Age-dependent changes of coagulation system parameters in pediatric patients of cardiosurgical profile
https://doi.org/10.35401/2500-0268-2020-17-1-23-29
Abstract
Objective. Estimate baseline coagulation profile values in patients scheduled for cardiosurgical intervention in age groups of pediatric population.
Material and Methods. The coagulation profile was analyzed in a complete selection of patients admitted to the intensive care department of Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1 for the period from January to December 2018. The study includes 842 patients planned for cardiac surgery.
Results. This study demonstrates the dependence of the basic parameters of the hemostasis system on age characteristics, mainly during the period of the first year of life. APPT values were similar in all age groups, whereas extended PV was recorded in patients less than one year.
Conclusion. Evaluation of coagulation system parameters should be based on age-specific reference values. Understanding the concept of developing hemostasis is extremely important in conditions of optimal prevention, diagnosis and treatment of hemorrhagic and thrombotic conditions in the pediatric population.
About the Authors
N. B. KarakhalisRussian Federation
Nikolay B. Karakhalis, Cand. of Sci. (Med.), Head of Anaesthesiology and Resuscitation no. 9; Associate Professor of Anaesthesiology, Resuscitation and Transfusiology Department for Advanced Training
167, 1st May str., Krasnodar, 350086
A. Kh. Kade
Russian Federation
Azamat Kh. Kade, Dr. of Sci. (Med.), Professor, Head of General and Clinical Pathophysiology Department
A. V. Bratova
Russian Federation
Alla V. Bratova, Head of Clinical Diagnostic Laboratory
References
1. Andrew M. Developmental hemostasis: relevance to hemostatic problems during childhood. Semin Thromb Hemost. 1995;21(4):341-56. DOI: 10.1055/s-2007-1000655
2. Andrew M, Paes B, Milner R, et al. Development of the human coagulation system in the full-term infant. Blood. 1987;70(1):165- 72. DOI: 10.1182/blood.v70.1.165.bloodjournal701165
3. Toulon P. Developmental hemostasis: laboratory and clinical implications. Int J Lab Hematol. 2016 May;38 Suppl 1:66-77. DOI: 10.1111/ijlh.12531
4. Jaffray J, Young G. Developmental hemostasis: clinical implications from the fetus to the adolescent. Pediatr Clin North Am. 2013;60(6):1407-17. DOI: 10.1016/j.pcl.2013.08.003
5. Kenet G, Barg AA, Nowak-Göttl U. Hemostasis in the very young. Semin Thromb Hemost. 2018;44(7):617-23. DOI: 10.1055/s-0038-1660852
6. Attard C, van der Straaten T, Karlaftis V, et al. Developmental hemostasis: age-specific differences in the levels of hemostatic proteins. J Thromb Haemost. 2013;11(10):1850-4. DOI: 10.1111/jth.12372
7. Kurnik K, Bidlingmaier C, Hütker S, Olivieri M. Hämostaseologie in der Pädiatrie. Hämostaseologie. 2016;36(2):109-25. In German. DOI: 10.5482/HAMO-15-04-0016
8. Appel IM, Grimminck B, Geerts J, et al. Age dependency of coagulation parameters during childhood and puberty. J Thromb Haemost. 2012;10(11):2254-63. DOI: 10.1111/j.1538-7836.2012.04905.x
9. WHO Expert Committee on Biological Standartization. World Health Organ Technical Report Series. 1999;889:i-iv,1-111.
10. Walker ID. Blood collection and sample preparation: preanalytical variation. In: Jespersen J, Bertina RM, Haverkate F, eds. Laboratory techniques in thrombosis – A manual. 2nd rev. ed. of ECAT Assay Procedures. Kluwer Academic Publishers, Dordrecht, The Netherlands, 1999. P. 21-8. DOI: 10.1007/978-94-011-4722-4_3
11. Polack B, Schved JF, Boneu B. Preanalytical recommendations of the ‘Groupe d’Etude sur l’Hémostase et la Thrombose’ (GEHT) for venous blood testing in hemostasis laboratories. Patophysiol Haemost Thromb. 2001;31(1):61-8. DOI: 10.1159/000048046
12. Horowitz GL, Altaie S, Boyd JC, et al. Defining, Establishing, and Verifying Reference Intervals in the Clinical Laboratory; Approved Guideline. 3rd ed. Clinical and Laboratory Standards Institute, Wayne, PA, USA, 2009;28(30).
13. Халафян А.А. STATISTICA 6. Математическая статистика с элементами теории вероятностей. М.: Бином, 2010. 491 с. [Khalafyan AA. STATISTICA 6: Mathematical Statistics with elements of probability theory. Moscow: Binom, 2010. 491 p. (In Russ.)].
14. Bacciedoni V, Attie M, Donato H. Thrombosis in newborn infants. Arch Argent Pediatr. 2016;114(2):159-66. DOI: 10.5546/aap.2016.eng.159
15. Karakhalis NB, Efimochkin GA, Shadrin AK, Sinkov SV. Antithrombotic Therapy in Children. Anestezoilogia i reanimatologia (Russian Journal of Anaesthesiology and Reanimatology). 2018;63(1):46-55. (In Russ.). DOI: 10.18821/0201-7563-2018-63-1-46-55
16. Male C, Johnston M, Sparling C, et al. The influence of developmental haemostasis on the laboratory diagnosis and management of haemostatic disorders during infancy and childhood. Clin Lab Med. 1999;19(1):39-69. DOI: 10.1016/s0272-2712(18)30128-8
17. Andrew M, Paes B, Milner R, et al. Development of the human coagulation system in the healthy premature infant. Blood. 1988;72(5):1651-7. DOI: 10.1182/blood.v72.5.1651.bloodjournal7251651
18. Monagle P, Barnes C, Ignjatovic V, et al. Developmental haemostasis. Impact for clinical haemostasis laboratories. Thromb Haemost. 2006;95(2):362-72. DOI: 10.1160/TH05-01-0047
19. Li J, Lai X, Yan C, et al. Age-associated developmental changes in the activated partial thromboplastin time (APPT) and causes of prolonged APPT values in healthy Chinese children. Clin Chem Lab Med. 2009;47(12):1531-7. DOI: 10.1515/CCLM.2009.339
20. Mizumoto H, Maihara T, Hiejima, et al. Transient antiphospholipid antibodies associated with acute infections in children: a report of three cases and review of the literature. Eur J Pediatr. 2006;165(7):484-8. DOI: 10.1007/s00431-006-0117-0
21. Monagle P, Massicotte P. Developmental haemostasis: secondary haemostasis. Semin Fetal Neonatal Med. 2011;16(6):294- 300. DOI: 10.1016/j.siny.2011.07.007
22. Schmugge M., Rand ML, Bang KW, et al. The relationship of von Willebrand factor binding to activated platelets from healthy neonates and adults. Pediatr Res. 2003;54(4):474-79. DOI: 10.1203/01.PDR.0000081294.26060.4B
Review
For citations:
Karakhalis N.B., Kade A.Kh., Bratova A.V. Age-dependent changes of coagulation system parameters in pediatric patients of cardiosurgical profile. Innovative Medicine of Kuban. 2020;(1):23-29. (In Russ.) https://doi.org/10.35401/2500-0268-2020-17-1-23-29