Management of bleeding in acquired hemophilia A: results from the European Acquired Haemophilia (EACH2) Registry
(2012) In Blood 120(1). p.39-46- Abstract
- Acquired hemophilia A is a rare bleeding disorder caused by autoantibodies to coagulation FVIII. Bleeding episodes at presentation are spontaneous and severe in most cases. Optimal hemostatic therapy is controversial, and available data are from observational and retrospective studies only. The EACH2 registry, a multicenter, pan-European, Web-based database, reports current patient management. The aim was to assess the control of first bleeding episodes treated with a bypassing agent (rFVIIa or aPCC), FVIII, or DDAVP among 501 registered patients. Of 482 patients with one or more bleeding episodes, 144 (30%) received no treatment for bleeding; 31 were treated with symptomatic therapy only. Among 307 patients treated with a first-line... (More)
- Acquired hemophilia A is a rare bleeding disorder caused by autoantibodies to coagulation FVIII. Bleeding episodes at presentation are spontaneous and severe in most cases. Optimal hemostatic therapy is controversial, and available data are from observational and retrospective studies only. The EACH2 registry, a multicenter, pan-European, Web-based database, reports current patient management. The aim was to assess the control of first bleeding episodes treated with a bypassing agent (rFVIIa or aPCC), FVIII, or DDAVP among 501 registered patients. Of 482 patients with one or more bleeding episodes, 144 (30%) received no treatment for bleeding; 31 were treated with symptomatic therapy only. Among 307 patients treated with a first-line hemostatic agent, 174 (56.7%) received rFVIIa, 63 (20.5%) aPCC, 56 (18.2%) FVIII, and 14 (4.6%) DDAVP. Bleeding was controlled in 269 of 338 (79.6%) patients treated with a first-line hemostatic agent or ancillary therapy alone. Propensity score matching was applied to allow unbiased comparison between treatment groups. Bleeding control was significantly higher in patients treated with bypassing agents versus FVIII/DDAVP (93.3% vs 68.3%; P = .003). Bleeding control was similar between rFVIIa and aPCC (93.0%; P = 1). Thrombotic events were reported in 3.6% of treated patients with a similar incidence between rFVIIa (2.9%) and aPCC (4.8%). (Blood. 2012;120(1):39-46) (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/3073148
- author
- Baudo, Francesco ; Collins, Peter ; Huth-Kuehne, Angela ; Levesque, Herve ; Marco, Pascual ; Nemes, Laszlo ; Pellegrini, Fabio ; Tengborn, Lilian LU and Knoebl, Paul
- organization
- publishing date
- 2012
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Blood
- volume
- 120
- issue
- 1
- pages
- 39 - 46
- publisher
- American Society of Hematology
- external identifiers
-
- wos:000307411100011
- scopus:84863538387
- pmid:22618709
- ISSN
- 1528-0020
- DOI
- 10.1182/blood-2012-02-408930
- language
- English
- LU publication?
- yes
- id
- 8d88f6d5-b499-46ea-b948-2100737ab68c (old id 3073148)
- date added to LUP
- 2016-04-01 10:25:43
- date last changed
- 2022-05-13 08:39:03
@article{8d88f6d5-b499-46ea-b948-2100737ab68c,
abstract = {{Acquired hemophilia A is a rare bleeding disorder caused by autoantibodies to coagulation FVIII. Bleeding episodes at presentation are spontaneous and severe in most cases. Optimal hemostatic therapy is controversial, and available data are from observational and retrospective studies only. The EACH2 registry, a multicenter, pan-European, Web-based database, reports current patient management. The aim was to assess the control of first bleeding episodes treated with a bypassing agent (rFVIIa or aPCC), FVIII, or DDAVP among 501 registered patients. Of 482 patients with one or more bleeding episodes, 144 (30%) received no treatment for bleeding; 31 were treated with symptomatic therapy only. Among 307 patients treated with a first-line hemostatic agent, 174 (56.7%) received rFVIIa, 63 (20.5%) aPCC, 56 (18.2%) FVIII, and 14 (4.6%) DDAVP. Bleeding was controlled in 269 of 338 (79.6%) patients treated with a first-line hemostatic agent or ancillary therapy alone. Propensity score matching was applied to allow unbiased comparison between treatment groups. Bleeding control was significantly higher in patients treated with bypassing agents versus FVIII/DDAVP (93.3% vs 68.3%; P = .003). Bleeding control was similar between rFVIIa and aPCC (93.0%; P = 1). Thrombotic events were reported in 3.6% of treated patients with a similar incidence between rFVIIa (2.9%) and aPCC (4.8%). (Blood. 2012;120(1):39-46)}},
author = {{Baudo, Francesco and Collins, Peter and Huth-Kuehne, Angela and Levesque, Herve and Marco, Pascual and Nemes, Laszlo and Pellegrini, Fabio and Tengborn, Lilian and Knoebl, Paul}},
issn = {{1528-0020}},
language = {{eng}},
number = {{1}},
pages = {{39--46}},
publisher = {{American Society of Hematology}},
series = {{Blood}},
title = {{Management of bleeding in acquired hemophilia A: results from the European Acquired Haemophilia (EACH2) Registry}},
url = {{http://dx.doi.org/10.1182/blood-2012-02-408930}},
doi = {{10.1182/blood-2012-02-408930}},
volume = {{120}},
year = {{2012}},
}