Bleeding frequency during physiotherapy in thrombocytopenic patients undergoing hematopoietic stem cell transplantation
During hematopoietic stem cell transplantation (HSCT) the patients perform activities of low and moderate intensity because have reduced hematological lineages, leaving them susceptible to hemorrhagic events. The objective of this study was to describe the frequency of bleeding events, severity, and...
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| description | During hematopoietic stem cell transplantation (HSCT) the patients perform activities of low and moderate intensity because have reduced hematological lineages, leaving them susceptible to hemorrhagic events. The objective of this study was to describe the frequency of bleeding events, severity, and possible association with physical exercise in thrombocytopenic patients. A retrospective study with seventy-seven HSCT patients hospitalised, that had a platelet count [less than or equal to] 50,000 /[mu]L and received physical exercise during physiotherapy intervention. Regarding bleeding events, only six were related to physical exercise, and bleeding events occurred more frequently at platelet levels [less than or equal to] 10,000 /[mu]L. The most frequent bleeding event was epistaxis, considered of low severity, and with the moderate possibility of being related to physical exercise; followed by extremity hematoma, considered of medium severity and highly related to physical exercise. In this study, there was no occurrence of bleeding events considered of high severity. Bleeding frequency in supervised physical exercise during physiotherapy in adults with thrombocytopenia undergoing HSCT is minor and relatively rare but occurs more frequently in patients with platelet count [less than or equal to]10,000 /[mu]L. These results encourage the maintenance of physical activity in this population who is at high risk of developing immobility-related complications. |
| doi_str_mv | 10.1371/journal.pone.0255413 |
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The objective of this study was to describe the frequency of bleeding events, severity, and possible association with physical exercise in thrombocytopenic patients. A retrospective study with seventy-seven HSCT patients hospitalised, that had a platelet count [less than or equal to] 50,000 /[mu]L and received physical exercise during physiotherapy intervention. Regarding bleeding events, only six were related to physical exercise, and bleeding events occurred more frequently at platelet levels [less than or equal to] 10,000 /[mu]L. The most frequent bleeding event was epistaxis, considered of low severity, and with the moderate possibility of being related to physical exercise; followed by extremity hematoma, considered of medium severity and highly related to physical exercise. In this study, there was no occurrence of bleeding events considered of high severity. Bleeding frequency in supervised physical exercise during physiotherapy in adults with thrombocytopenia undergoing HSCT is minor and relatively rare but occurs more frequently in patients with platelet count [less than or equal to]10,000 /[mu]L. These results encourage the maintenance of physical activity in this population who is at high risk of developing immobility-related complications.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0255413</identifier><identifier>PMID: 34329360</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Biology and Life Sciences ; Bleeding ; Body mass index ; Bone marrow ; Complications ; Complications and side effects ; Data collection ; Ethics ; Exercise ; Hematology ; Hematoma ; Hematopoietic stem cells ; Hemorrhage ; Hospitalization ; Hospitals ; Intervention ; Length of stay ; Leukemia ; Medical records ; Medicine and Health Sciences ; Patient outcomes ; Patients ; Physical activity ; Physical exercise ; Physical fitness ; Physical therapy ; Physical training ; Platelets ; Rehabilitation ; Risk factors ; Stem cell transplantation ; Stem cells ; Therapeutics, Physiological ; Thrombocytopenia ; Transplantation</subject><ispartof>PloS one, 2021-07, Vol.16 (7), p.e0255413-e0255413</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Grencheski et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Grencheski et al 2021 Grencheski et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c669t-725fa888c2b745fdae4a93abba7cc4563b3ee6a35cb5b8e0d54f34976109190c3</citedby><cites>FETCH-LOGICAL-c669t-725fa888c2b745fdae4a93abba7cc4563b3ee6a35cb5b8e0d54f34976109190c3</cites><orcidid>0000-0001-6234-1458</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8323874/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8323874/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids></links><search><contributor>Valdez, Benigno C.</contributor><creatorcontrib>Grencheski, Erick Alvaro</creatorcontrib><creatorcontrib>Kochi, Margarete Noriko</creatorcontrib><creatorcontrib>Politi, Flávia Vanessa Aurea</creatorcontrib><creatorcontrib>Santos, Tabata Maruyama dos</creatorcontrib><creatorcontrib>Brito, Christina May Moran de</creatorcontrib><creatorcontrib>Yamaguti, Wellington Pereira</creatorcontrib><creatorcontrib>Righetti, Renato Fraga</creatorcontrib><title>Bleeding frequency during physiotherapy in thrombocytopenic patients undergoing hematopoietic stem cell transplantation</title><title>PloS one</title><description>During hematopoietic stem cell transplantation (HSCT) the patients perform activities of low and moderate intensity because have reduced hematological lineages, leaving them susceptible to hemorrhagic events. The objective of this study was to describe the frequency of bleeding events, severity, and possible association with physical exercise in thrombocytopenic patients. A retrospective study with seventy-seven HSCT patients hospitalised, that had a platelet count [less than or equal to] 50,000 /[mu]L and received physical exercise during physiotherapy intervention. Regarding bleeding events, only six were related to physical exercise, and bleeding events occurred more frequently at platelet levels [less than or equal to] 10,000 /[mu]L. The most frequent bleeding event was epistaxis, considered of low severity, and with the moderate possibility of being related to physical exercise; followed by extremity hematoma, considered of medium severity and highly related to physical exercise. In this study, there was no occurrence of bleeding events considered of high severity. Bleeding frequency in supervised physical exercise during physiotherapy in adults with thrombocytopenia undergoing HSCT is minor and relatively rare but occurs more frequently in patients with platelet count [less than or equal to]10,000 /[mu]L. These results encourage the maintenance of physical activity in this population who is at high risk of developing immobility-related complications.</description><subject>Biology and Life Sciences</subject><subject>Bleeding</subject><subject>Body mass index</subject><subject>Bone marrow</subject><subject>Complications</subject><subject>Complications and side effects</subject><subject>Data collection</subject><subject>Ethics</subject><subject>Exercise</subject><subject>Hematology</subject><subject>Hematoma</subject><subject>Hematopoietic stem cells</subject><subject>Hemorrhage</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Intervention</subject><subject>Length of stay</subject><subject>Leukemia</subject><subject>Medical records</subject><subject>Medicine and Health Sciences</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Physical activity</subject><subject>Physical exercise</subject><subject>Physical 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Renato Fraga</au><au>Valdez, Benigno C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bleeding frequency during physiotherapy in thrombocytopenic patients undergoing hematopoietic stem cell transplantation</atitle><jtitle>PloS one</jtitle><date>2021-07-30</date><risdate>2021</risdate><volume>16</volume><issue>7</issue><spage>e0255413</spage><epage>e0255413</epage><pages>e0255413-e0255413</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>During hematopoietic stem cell transplantation (HSCT) the patients perform activities of low and moderate intensity because have reduced hematological lineages, leaving them susceptible to hemorrhagic events. The objective of this study was to describe the frequency of bleeding events, severity, and possible association with physical exercise in thrombocytopenic patients. A retrospective study with seventy-seven HSCT patients hospitalised, that had a platelet count [less than or equal to] 50,000 /[mu]L and received physical exercise during physiotherapy intervention. Regarding bleeding events, only six were related to physical exercise, and bleeding events occurred more frequently at platelet levels [less than or equal to] 10,000 /[mu]L. The most frequent bleeding event was epistaxis, considered of low severity, and with the moderate possibility of being related to physical exercise; followed by extremity hematoma, considered of medium severity and highly related to physical exercise. In this study, there was no occurrence of bleeding events considered of high severity. Bleeding frequency in supervised physical exercise during physiotherapy in adults with thrombocytopenia undergoing HSCT is minor and relatively rare but occurs more frequently in patients with platelet count [less than or equal to]10,000 /[mu]L. These results encourage the maintenance of physical activity in this population who is at high risk of developing immobility-related complications.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>34329360</pmid><doi>10.1371/journal.pone.0255413</doi><tpages>e0255413</tpages><orcidid>https://orcid.org/0000-0001-6234-1458</orcidid><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Biology and Life Sciences Bleeding Body mass index Bone marrow Complications Complications and side effects Data collection Ethics Exercise Hematology Hematoma Hematopoietic stem cells Hemorrhage Hospitalization Hospitals Intervention Length of stay Leukemia Medical records Medicine and Health Sciences Patient outcomes Patients Physical activity Physical exercise Physical fitness Physical therapy Physical training Platelets Rehabilitation Risk factors Stem cell transplantation Stem cells Therapeutics, Physiological Thrombocytopenia Transplantation |
| title | Bleeding frequency during physiotherapy in thrombocytopenic patients undergoing hematopoietic stem cell transplantation |
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