Document 0441
 DOCN  M9440441
 TI    Experience with the hemophiliac child in a pediatric emergency
       department.
 DT    9404
 AU    Morgan LM; Kissoon N; de Vebber BL; Department of Pediatrics, University
       of Western Ontario, London,; Canada.
 SO    J Emerg Med. 1993 Sep-Oct;11(5):519-24. Unique Identifier : AIDSLINE
       MED/94141125
 AB    We conducted a retrospective chart review of all hemophiliacs followed
       by our pediatric hematology service from January 1, 1980 to December 31,
       1989 inclusive, to determine the frequency and nature of their visits to
       our Emergency Department (ED). Of 36 patients studied, 26 were Factor
       VIII deficient (13 mild, 3 moderate, and 10 severe) and 10 had Factor IX
       deficiency (7 mild and 3 severe). No patient had red blood cell (RBC)
       antibodies or factor inhibitors. One patient was HBsAg positive and 4
       patients were HIV positive. One hundred and twenty-six ED visits [98
       (78%) in the 1-5 age group] occurred. Soft tissue hematomas accounted
       for 48% of total injuries, hemarthroses for 24%, and head injuries for
       12%. Twelve patients were admitted to hospital for observation or
       ongoing factor replacement. Of 15 episodes of head injuries, 1 patient
       had intracranial hemorrhages on 2 occasions, while 13 received
       prophylactic factor replacement and recovered uneventfully. Despite the
       availability of home factor replacement, the ED remains an important
       locus for the management of the pediatric patient with hemophilia.
 DE    Adolescence  Adult  Child  Child, Preschool  Emergencies  Emergency
       Service, Hospital/STATISTICS & NUMER DATA/*UTILIZATION
       Hemophilia/*COMPLICATIONS/THERAPY  Hospitals, Pediatric/UTILIZATION
       Human  Infant  Male  Ontario  Retrospective Studies  Wounds and
       Injuries/*COMPLICATIONS/THERAPY  JOURNAL ARTICLE

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