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Association between...
Association between Sports Participation, Factor VIII Levels and Bleeding in Hemophilia A
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- Bukkems, Laura H. (författare)
- Univ Amsterdam, Med Ctr, Hosp Pharm Clin Pharmacol, Noord Holland, Netherlands.
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- Versloot, Olav (författare)
- Univ Utrecht, Univ Med Ctr Utrecht, Ctr Benign Haematol Thrombosis & Haemostasis, Van Creveldklin, Utrecht, Netherlands.;Univ Appl Sci, Inst Movement Studies, Dept Physiotherapy, Utrecht, Netherlands.
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- Cnossen, Marjon H. (författare)
- Erasmus MC, Sophia Childrens Hosp Rotterdam, Dept Pediat Hematol & Oncol, Rotterdam, Netherlands.
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- Jönsson, Siv, 1963- (författare)
- Uppsala universitet,Institutionen för farmaci
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- Karlsson, Mats O. (författare)
- Uppsala universitet,Institutionen för farmaci
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- Mathot, Ron A. A. (författare)
- Univ Amsterdam, Med Ctr, Hosp Pharm Clin Pharmacol, Noord Holland, Netherlands.
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- Fischer, Kathelijn (författare)
- Univ Utrecht, Univ Med Ctr Utrecht, Ctr Benign Haematol Thrombosis & Haemostasis, Van Creveldklin, Utrecht, Netherlands.
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Univ Amsterdam, Med Ctr, Hosp Pharm Clin Pharmacol, Noord Holland, Netherlands Univ Utrecht, Univ Med Ctr Utrecht, Ctr Benign Haematol Thrombosis & Haemostasis, Van Creveldklin, Utrecht, Netherlands.;Univ Appl Sci, Inst Movement Studies, Dept Physiotherapy, Utrecht, Netherlands. (creator_code:org_t)
- 2022-12-31
- 2023
- Engelska.
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Ingår i: Thrombosis and Haemostasis. - : Georg Thieme Verlag KG. - 0340-6245 .- 2567-689X. ; 123:03, s. 317-325
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- BackgroundLittle is known on how sports participation affects bleeding risk in hemophilia. This study aimed to examine associations between sports participation, factor VIII (FVIII) levels and bleeding in persons with hemophilia A.MethodsIn this observational, prospective, single-center study, persons with hemophilia A who regularly participated in sports were followed for 12 months. The associations of patient characteristics, FVIII levels, and type/frequency of sports participation with bleeding were analyzed by repeated time-to-event modelling.ResultsOne hundred and twelve persons (median age: 24 years [interquartile range:16-34], 49% severe, 49% on prophylaxis) were included. During follow-up, 70 bleeds of which 20 sports-induced were observed. FVIII levels were inversely correlated with the bleeding hazard; a 50% reduction of the baseline bleeding hazard was observed at FVIII levels of 3.1 and a 90% reduction at 28.0 IU/dL. The bleeding hazard did not correlate with sports participation. In addition, severe hemophilia, prestudy annual bleeding rate, and presence of arthropathy showed a positive association with the bleeding hazard.ConclusionsThis analysis showed that FVIII levels were an important determinant of the bleeding hazard, but sports participation was not. This observation most likely reflects the presence of adequate FVIII levels during sports participation in our study. Persons with severe hemophilia A exhibited a higher bleeding hazard at a similar FVIII levels than nonsevere, suggesting that the time spent at lower FVIII levels impacts overall bleeding hazard. These data may be used to counsel persons with hemophilia regarding sports participation and the necessity of adequate prophylaxis.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Hematologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Hematology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- bleeding
- hemophilia A
- prophylaxis
- repeated time-to-event
- sports
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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