Introduction: The amount of platelets considered a therapeutic dose remains controversial and undecided. The multiple studies show that a lower platelet dose for prophylactic transfusions was not inferior to the standard dose.9 Method: 61 patients with haemato-oncological patients with severe thrombocytopenia underwent platelet transfusion with group specific single donor apheresis platelets of low dose. We define 1.1 to 1.9 × 1011 platelets/ transfusion as low dose. The successful platelet transfusion can be assessed by calculating corrected count Increment (CCI) and percentage platelet recovery (PPR) at 1 hour and 24 hours post transfusion which indicate the functional platelets in circulation. Results: The mean ± SD & range of t CCI at 1 hour were 12265.28 ± 3531.09 (SD) & 3916 to 21677 and after 24 hours 8310.43 ± 2698.73 (SD) & 1350 to 16722 respectively. In the CCI at 24 hours it was observe, d that there were 11.48% (7) cases having the CCI below 4500 and 88.52% (54) cases were belonged to the groups of 4500 & above. Only 16.39% (10) cases were having PPR of below 30% and 83.61% (51) cases had the PPR of 30% & above at 1 hour. PPR at 24 hours showed that only 16.39% (10) cases were having PPR of below 20% and 83.61% (51) cases had the PPR of 21% & above. Conclusion: Low dose platelet transfusion (1.1-1.9× 1011 platelets / dose),is good enough to attain therapeutic response in terms of CCI and PPR. Thus both hazards and cost related to transfusion can be minimized.
The Therapeutic Response To Low Dose Platelet Transfusion In Hemato-Oncological Patients
Research Article
DOI:
http://dx.doi.org/10.24327/ijrsr.2019.1001.3046
Subject:
science
KeyWords:
Thrombocytopenia, Hemato-oncological Patients, CCI (corrected count increment), PPR (percentage platelet recovery)
Abstract: