| Platelet count as a predictor of the severity of sickle cell disease during pregnancy. | |
| | |
MedLine Citation:
|
PMID: 19065361 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Recent evidence implicates the immune system and the clotting mechanisms in the pathophysiology of sickle cell disease (SCD). This study investigates the association of steady state platelet count with the severity of SCD in pregnancy. A total of 40 SCD women who were asymptomatic early in pregnancy were studied retrospectively: 14 remained asymptomatic throughout pregnancy and 26 developed at least one SCD-related complication. The early pregnancy platelet count was compared between the two groups using t-test and its ability to predict SCD-related complications in pregnancy was investigated using Receiver-Operator Characteristics (ROC) curve. Compared with asymptomatic patients, women who developed SCD-related complications had significantly higher early-pregnancy platelet count [328x10(9)/l (95% CI: 268-389) vs 210x10(9)/l (146-275), p < 0.01]. The area under the ROC curve was 76.4% (95% CI 59.7-93.2). These indicate that the platelet count in early pregnancy is significantly higher in SCD patients who subsequently develop SCD-related complications and may be used for screening. |
| | |
Authors:
|
I Sarris; M Litos; S Bewley; I Okpala; P Seed; E Oteng-Ntim |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology Volume: 28 ISSN: 1364-6893 ISO Abbreviation: J Obstet Gynaecol Publication Date: 2008 Oct |
Date Detail:
|
Created Date: 2008-12-09 Completed Date: 2009-03-05 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8309140 Medline TA: J Obstet Gynaecol Country: England |
Other Details:
|
Languages: eng Pagination: 688-91 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynaecology, Guy's and St Thomas' NHS Trust, London, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Anemia, Sickle Cell / blood*, complications Female Humans Platelet Count* Pregnancy Pregnancy Complications, Hematologic / blood* ROC Curve Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Evaluating nuchal translucency scans performed for trisomy screening in a district general hospital ...
Next Document: A survey of methods used to measure symphysis fundal height.