Abstract Number: PB0239
Meeting: ISTH 2020 Congress
Background: Listen to patients; it explains that medicine should be a partnership between doctor and patient. The doctor will get a good picture, not only of your symptoms but also of their importance to you.
Aims: Aim of this survey was how many patients were neglected in Thrombosis and Hemostais unit at the time of requisition for testing of suspected hemostatic disorders by clinician.
Methods: The survey was approved by the ethics committee of the NIBD, Karachi, Pakistan, in accordance with the declaration of Helsinki. The contents of structured questionnaire were followed. It was an observational and time prospect, conducted from Feb 2019 till December 2019. Data was collected from Thrombosis and Haemostasis units of public and private sectors in all 4 provinces from in and out patients department. Simple descriptive was applied for data analysis.
Results: Total 200 cases were observed with different challenges like lacking of
Bleeding Assessment: 20% especially in females.Drug History: 20% like long term use of Hydrea, Warfarin, Heparin, clopidogrel, aspirin, site of blood collection, inappropriate reagents, vitamin K and inappropriate doses of anticoagulants. Family History: 20% inherited disorders like Von Willebrand Disease labelled as Hemophilia A, F.IX deficient labelled as F.VIII, Inherited Macro thrombocytopenia as ITP, Afibrinogenemia cases, Combined Clotting Factor Defects, Type 2 N VWD, Infusion History: 10%. Blood products, vitamin K especially inappropriate doses.
Concomitant Factors: 30% like Acidosis, haematological malignancies/benign disorders, Beta Thalassemia, Pregnancies, cardiac Problems, hypersplenism.
Example: 15 years old boy, known case of beta thalassaemia intermedia presented with nasal bleed and on hydrea since 13 years but nothing was mentioned on his request form.After lab investigation he labelled as acquired F.IX deficiency.
Conclusions: Trained clinicians in the field of thrombosis and haemostasis are scanty. Need training to follow structured questionnaire and understand importance of listening. Great clinician treats the patient with disease.
To cite this abstract in AMA style:Naz A, Masood T, Saqlain N, Samad N, Shamsi T. Always Ask Relevant Questions to Patients Might Be They Tell You the Diagnosis [abstract]. Res Pract Thromb Haemost. 2020; 4 (Suppl 1). https://abstracts.isth.org/abstract/always-ask-relevant-questions-to-patients-might-be-they-tell-you-the-diagnosis/. Accessed October 2, 2023.
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