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- W4385705909 abstract "Topic: 22. Stem cell transplantation - Clinical Background: Secondary failure of platelet recovery (SFPR) is a serious complication after hematopoietic stem cell transplantation (HSCT) and the significance of platelet parameters in SFPR remains unclear. Moreover, the role of CMV infection in SFPR is unclear and the correlation between platelet parameters and CMV infection in patients with SFPR is unknown. Aims: To investigate the clinical significance of changes in platelet parameters in patients with secondary failure of platelet recovery (SFPR) and cytomegalovirus (CMV) infection after hematopoietic stem cell transplantation (HSCT). Methods: In this retrospective study, 79 patients who had undergone allogeneic HSCT (allo-HSCT), including 40 patients with SFPR, between January 2017 and September 2019 at the Stem Cell Transplantation Center of the Hematology Hospital (Institute of Hematology), Chinese Academy of Medical Sciences were included. The evaluated parameters were platelet count (PLT), plateletcrit (PCT), platelet-large cell ratio (P-LCR), mean platelet volume (MPV), platelet distribution width (PDW), incidence of CMV infection after allo-HSCT, and the correlation of SFPR and CMV infection in patients who had undergone allo-HSCT. The control group included 107 healthy donors. Results: The SFPR group had significantly lower megakaryocyte counts, PLT, and PCT and significantly higher P-LCR, MPV, and PDW than the healthy donor and non-SFPR groups. The incidence of CMV infection was higher in SFPR patients than in non-SFPR patients. Among the patients with SFPR, P-LCR, MPV, and PDW were lower in those with CMV DNA >8000 copies/mL than in those with CMV DNA <8000 copies/mL (p < 0.05 for all); the CMV viral load was slightly negatively correlated with MPV (p = 0.0297) and P-LCR (p = 0.0280). Summary/Conclusion: The level of platelet activation in SFPR patients, which was closely related to CMV infection, was higher than that in that in non-SFPR patients, and higher CMV load was associated with the inhibition of platelet activation. Table. CMV infection in non-SFPR group and SFPR group - CMV infection Non-SFPR (n=39 ) SFPR(n=40) P value No CMV infection/case 32 11 CMV infection/case 7 29 CMV <8000(copies/mL)/case 6 24 CMV >8000(copies/mL)/case 1 5 CMV >8000(copies/mL)proportion(%) 14.2 17.2 the incidence of CMV infection(%) 17.9 72.5 P<0.0001 Average copy number(x±s)(copies/mL) 5452±6875.74 7024.21±9109.32 P=0.2022 CMV, Cytomegalovirus. Keywords: Platelet engraftment, Hematopoietic cell transplantation, Platelet activation" @default.
- W4385705909 created "2023-08-10" @default.
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- W4385705909 date "2023-08-01" @default.
- W4385705909 modified "2023-09-27" @default.
- W4385705909 title "PB2451: EVALUATION OF PLATELET PARAMETERS IN PATIENTS WITH SECONDARY FAILURE OF PLATELET RECOVERY AND CYTOMEGALOVIRUS INFECTION AFTER HEMATOPOIETIC STEM CELL TRANSPLANTATION" @default.
- W4385705909 doi "https://doi.org/10.1097/01.hs9.0000976508.44122.af" @default.
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