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The Prevalence of Coagulation Factor Deficiency Among Pediatric Populations in Medina City, Saudi Arabia
Insights
Coagulation factor deficiencies are common in children in Medina, Saudi Arabia. Early diagnosis and monitoring of platelet counts and coagulation profiles are crucial for managing inherited bleeding disorders.
Area of Science:
- Hematology
- Pediatric Medicine
- Genetics
Background:
- Coagulation factor deficiencies are inherited bleeding disorders impacting blood clotting.
- These conditions result from insufficient or dysfunctional coagulation factors.
- Prevalence and impact on pediatric patients in Medina, Saudi Arabia, were investigated.
Purpose of the Study:
- To determine the prevalence of coagulation factor deficiencies in pediatric patients.
- To assess the impact of these deficiencies on platelet counts and coagulation parameters.
- To provide insights into bleeding disorder management in the region.
Main Methods:
- Retrospective analysis of 221 pediatric patients with coagulation factor deficiencies.
- Inclusion of a control group of 50 healthy children for comparison.
- Extraction of clinical and laboratory data including platelet count, PT, INR, APTT, and factor levels.
Main Results:
- Factor VIII (hemophilia A) and Factor IX (hemophilia B) were the most common deficiencies.
- Significantly prolonged prothrombin time, INR, and APTT observed in deficient patients (p < 0.0001).
- Prevalence was similar between males (50.22%) and females (49.78%).
Conclusions:
- High prevalence necessitates early diagnosis, genetic counseling, and specialized care.
- Comprehensive management requires close monitoring of coagulation profiles and platelet counts.
- Findings highlight the importance of monitoring in children with bleeding symptoms.
Background:
Coagulation factor deficiencies, a subset of inherited bleeding disorders, are characterized by impaired clotting due to insufficient or dysfunctional coagulation factors. This study aims to explore the prevalence of coagulation factor deficiencies in pediatric patients at the Maternity and Children Hospital in Medina, Saudi Arabia, between 2019 and 2023, and to assess their impact on platelet counts and coagulation profile parameters.
Methods:
A retrospective analysis was conducted involving 221 pediatric patients diagnosed with coagulation factor deficiencies. Clinical and laboratory data, including platelet count, prothrombin time (PT), international normalized ratio (INR), activated partial thromboplastin time (APTT), and coagulation factor levels, were extracted from patient clinical metadata. A control group of 50 healthy children were included for comparison.
Results:
Retrospective analysis revealed that the most common deficiencies were factor VIII (hemophilia A, 15.38%) and factor IX (hemophilia B, 14.47%), among both males and females (50.22% males and 49.78% females). Prothrombin time, INR, and APTT were significantly prolonged across all coagulation deficiencies (p < 0.0001). The findings also highlighted the importance of monitoring platelet and coagulation parameters in children with unexplained bleeding symptoms.
Conclusions:
The high prevalence of coagulation factor deficiencies in Medina, Saudi Arabia, underscores the need for early diagnosis, genetic counseling, and specialized care. This study emphasizes the importance of a comprehensive approach to managing bleeding disorders, including close monitoring of coagulation profiles and platelet counts.
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