Bleeding is associated with intravenous immunoglobulin and therapeutic plasma exchange use in heparin-induced thrombocytopenia: A propensity matched analysis.

dc.contributor.author

Soares Ferreira Júnior, Alexandre

dc.contributor.author

Boyle, Stephen H

dc.contributor.author

Kuchibhatla, Maragatha

dc.contributor.author

Onwuemene, Oluwatoyosi A

dc.date.accessioned

2023-04-07T13:08:28Z

dc.date.available

2023-04-07T13:08:28Z

dc.date.issued

2021-08

dc.date.updated

2023-04-07T13:08:27Z

dc.description.abstract

Intravenous immunoglobulin (IVIG) and therapeutic plasma exchange (TPE) are used in select cases with heparin-induced thrombocytopenia (HIT). In a cross-sectional analysis, a propensity matched sample was generated by IVIG or TPE treatment status to assess the primary outcome of mortality. In 500 HIT cases, IVIG or TPE was not associated with increased mortality (OR = 1.46; 95% CI: 0.81-2.63, p = 0.2052) but was associated with a higher likelihood of major bleeding (OR = 1.75; 95% CI: 1.03-2.96, p = 0.0376). The use of IVIG or TPE in HIT cases with bleeding contraindications to standard therapies should be further investigated.

dc.identifier

JHA2211

dc.identifier.issn

2688-6146

dc.identifier.issn

2688-6146

dc.identifier.uri

https://hdl.handle.net/10161/27012

dc.language

eng

dc.publisher

Wiley

dc.relation.ispartof

EJHaem

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10.1002/jha2.211

dc.subject

National Inpatient Sample

dc.subject

heparin‐induced thrombocytopenia

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intravenous immune globulin

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therapeutic plasma exchange

dc.title

Bleeding is associated with intravenous immunoglobulin and therapeutic plasma exchange use in heparin-induced thrombocytopenia: A propensity matched analysis.

dc.type

Journal article

duke.contributor.orcid

Onwuemene, Oluwatoyosi A|0000-0001-7266-7101

pubs.begin-page

466

pubs.end-page

470

pubs.issue

3

pubs.organisational-group

Duke

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School of Medicine

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Clinical Science Departments

pubs.organisational-group

Medicine

pubs.organisational-group

Medicine, Hematology

pubs.publication-status

Published

pubs.volume

2

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