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Impact of First COVID-19 Lockdown on Paediatric and Adult Haemophilia Patients Treated in a French Haemophilia Comprehensive Care Centre

Overview
Journal Haemophilia
Specialty Hematology
Date 2022 Mar 3
PMID 35238436
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Abstract

Introduction: The coronavirus disease 2019 (COVID-19) pandemic has created an unprecedented global health crisis.

Aim: To investigate the impact of the 1 COVID-19 lockdown on haemophilia patients in terms of symptoms, management, medication adherence, mental health and lifestyle behaviours.

Methods: A prospective cross-sectional phone survey using a two-part questionnaire was conducted in haemophilia patients (adults and children) followed-up in a French Haemophilia Comprehensive Care Centre between May 5, 2020 and June 2, 2020 (CLEO CD study: NCT04390126).

Results: Among 284 haemophilia A or B patients with FVIII or FIX < 40% contacted for the study, 239 (84%) including 183 adults and 56 children participated to the survey. In 81% of children and 78% of adults, bleeding episodes remained unchanged or decreased. Medication adherence was 82.0% in adults and 98.2% in children. Non-adherence concerned haemostatic agents in six patients and analgesics in three. Overall, 67% of adults and 71% of children felt as good as before lockdown. In both adults and children, the three major changes in lifestyle behaviours were: increase in screen time (49% and 57%), decrease in physical activity (43% and 48%), and weight gain (32% and 27%), respectively.

Conclusions: Encouraging results were observed in terms of haemophilia symptoms, medication adherence, and mental health. Conversely, a negative impact was observed on lifestyle behaviours in a cohort of French haemophilia patients during the 1 lockdown.

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Outcomes of COVID-19 in Adult Males With Hemophilia A: A Propensity Score-Matched Analysis.

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Impact of first COVID-19 lockdown on paediatric and adult haemophilia patients treated in a French Haemophilia Comprehensive Care Centre.

Volot F, Soudry-Faure A, Callegarin A, Ksiazek E, Delienne S, Cottin Y Haemophilia. 2022; 28(3):462-471.

PMID: 35238436 PMC: 9111705. DOI: 10.1111/hae.14526.

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