Fetal/neonatal alloimmune thrombocytopenia: a systematic review of impact of HLA-DRB3*01:01 on fetal/neonatal outcome

Autor: Michael F. Murphy, Greg Ryan, Lani Lieberman, Tamam Bakchoul, Helen Savoia, Dick Oepkes, Denise Landry, Andreas Greinacher, Jillian M. Baker, James B. Bussel, Cécile Kaplan, Stacy Corke, Shoma Baidya, Edwin Massey, Mette Kjaer, Jens Kjeldsen-Kragh, Dean Fergusson, Gerald Bertrand, Donald M. Arnold, Nadine Shehata, Heather Hume
Rok vydání: 2020
Předmět:
Zdroj: Blood Adv
ISSN: 2473-9537
Popis: The most common, severe cases of fetal and neonatal alloimmune thrombocytopenia among whites are caused by antibodies against human platelet antigen 1a (HPA-1a). The aims of this systematic review and meta-analysis are to determine the association between maternal HLA-DRB3*01:01 and: (1) HPA-1a-alloimmunization and (2) neonatal outcome in children born of HPA-1a-immunized women. A systematic literature search identified 4 prospective and 8 retrospective studies. Data were combined across studies to estimate pooled odds ratios (ORs) and the associated 95% confidence intervals (CIs). The population represented by the prospective studies was more than 150 000. In the prospective studies, there were 64 severely thrombocytopenic newborns (platelet count
Databáze: OpenAIRE