2016, Number 02
<< Back Next >>
MediSan 2016; 20 (02)
Main causes of death in adults with hemoglobin disease
Suárez BLC, Vargas VM, Simón BTI, Macías NMM, Carmenaty PA
Language: Spanish
References: 19
Page: 168-175
PDF size: 491.53 Kb.
ABSTRACT
A descriptive and retrospective study of the 22 dead with diagnosis of hemoglobin disease in the Hematology Service of "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba, was carried out from January, 2008 to December, 2012, aimed at identifying the clinical manifestations that caused fatal complications. In the series the icterus intensification prevailed as main cause of admission and the pulmonary thromboembolism, the infections and the hepatic failure as causes of death demonstrated by autopsy, although this was only carried out to the 22.7% of the dead; it was also observed that the survival curve began to decline starting from the 20 years in the male sex and from the 30 years in the female sex. The different causes of death were related to the progressive organic damage, so that the most affected organs were identified, to be able to establish preventive rules in the follow up of the patients with this disease, in order to minimize the vasooclusive crises that contribute to complications and early death.
REFERENCES
Smith WR, Scherer M. Sickle-cell pain: advances in epidemiology and etiology. Hematology Am Soc Hematol Educ Program. 2010;2010:409-15.
Sarduy Sáez S, Losada Buchillón R, Espinosa Estrada E, Hernández Padrón C, Ávila Cabrera O, Cano Izquierdo L, et al. Caracterización de pacientes con anenia drepanocitica (ad). Rev Cubana Hematol Inmunol Hemoter. 2009 [citado 2 May 2015];25(4).
Macías Abraham C, Villaescusa Blanco R, Hernández Ramírez P, Ballester Santovenia JM. Experiencia en el desarrollo y la aplicación de la inmunología en los últimos 10 años. Rev Cubana Hematol, Inmunol Hemoter. 2011 [citado 2 May 2015];27(1).
Svarch E, Marcheco Teruel B, Machín García S, Menéndez Veitía A, Nordet Carrera I, Arencibia Núñez A, et al. La drepanocitosis en Cuba. Estudio en niños. Rev Cubana Hematol Inmunol Hemoter. 2011 [citado 2 May 2015];27(1).
Palacios Ruiz H. Papel de los factores endoteliales en la drepanocitosis. México, DF: Instituto Politécnico Nacional; 2010.
Campo Díaz MC, Fortún Prieto A, Fortún Campo A, Hernández González JL. Fisiopatología de la vaso-oclusión en la drepanocitosis. Rev Ciencias Médicas Pinar del Río. 2009 [citado 2 May 2015];13(1).
da Silva GB, Liborio AB, Daré Ede F. New insights on pathophysiology, clinical manifestations, diagnosis, and treatment of sickle cell nephropathy. Ann Hematol. 2011;90(12):1371-9.
Toirac Lamarque AS, Blanco Román G, Pascual López V, Plasencia Asorey C, Ibarra Madrazo M, Losada Gómez J. Hemoglobinopatías de tipo S y embarazo. Resultados en la atención al perinato. MEDISAN. 2011 [citado 2 May 2015];15(1).
Johnson MC, Kirkham FJ, Redline S, Rosen CL, Yan Y, Roberts I, et al. Left ventricular hypertrophy and diastolic dysfunction in children with sickle cell disease are related to asleep and waking oxygen desaturation. Blood. 2010;116(1):16-21.
Brandow AM, Brousseau DC, Pajewski NM, Panepinto JA. Vaso-occlusive painful events in sickle cell disease: impact on child well-being. Pediatr Blood Cancer. 2010; 54(1):92-7.
Brousseau DC, Owens PL, Mosso AL, Panepinto JA, Steiner CA. Acute care utilization and rehospitalizations for sickle cell disease. JAMA. 2010; 303(13): 1288-94.
Hassell KL. Population estimates of sickle cell disease in the US. Am J Prev Med. 2010;38(Suppl 4):512-21.
Steinberg MH. Sickle cell disease and associated hemoglobinopathies. In: Goldman L, Schafer AI. Cecil Medicine. 24th. Philadelphia: Saunders Elsevier; 2011.
Pila Pérez R, Pila Peláez R, Owen Osbert G, Herere R, Kafui T. Anemia de células falciformes: estudio comparativo en Cuba y Santa Lucía. AMC. 2002 [citado 2 May 2015]; 6(supl 3).
Prabhakar H, Haywood C, Malokie R. Sickle cell disease in the United States: Looking back and forward at 100 years of progress in management and survival. Am J Hematol. 2010;85(5):346-53.
Machín García S, Guerra Alfonso T, Svarch E, Espinosa Martínez E, Mesa Cuervo JR, Dorticós Balea E, et al. Morbiletalidad en pacientes adultos con drepanocitosis. Rev Cubana Hematol Inmunol Hemoter. 2004 [citado 2 May 2015];20(2).
Machín García S, Cutiño Martínez M, Svarch E, Arencibia Núñez A, Menéndez Veitía A, Hernández Padrón C. Morbilidad y mortalidad de la hemoglobinopatía SC en el Instituto de Hematología e Inmunología. Experiencia de 36 años. Rev Cubana Hematol Inmunol Hemoter. 2014 [2 May 2015];30(2).
Wilber A, Nienhuis AW, Persons DA. Transcriptional regulation of fetal to adult hemoglobin switching: new therapeutic opportunities. Blood. 2011;117(15):3945-53.
Wang WC, Ware RE, Miller ST, Iyer RV, Casella JF, Minniti CP, et al. Hydroxycarbamide in very young children with sickle-cell anaemia: a multicentre, randomised, controlled trial (BABY HU). Lancet. 2011; 377(9778):1663-72.