Practical considerations and consensus opinion for children’s hospital–based inpatient hemostasis and thrombosis (HAT) consultative services: Communication from the ISTH SSC Subcommittee on Pediatric/Neonatal Thrombosis and Hemostasis

Gary M. Woods, Leslie Raffini, Leonardo R. Brandão, Julie Jaffray, Brian R. Branchford, Christopher J. Ng, Sarah E. Sartain, Jennifer Pak, Christoph Male, Ayesha Zia, Mattia Rizzi, Nongnuch Sirachainan, Edward Vincent S. Faustino, Shannon L. Carpenter, Neil A. Goldenberg

Research output: Contribution to journalArticlepeer-review

Abstract

Caring for children and adolescents with disorders of hemostasis and thrombosis (HAT) has become more specialized and requires a unique skill set that many providers are not able to obtain in standard pediatric hematology/oncology/bone marrow transplant fellowship training programs. The influx of numerous therapeutic advances and increasing medical complexity has expanded the need for experienced HAT providers and subspecialty collaboration in the inpatient setting due to the nuances in the management of patients with HAT complications and concerns. While there are data highlighting the benefits of an inpatient hemostasis, thrombosis, and anticoagulation management service in adult hospitals, there are limited pediatric data supporting such programs. In this article, we summarize the current practices of various pediatric institutions in the inpatient management of HAT patients and provide a consensus opinion for the development of a pediatric inpatient HAT service at tertiary care referral centers.

Original languageEnglish (US)
JournalJournal of Thrombosis and Haemostasis
DOIs
StateAccepted/In press - 2022

Keywords

  • consultation
  • hemostasis
  • inpatient
  • pediatric
  • thromboembolism

ASJC Scopus subject areas

  • Hematology

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