Sağlık Bilimlerinde İleri Araştırmalar Dergisi

Yazarlar: Rumeysa TUNA, Mustafa BİLİCİ, Osman KİPOĞLU, Orhan COŞKUN, Zuhal BAYRAMOĞLU, Suheyla OCAK, Deniz TUĞCU, Serap KARAMAN, Ayşegül ÜNÜVAR, Serra SENCER, Nur AYDINLI, Zerrin ÖNAL, Zeynep YÜRÜK YILDIRIM, Kemal NİŞLİ, Rukiye EKER ÖMEROĞLU, Aygün DİNDAR, Zeynep İNCE, Demet DEMİRKOL, Mine ÇALIŞKAN, Zeynep KARAKAŞ

Konular:Tıp

Anahtar Kelimeler:Pediatric thrombosis,Treatment,Prophylaxis,Multidisciplinary management

Özet: Pediatric thrombosis has unique characteristics due to its epidemiology, pathophysiology and treatment considerations. Children diagnosed with thrombosis should be evaluated by a multidisciplinary team at the level of diagnosis, treatment, and follow-up. Here we present our 2 years experience of pediatric thrombosis patients with a multidisciplinary thrombosis council management. We retrospectively reviewed case presentations and recommendations of monthly thrombosis council for 61 children (95 admissions) between November 2017 and August 2019. The male/female ratio was 1.54 and children and adolescents were the majority of evaluated 61 patients. Based on patients' clinical and radiological status, treatment and prophylaxis periods were determined. Cerebral arterial and sinovenous thrombosis were more common in our pediatric thrombosis council cases. Acquired risk factors for thrombosis were more common than congenital thrombophilia. Infection and elevated Factor VIII were commonest, respectively. Thirty-nine patients (64%) received primary or secondary prophylaxis with vitamin K antagonists, aspirin or LMVH for different periods. Further studies on treatment and prophylaxis management are needed for the improvement of evidence-based guidelines in pediatric thrombosis. Multidisciplinary councils may improve patient care for pediatric patients with complicated thrombosis. 

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