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A Clinical Risk Score for Predicting Paraspinal Extramedullary Hematopoiesis in Patients with Thalassemia: the KKU-EMH Score

Teawtrakul, N.; Chansung, K.; Sirijerachai, C.; Pongudom, S.; Jetsrisuparb, A.

Journal of the Medical Association of Thailand 100(4): 389-395

2017

ISSN/ISBN: 0125-2208
PMID: 29911832
Document Number: 5648
Paraspinal extramedullary hematopoiesis (EMH) is uncommon, but it is one of major complications of increased morbidity in patients with thalassemia. To develop a clinical risk score for predicting paraspinal extramedullary hematopoiesis in patients with thalassemia. A retrospective study was conducted in adult patients with thalassemia at Srinagarind Hospital, Khon The KKU-EMH score included: 1) age greater than 25 year (2 points) and 2) thalassemic facie (3 points). Using the cut-off of 5 points, the score showed good discrimination with an area under the ROC curve of 0.83 (95% CI 0.76 to 0.90). Advanced age and thalassemic facie are independent risk factors for paraspinal EMH in patients with

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A Clinical Risk Score for Predicting Paraspinal Extramedullary Hematopoiesis in Patients with Thalassemia: the KKU-EMH Score

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