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Automated Quantification and Analysis of Cell Counting Procedures Using ImageJ Plugins
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Clinical factors influencing corrected count increment.

Shamee Shastry1, Rajendra Chaudhary

  • 1Department of Transfusion Medicine in Kasturba, Medical College, Manipal University, Manipal, India.

Transfusion and Apheresis Science : Official Journal of the World Apheresis Association : Official Journal of the European Society for Haemapheresis
|June 19, 2012
PubMed
Summary
This summary is machine-generated.

Platelet transfusion refractoriness is a clinical challenge. This study found splenomegaly and anti-platelet drugs significantly impact corrected count increment in patients receiving platelet transfusions.

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Area of Science:

  • Hematology
  • Transfusion Medicine

Background:

  • Refractoriness to platelet transfusions presents a significant clinical challenge, impacting patient outcomes.
  • Understanding factors influencing platelet transfusion effectiveness is crucial for optimizing patient care.

Purpose of the Study:

  • To investigate patient characteristics associated with corrected count increment in platelet transfusions.
  • To identify key factors contributing to refractoriness in patients receiving apheresis platelet units.

Main Methods:

  • A study involving 161 apheresis platelet units transfused to 40 patients with diverse clinical diagnoses.
  • Logistic regression analysis was employed to determine the influence of various patient factors on refractoriness.

Main Results:

  • The median corrected count increment was 7344/mm(3), with a 22.82% platelet recovery.
  • Splenomegaly and the use of anti-platelet drugs were identified as statistically significant factors influencing refractoriness.
  • While fever, bleeding, sepsis, disseminated intravascular coagulation, and cyclosporine use were more frequent in refractory patients, they did not reach statistical significance.

Conclusions:

  • Splenomegaly and anti-platelet drug use are significant predictors of refractoriness to platelet transfusions.
  • Further research may be warranted to explore the non-statistically significant factors in larger cohorts.