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Venous thromboembolism in childhood: where is Brazil after 20 years?
Tayana Teixeira Mello1, Jorge David Aivazoglou Carneiro2, Guilherme Arantes Mello3
1Instituto de Hematologia, Hemostasia e Trombose (IHHT), Campinas, SP, Brazil.
Insights
Pediatric venous thromboembolism (VTE) is a growing concern in critically ill children, necessitating targeted prevention and treatment protocols. A national registry in Brazil is crucial for data collection and improved care.
Area of Science:
- Pediatric Medicine
- Hematology
- Critical Care
Background:
- Venous thromboembolism (VTE) is increasingly recognized in critically ill children due to improved survival rates.
- International studies highlight unique pediatric VTE epidemiology, clinical presentation, morbidity, and mortality.
- A significant knowledge gap exists in Brazil regarding pediatric VTE.
Purpose of the Study:
- To update the understanding of pediatric VTE, including epidemiology, clinical aspects, and therapeutic strategies.
- To emphasize the need for specific prevention and treatment protocols for pediatric VTE.
- To advocate for a national registry to inform public health policies and improve care networks in Brazil.
Main Methods:
- This is a review article.
- It synthesizes existing international epidemiological data on pediatric VTE.
- It discusses clinical presentation, treatment, and prevention strategies.
Main Results:
- Pediatric VTE presents unique characteristics and significant health impacts.
- There is an urgent need for specialized protocols for pediatric thrombosis.
- Establishing a national registry is vital for Brazil.
Conclusions:
- Improved data collection through a national registry is essential for developing effective pediatric VTE management in Brazil.
- Enhanced educational initiatives in Pediatric Hemostasis are critical.
- Addressing pediatric VTE requires a coordinated national approach.
Abstract:
Due to the longer survival of critically ill children, venous thromboembolism is a problem which is becoming increasingly recognized in pediatric practice. In the last decades, several international studies have been published, shedding a light upon the epidemiology of this disease during childhood. These data show peculiarities in the clinical presentation and the significant morbidity and mortality. The new "epidemic of thrombosis" in pediatric hospitals points toward the urgent need for specific treatment and prevention protocols targeting this population. In Brazil, knowledge regarding this disease remains scarce. The lack of epidemiological data impacts both the clinical care and the design of specific public policies in the field. Thus, a national registry of pediatric venous thromboembolism is relevant to the proposal of an appropriate plan of action to create a qualified net of assistance. The improvement in educational initiatives related to the field of Pediatric Hemostasis is also very important. In this review, we have updated the epidemiological, clinical and therapeutic aspects of the disease, as well as the prevention strategies.
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