Bleeding frequency during physiotherapy in thrombocytopenic patients undergoing hematopoietic stem cell transplantation.

<h4>Background</h4>During hematopoietic stem cell transplantation (HSCT) the patients perform activities of low and moderate intensity because have reduced hematological lineages, leaving them susceptible to hemorrhagic events. The objective of this study was to describe the frequency of...

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Autores principales:	Erick Alvaro Grencheski, Margarete Noriko Kochi, Flávia Vanessa Aurea Politi, Tabata Maruyama Dos Santos, Christina May Moran de Brito, Wellington Pereira Yamaguti, Renato Fraga Righetti
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/43e25ffc3a6c4ebebdeb06f53de7c8b3
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spelling	oai:doaj.org-article:43e25ffc3a6c4ebebdeb06f53de7c8b32021-12-02T20:08:48ZBleeding frequency during physiotherapy in thrombocytopenic patients undergoing hematopoietic stem cell transplantation.1932-620310.1371/journal.pone.0255413https://doaj.org/article/43e25ffc3a6c4ebebdeb06f53de7c8b32021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255413https://doaj.org/toc/1932-6203<h4>Background</h4>During hematopoietic stem cell transplantation (HSCT) the patients perform activities of low and moderate intensity because have reduced hematological lineages, leaving them susceptible to hemorrhagic events. The objective of this study was to describe the frequency of bleeding events, severity, and possible association with physical exercise in thrombocytopenic patients.<h4>Methods</h4>A retrospective study with seventy-seven HSCT patients hospitalised, that had a platelet count ≤ 50,000 /μL and received physical exercise during physiotherapy intervention.<h4>Results</h4>Regarding bleeding events, only six were related to physical exercise, and bleeding events occurred more frequently at platelet levels ≤ 10,000 /μL. The most frequent bleeding event was epistaxis, considered of low severity, and with the moderate possibility of being related to physical exercise; followed by extremity hematoma, considered of medium severity and highly related to physical exercise. In this study, there was no occurrence of bleeding events considered of high severity.<h4>Conclusion</h4>Bleeding frequency in supervised physical exercise during physiotherapy in adults with thrombocytopenia undergoing HSCT is minor and relatively rare but occurs more frequently in patients with platelet count ≤10,000 /μL. These results encourage the maintenance of physical activity in this population who is at high risk of developing immobility-related complications.Erick Alvaro GrencheskiMargarete Noriko KochiFlávia Vanessa Aurea PolitiTabata Maruyama Dos SantosChristina May Moran de BritoWellington Pereira YamagutiRenato Fraga RighettiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0255413 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Erick Alvaro Grencheski Margarete Noriko Kochi Flávia Vanessa Aurea Politi Tabata Maruyama Dos Santos Christina May Moran de Brito Wellington Pereira Yamaguti Renato Fraga Righetti Bleeding frequency during physiotherapy in thrombocytopenic patients undergoing hematopoietic stem cell transplantation.
description	<h4>Background</h4>During hematopoietic stem cell transplantation (HSCT) the patients perform activities of low and moderate intensity because have reduced hematological lineages, leaving them susceptible to hemorrhagic events. The objective of this study was to describe the frequency of bleeding events, severity, and possible association with physical exercise in thrombocytopenic patients.<h4>Methods</h4>A retrospective study with seventy-seven HSCT patients hospitalised, that had a platelet count ≤ 50,000 /μL and received physical exercise during physiotherapy intervention.<h4>Results</h4>Regarding bleeding events, only six were related to physical exercise, and bleeding events occurred more frequently at platelet levels ≤ 10,000 /μL. The most frequent bleeding event was epistaxis, considered of low severity, and with the moderate possibility of being related to physical exercise; followed by extremity hematoma, considered of medium severity and highly related to physical exercise. In this study, there was no occurrence of bleeding events considered of high severity.<h4>Conclusion</h4>Bleeding frequency in supervised physical exercise during physiotherapy in adults with thrombocytopenia undergoing HSCT is minor and relatively rare but occurs more frequently in patients with platelet count ≤10,000 /μL. These results encourage the maintenance of physical activity in this population who is at high risk of developing immobility-related complications.
format	article
author	Erick Alvaro Grencheski Margarete Noriko Kochi Flávia Vanessa Aurea Politi Tabata Maruyama Dos Santos Christina May Moran de Brito Wellington Pereira Yamaguti Renato Fraga Righetti
author_facet	Erick Alvaro Grencheski Margarete Noriko Kochi Flávia Vanessa Aurea Politi Tabata Maruyama Dos Santos Christina May Moran de Brito Wellington Pereira Yamaguti Renato Fraga Righetti
author_sort	Erick Alvaro Grencheski
title	Bleeding frequency during physiotherapy in thrombocytopenic patients undergoing hematopoietic stem cell transplantation.
title_short	Bleeding frequency during physiotherapy in thrombocytopenic patients undergoing hematopoietic stem cell transplantation.
title_full	Bleeding frequency during physiotherapy in thrombocytopenic patients undergoing hematopoietic stem cell transplantation.
title_fullStr	Bleeding frequency during physiotherapy in thrombocytopenic patients undergoing hematopoietic stem cell transplantation.
title_full_unstemmed	Bleeding frequency during physiotherapy in thrombocytopenic patients undergoing hematopoietic stem cell transplantation.
title_sort	bleeding frequency during physiotherapy in thrombocytopenic patients undergoing hematopoietic stem cell transplantation.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/43e25ffc3a6c4ebebdeb06f53de7c8b3
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Bleeding frequency during physiotherapy in thrombocytopenic patients undergoing hematopoietic stem cell transplantation.

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