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孕期血栓形成与止血健康:来自国际血栓与止血协会的注册研究

Thrombosis and hemostasis health in pregnancy: Registries from the International Society on Thrombosis and Haemostasis.

作者信息

Othman Maha, Santamaría Ortiz Amparo, Cerdá María, Erez Offer, Minford Adrian, Obeng-Tuudah Deborah, Blondon Marc, Bistervels Ingrid, Middeldorp Saskia, Abdul-Kadir Rezan

机构信息

Biomedical and Molecular Sciences School of Medicine Queen's University Kingston Ontario Canada.

School of Baccalaureate Nursing St Lawrence College Kingston Ontario Canada.

出版信息

Res Pract Thromb Haemost. 2019 Aug 1;3(4):607-614. doi: 10.1002/rth2.12243. eCollection 2019 Oct.

Abstract

Online patient registries are used to collect data on clinical conditions with rare occurrence or unclear diagnostic and management practices. The success of these registries depends on clear definition of goals, correct identification of patient population/inclusion criteria, availability of appropriate setup and maintenance tools, and the quality of dissemination. The Scientific and Standardization Committee (SSC) for Women's Health Issues in Thrombosis and Hemostasis, one of 20 committees of the International Society on Thrombosis and Haemostasis (ISTH) has developed 6 registries for women's bleeding and thrombotic conditions over the past 2 years and are currently in various stages of progress. Here, we provide information about these registries, including rationale, objectives, and methods for data collection. The aim is to enhance worldwide participation and thus promote the success of these registries. We used ISTH REDCap, a mature and secure Web application for building and managing online surveys and databases, and the ISTH advertising platform to maximize participation. Registries (links and project details available on ISTH and Women's SSC Web sites) include: (1) WiTEAM, project on thrombophilia and placenta-mediated obstetric complications; (2) a registry for disseminated intravascular coagulation in pregnancy; (3) severe congenital protein C deficiency-an obstetric study; (4) obstetric and gynecologic outcomes of women with platelet function disorders; (5) thrombolysis and invasive treatments for massive pregnancy-related pulmonary embolism; (6) pregnancy and exposure to direct oral anticoagulants. The ISTH promotes online registries on women's issues to enhance understanding of current practices, identify knowledge gaps, promote research, and ultimately improve patient safety and quality of life.

摘要

在线患者登记系统用于收集关于罕见临床病症或诊断及管理方法不明确的临床病症的数据。这些登记系统的成功取决于目标的明确定义、患者群体/纳入标准的正确识别、合适的设置和维护工具的可用性以及传播质量。血栓形成与止血领域女性健康问题科学与标准化委员会(SSC)是国际血栓形成与止血学会(ISTH)的20个委员会之一,在过去两年中已针对女性出血和血栓形成病症开发了6个登记系统,目前处于不同的进展阶段。在此,我们提供有关这些登记系统的信息,包括基本原理、目标和数据收集方法。目的是提高全球参与度,从而促进这些登记系统的成功。我们使用ISTH REDCap(一个用于构建和管理在线调查及数据库的成熟且安全的网络应用程序)和ISTH广告平台来最大限度地提高参与度。登记系统(ISTH和女性SSC网站上提供链接和项目详细信息)包括:(1)WiTEAM,关于血栓形成倾向和胎盘介导的产科并发症的项目;(2)妊娠期弥散性血管内凝血登记系统;(3)严重先天性蛋白C缺乏症——一项产科研究;(4)血小板功能障碍女性的妇产科结局;(5)大规模妊娠相关肺栓塞的溶栓和侵入性治疗;(6)妊娠与直接口服抗凝剂暴露。ISTH推动有关女性问题的在线登记系统,以增进对当前做法的了解、识别知识差距、促进研究,并最终提高患者安全性和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dfe/6782017/bf52615936de/RTH2-3-607-g001.jpg

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