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.

Document Type

Article

Publication Date

9-2022

Identifier

DOI: 10.1111/jth.15798

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.

Journal Title

Journal of thrombosis and haemostasis : JTH

Volume

20

Issue

9

First Page

2151

Last Page

2158

MeSH Keywords

Adolescent; Adult; Child; Communication; Consensus; Hemostasis; Hospitals, Pediatric; Humans; Infant, Newborn; Inpatients; Referral and Consultation; Thrombosis

Keywords

consultation; hemostasis; inpatient; pediatric; thromboembolism

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