Relationships Between Transcranial Doppler Velocity, Von Willebrand Factor, Factor VIII, and Hematological Parameters in Children with Sickle Cell Anemia: A Comparative Cross-Sectional Study.

Background and Objectives: Sickle cell anemia (SCA) is associated with recurrent acute inflammatory processes. These inflammatory processes could lead to elevation of Factor VIII and Von Willebrand Factor levels, thereby increasing the risk of stroke in SCA children. This study aims to determine vWF...

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Publicado en:Plasmatology Vol. 16; pp. 1 - 9
Autores principales: Enifeni, Eniola Kehinde, Ogbenna, Ann Abiola, Daramola, Alaba Olanrewaju, Adewoyin, Ademola Samson, Olatunya, Oladele Simeon, Temiye, Edamisan
Formato: equations & formulas research tables/charts Journal Article
Publicado: Sage Publications Inc. 10/1/2022
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Relationships Between Transcranial Doppler Velocity, Von Willebrand Factor, Factor VIII, and Hematological Parameters in Children with Sickle Cell Anemia: A Comparative Cross-Sectional Study.
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        au:
          Enifeni, Eniola Kehinde
          Ogbenna, Ann Abiola
          Daramola, Alaba Olanrewaju
          Adewoyin, Ademola Samson
          Olatunya, Oladele Simeon
          Temiye, Edamisan
        affil: Department of Hematology and Blood Transfusion, 92958Ekiti State University, Ado Ekiti, Nigeria
      sug:
        subj:
          Ultrasonography, Doppler, Transcranial
          Blood Coagulation Factors Blood
          Hematologic Diseases Symptoms
          Anemia, Sickle Cell
          Stroke Risk Factors
          Risk Assessment
          Human
          Comparative Studies
          Cross Sectional Studies
          Infant
          Child, Preschool
          Child
          Adolescence
          Cerebrovascular Circulation Evaluation
          Nigeria
          Tertiary Health Care
          Genotype
          Health Screening
          Platelet Count
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Background and Objectives: Sickle cell anemia (SCA) is associated with recurrent acute inflammatory processes. These inflammatory processes could lead to elevation of Factor VIII and Von Willebrand Factor levels, thereby increasing the risk of stroke in SCA children. This study aims to determine vWF/FVIII levels in children with SCA and their association with abnormal transcranial Doppler (TCD). Subjects and Methods: This study enrolled 75 children, including 24 SCA cases with normal TCD, 27 SCA cases with abnormal TCD, and 24 Hb AA controls, all aged between 2 and 16 years. Transcranial Doppler (TCD) ultrasound was performed to measure the cerebral blood velocity. Venous blood drawn from each participant was used to determine the levels of von Willebrand Factor Antigen (vWF: Ag) and Factor VIII (FVIII) and the complete blood count (CBC). Relationships among the measured parameters were determined using SPSS version 25. Statistical significance was set at P <.05. Results: FVIII and vWF levels were significantly higher among children with SCA compared to the Hb AA controls (P <.001). Although SCA patients with abnormal TCD tended to have higher levels of FVIII and vWF, this result did not attain statistical significance (P >.05). There was a moderate negative correlation between the left middle cerebral artery and FVIII, (r = −0.332; P =.017). Children with SCA showing an abnormal TCD velocity had significantly higher platelet count compared to those with normal TCD (P =.018). Conclusion: Children with SCA have elevated levels of FVIII and vWF, and an abnormal TCD velocity is associated with elevated platelet count.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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