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Title: National survey of patients with hemophilia and other congenital bleeding disorders in Thailand
Authors: Ampaiwan Chuansumrit
Chularatana Mahasandana
Yingyong Chinthammitr
Boonchu Pongtanakul
Vichai Laosombat
Weerasak Nawarawong
Yuchinda Lektakul
Somporn Wangruangsatid
Ladda Sriboriboonsin
Ponlapat Rojnakarin
Pantep Angchaisuksiri
Theera Ruchutrakool
Malai Wongchanchailert
Pattra Thanarattanakorn
Issarang Nuchprayoon
Panya Seksarn
Arunee Jetsrisuparb
Chittima Sirijirachai
Triroj Krutvecho
Roongroj Pimchaipong
Patcharat Kittiwattanawan
Yuthasak Osodthanakarn
Apichat Apiwattanaporn
Nittaya Visanuyothin
Piyapan Ruthirago
Kulthida Sawatdee
Songchat Siriyothinphan
Pempak Sornchai
Saroj Suntayakorn
Sombat Navarattara
Suebsuk Sirithorn
Sutin Krongapiradee
Suwapee Buranawanich
Wanpen Sataworrawong
Mahidol University
Prince of Songkla University
Chiang Mai University
Sappasitthiprasong Hospital
Buddhachinaraj Hospital
Lampang Hospital
Chulalongkorn University
Khon Kaen Regional Hospital
Khon Kaen University
Phramongkutklao College of Medicine
Udon Thani Center Hospital
Buriram Hospital
Uttaradit Hospital
Maharaj Nakhon Ratchasima Hospital
Trang Hospital
Nakhon Nayok Hospital
Prachuap Khiri Khan Hospital
Nakhonping Hospital
Prapokklao Hospital
Bhumipol Adulyadej Hospital
Pranakornsiayutthaya Hospital
Paholpolayuhasena Hospital
Chonburi Regional Hospital
Keywords: Medicine
Issue Date: 1-Jun-2004
Citation: Southeast Asian Journal of Tropical Medicine and Public Health. Vol.35, No.2 (2004), 445-449
Abstract: A national survey of patients with hemophilia and other congenital bleeding disorders in Thailand was conducted in the years 2000 to 2002. Questionnaires were sent to physicians working at hospitals throughout the country. Although the overall response rate to the questionnaires was 19%, the two highest rates of 80% and 73.7% were found at university and regional hospitals, respectively, where most of the patients received their diagnosis and treatment. A total of 1,450 patients comprised of hemophilia 1,325 cases, von Willebrand disease, 69 cases, congenital factor VII deficiency, 15 cases, hereditary platelet dysfunction, 22 cases, and undefined causes of congenital bleeding disorders, 19 cases. Most were pediatric patients <15 years of age. Treatment was mainly given on demand for a bleeding episode, while only 8.6% received additional home treatment for early bleeding episodes. Replacement therapy primarily relied on fresh frozen plasma, cryoprecipitate and cryo-removed plasma. Factor concentrate was seldom used because of the high price. As a result, hemophilia care services in Thailand should be strengthened by providing comprehensive education for medical personnel, making available simple laboratory kits to determine hemophilia A and B, ensuring an adequate supply of blood components and affordable factor concentrate, and establishing home care treatment.
ISSN: 01251562
Appears in Collections:Scopus 2001-2005

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