Palliative Care, Platelet Transfusion
Conditions
Keywords
platelet transfusion, palliative care
Brief summary
Development of palliative care is less effective for patients with hematologic malignancies. Limited data is available for end of life care in this population, moreover with thrombocytopenic patients. Thrombopenia is a frequent complication, specific of bone marrow involvement in those diseases or its treatments. Yet, a few studies was interested in, whereas platelet transfusion is the only treatment indicated. As it represent a scarce, limited resource, the ethical principles are in conflict in this setting. The purpose of this study was to describe retrospectively platelet transfusion in the six last few month of life of patients with hematologic malignancies at the CHU of Besançon (France) between 01/07/15 and 31/12/16.
Interventions
evaluate in number and efficacy platelet transfusion at the end of life, demographic characteristic are also noted
Sponsors
Study design
Eligibility
Inclusion criteria
* patient with hematological malignancies * transfused in platelet at least once in the last 6 months of life * hospitalised or follow up at the CHU of Besancon at least once * dead during the period of the study
Exclusion criteria
* patient with other oncologic malignancies * not transfused in platelet in the last 6 months of life * never hospitalised or follow up at the CHU of Besancon * alive
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| evaluate frequency of platelet transfusion at the end of life | 18 months (between 07/01/2015 and 12/31/2016) | to calculate the number of platelet transfusion at the end of life. The number of platelet transfusion between 6 months and death are collected in each periods of 2 weeks to calculate the number of transfusion per patient during each 2 weeks. |
| evaluate efficacy of prophylactic platelet transfusion at the end of life | 18 months (between 07/01/2015 and 12/31/2016) | to calculate the platelet yield in percentage |
| evaluate efficacy of non prophylactic platelet transfusion at the end of life | 18 month (between 07/01/2015 and 12/31/2016) | to calculate the transfusional interval between 2 platelet transfusion in days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| demographic characteristic | 18 months (between 07/01/2015 and 12/31/2016) | characteristic of patient (age, diagnosis,location of death, palliative care received...) |
Countries
France