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Thromboelastometry analysis of thrombocytopenic dengue patients: a cross-sectional study

Overview of attention for article published in BMC Infectious Diseases, January 2017
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Title
Thromboelastometry analysis of thrombocytopenic dengue patients: a cross-sectional study
Published in
BMC Infectious Diseases, January 2017
DOI 10.1186/s12879-017-2204-4
Pubmed ID
Authors

Felipe Maia de Toledo Piza, Thiago Domingos Corrêa, Alexandre Rodrigues Marra, João Carlos Campos Guerra, Roseny dos Reis Rodrigues, Andrea Aparecida Rocco Villarinho, Valdir Fernandes de Aranda, Sandra Christina Pereira Lima Shiramizo, Maria Roza de Jesus de Lima, Esper Georges Kallas, Alexandre Biasi Cavalcanti

Abstract

Dengue virus infection (DVI) is a prevalent and potentially fatal viral disease associated with coagulopathy. So far, the coagulation profile of DVI patients with thrombocytopenia has not been assessed through a viscoelastic test such as rotational thromboelastometry. We aimed to describe the prevalence and characteristics of coagulation abnormalities in dengue fever outpatients with thrombocytopenia, addressed by both rotational thromboelastometry and conventional coagulation tests. This was a cross-sectional study conducted between April 6(th) and May 5(th) 2015 in São Paulo, Brazil during a dengue outbreak. Thromboelastometry (ROTEM®) and the conventional coagulation tests prothrombin time (PT), international normalized ratio (INR), activated partial thromboplastin time (aPTT), thrombin time (TT), platelet count and fibrinogen levels were performed in 53 patients with DVI and thrombocytopenia. Despite a median interquartile range (IQR) platelet count of 77 (63-88) x 10(9)/L in DVI patients, conventional coagulation tests and plasma fibrinogen levels were within the normal range. Subjects demonstrated hypocoagulability in 71.7% (38/53) in INTEM and 54.7% (29/53) in EXTEM DVI patients. FIBTEM analyses detected only 5.7% (3/53) with hypocoagulability among this population. The median (IQR) clotting time (CT), clot formation time (CFT) and maximum clot firmness (MCF) on INTEM were, respectively, 177 (160-207) sec, 144 (108-178) sec and 48 (42-52) mm. On EXTEM, median (IQR) CT, CFT and MCF were, respectively, 69 (65-78) sec, 148 (126-198) sec and 49 (44-55) mm. Median (IQR) MCF on FIBTEM was 15 (13-18) mm. Thromboelastometry impairment is highly prevalent in DVI patients with thrombocytopenia, particularly in INTEM and EXTEM analyses, while standard coagulation tests are normal in this setting. Clinical implications remain to be established.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 49 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 2%
Unknown 48 98%

Demographic breakdown

Readers by professional status Count As %
Researcher 12 24%
Student > Master 8 16%
Student > Postgraduate 6 12%
Student > Ph. D. Student 3 6%
Other 2 4%
Other 6 12%
Unknown 12 24%
Readers by discipline Count As %
Medicine and Dentistry 19 39%
Agricultural and Biological Sciences 4 8%
Nursing and Health Professions 2 4%
Immunology and Microbiology 2 4%
Social Sciences 2 4%
Other 4 8%
Unknown 16 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 February 2017.
All research outputs
#20,400,885
of 22,950,943 outputs
Outputs from BMC Infectious Diseases
#6,500
of 7,704 outputs
Outputs of similar age
#353,486
of 417,732 outputs
Outputs of similar age from BMC Infectious Diseases
#140
of 161 outputs
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