Description

Schmidt et al reported a model for predicting the time course of childhood immune thrombocytopenia. The authors are from multiple institutions in The Netherlands.


Patient selection: child with primary immune thrombocytopenia (ITP), from 3 months to 16 years of age

 

The platelet count should be <= 20 * 10^-9/L.

 

Transient ITP is complete recovery with platelet count >= 100 * 10^9/L at 3 months after diagnosis.

 

Parameters:

(1) age in years

(2) platelet count in 10^9/L

(3) sex

(4) history of preceding infection

(5) history of preceding vaccination

(6) mucosal bleeding

(7) insidious disease onset

 

Parameter

Finding

Points

age

 

-0.03 * (years)

platelet count

 

-0.02 * (count)

sex

female

0

 

male

0.09

history of infection

no

0

 

yes

0.18

history of vaccination

no

0

 

yes

0.11

musocal bleeding

no

0

 

yes

0.17

insidious onset

no

0

 

yes

-1.15

 

X =

= SUM(values for all 11 parameters) + 1.11

 

probability of transient course =

= 1 / (1 + EXP((-1) * X))

 

probability of persistent disease =

= 1 - (probability of transient course)


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