients suffering from severe thrombocytopenia due to leukemia or aplastic anemia, hospitalized at the hematology-oncology ward of two main referral hospitals in Mashhad, were evaluated. Platelet transfusion was done in patients with platelets count less than 10,000 per microliter or less than 20,000 per microliter and fever more than 38° C. Platelet count was measured before and 60 minutes after platelet transfusion, and after calculating body surface area (m2), corrected count increment (CCI) was calculated. If CCI is more than 10,000 per microliter, no platelet refractoriness was considered.
Findings: 55 patients (75.3%) had platelet refractoriness. Higher platelet refractoriness was seen in the group that received more platelet units and patients who received apheresis units had less refractoriness.
Conclusion: Platelet transfusion should be done only if necessary and transfusion of apheresis units must be considered in patients who need regular platelet transfusion.
Keywords
Thrombocytopenia
Platelet transfusion
Blood platelets
Refractoriness
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Journal of Isfahan Medical School
Volume 40, Issue 701
1st Week,, March
March and April 2023
Pages 1059-1066

  • Receive Date 25 February 1401
  • Revise Date 20 October 1401
  • Accept Date 05 November 1401