Yıl: 2020 Cilt: 14 Sayı: 6 Sayfa Aralığı: 507 - 511 Metin Dili: İngilizce DOI: 10.12956/tchd.587123 İndeks Tarihi: 05-08-2021

Blood Product Requirement in Childhood Acute Myeloid Leukemia by Chemotherapy Regimens

Öz:
Objective: This study evaluates total erythrocyte, random platelet and apheresis platelet suspension requirement in pediatric acute myeloid leukemia (AML) patients in relation to ongoing chemotherapy (CT) regimens.Material and Methods: A total of 37 pediatric patients diagnosed with AML were included in this retrospective study. Data on patient demographics (age, gender), age at diagnosis, type of CT protocol, completion of CT protocol and amount of blood product use (erythrocytes, apheresis platelet and random platelet) and survival during CT were retrieved from hospital records. Results: The total number of erythrocytes, apheresis platelets and random platelets received by 37 AML patients from the date of diagnosis were 1275 (mean (min-max): 27 (10-102) bags), 1287(mean (min-max): 25 (-99 bags) and 1237(mean (min-max): 20 (7-139) bags), respectively. AIE as followed by maintenance treatment was associated with the highest amount of erthryocyte (p<0.001) and apheresis platelet (p<0.001) use when compared to other CT regimens, while maintenance treatment as followed by AIE was associated with the highest amount of random platelet use (p=0.008) as compared with other CT regimens. No significant difference was noted between AI and haM protocols in terms of blood product use, while apheresis platelet and random platelet use were lowest with HAM treatment (p<0.001 and p=0.008, respectively).Conclusion: In conclusion, our findings indicate a great amount blood product transfusion to be required in children with AML under chemotherapy and emphasize the likelihood of transfusion need to alter with respect to ongoing CT regimen.
Anahtar Kelime:

Çocukluk Çağı Akut Myeloid Lösemilerde Kan Ürünü Kullanımının Kemoterapi Bloklarına Göre Dağılımı

Öz:
Amaç: Bu çalışmada; akut myeloid lösemi (AML) tanılı çocuk hastalarda toplam eritrosit, random trombosit ve aferez trombosit süspansiyonu gereksiniminin, hastanın o dönemde almış olduğu kemoterapi (KT) bloğu ile olan ilişkisi değerlendirildi. Gereç ve Yöntemler: Bu retrospektif çalışma, toplam 37 pediatrik AML hastasında yürütülmüştür. Hastaların demorgrafik özellikler, KT protokolü ve kan ürünleri gereksinimi (eritrosit, aferez ve random trombosit) ve sağkalıma dair veriler hastane kayıtlarından elde edildi.Bulgular: Tanıdan itibaren toplam eritrosit, aferez trombosit ve random trombosit kullanım miktarları sırasıyla, 1275 (ortanca (min-maks): 27 (10-102) adet), 1287(ortanca (min-maks): 25 (6-99 adet) ve 1237(ortanca (min-maks): 20 (7-139) adet) olarak bulundu. AIE ve onu izleyen idame blokları, diğer KT bloklarına göre en yüksek eritrosit (p<0.001) ve aferez trombosit (p<0.001) kullanım miktarı ile ilişkili bulunurken, idame ve onu izleyen AIE en yüksek random trombosit kullanım miktarı ile ilişkiliydi (p=0.008). AI ve haM protokolleri arasında kan ürünü kullanım miktarı açısından anlamlı bir fark gözlenmezken, HAM protokolü en düşük aferez trombosit ve random trombosit kullanım miktarları ile ilişkili bulundu (sırasıyla, p<0.001 ve p=0.008). Sonuç: Sonuç olarak bulgularımız, AML tanılı çocuk hastalarda büyük miktarda kan ürünü transfüzyon gereksinimine ve bu devam eden KT rejiminin bu gereksinim üzerindeki olası değiştirici etkisine işaret etmektedir.
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Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Gudeloglu E, Albayrak D, albayrak c (2020). Blood Product Requirement in Childhood Acute Myeloid Leukemia by Chemotherapy Regimens. , 507 - 511. 10.12956/tchd.587123
Chicago Gudeloglu Elif,Albayrak Davut,albayrak canan Blood Product Requirement in Childhood Acute Myeloid Leukemia by Chemotherapy Regimens. (2020): 507 - 511. 10.12956/tchd.587123
MLA Gudeloglu Elif,Albayrak Davut,albayrak canan Blood Product Requirement in Childhood Acute Myeloid Leukemia by Chemotherapy Regimens. , 2020, ss.507 - 511. 10.12956/tchd.587123
AMA Gudeloglu E,Albayrak D,albayrak c Blood Product Requirement in Childhood Acute Myeloid Leukemia by Chemotherapy Regimens. . 2020; 507 - 511. 10.12956/tchd.587123
Vancouver Gudeloglu E,Albayrak D,albayrak c Blood Product Requirement in Childhood Acute Myeloid Leukemia by Chemotherapy Regimens. . 2020; 507 - 511. 10.12956/tchd.587123
IEEE Gudeloglu E,Albayrak D,albayrak c "Blood Product Requirement in Childhood Acute Myeloid Leukemia by Chemotherapy Regimens." , ss.507 - 511, 2020. 10.12956/tchd.587123
ISNAD Gudeloglu, Elif vd. "Blood Product Requirement in Childhood Acute Myeloid Leukemia by Chemotherapy Regimens". (2020), 507-511. https://doi.org/10.12956/tchd.587123
APA Gudeloglu E, Albayrak D, albayrak c (2020). Blood Product Requirement in Childhood Acute Myeloid Leukemia by Chemotherapy Regimens. Türkiye Çocuk Hastalıkları Dergisi, 14(6), 507 - 511. 10.12956/tchd.587123
Chicago Gudeloglu Elif,Albayrak Davut,albayrak canan Blood Product Requirement in Childhood Acute Myeloid Leukemia by Chemotherapy Regimens. Türkiye Çocuk Hastalıkları Dergisi 14, no.6 (2020): 507 - 511. 10.12956/tchd.587123
MLA Gudeloglu Elif,Albayrak Davut,albayrak canan Blood Product Requirement in Childhood Acute Myeloid Leukemia by Chemotherapy Regimens. Türkiye Çocuk Hastalıkları Dergisi, vol.14, no.6, 2020, ss.507 - 511. 10.12956/tchd.587123
AMA Gudeloglu E,Albayrak D,albayrak c Blood Product Requirement in Childhood Acute Myeloid Leukemia by Chemotherapy Regimens. Türkiye Çocuk Hastalıkları Dergisi. 2020; 14(6): 507 - 511. 10.12956/tchd.587123
Vancouver Gudeloglu E,Albayrak D,albayrak c Blood Product Requirement in Childhood Acute Myeloid Leukemia by Chemotherapy Regimens. Türkiye Çocuk Hastalıkları Dergisi. 2020; 14(6): 507 - 511. 10.12956/tchd.587123
IEEE Gudeloglu E,Albayrak D,albayrak c "Blood Product Requirement in Childhood Acute Myeloid Leukemia by Chemotherapy Regimens." Türkiye Çocuk Hastalıkları Dergisi, 14, ss.507 - 511, 2020. 10.12956/tchd.587123
ISNAD Gudeloglu, Elif vd. "Blood Product Requirement in Childhood Acute Myeloid Leukemia by Chemotherapy Regimens". Türkiye Çocuk Hastalıkları Dergisi 14/6 (2020), 507-511. https://doi.org/10.12956/tchd.587123