Athletic Participation in Severe Hemophilia: Bleeding and Joint Outcomes in Children on Prophylaxis

We sought to determine joint outcomes relative to impact level of athletic participation among school-aged children who had hemophilia and were taking prophylactic factor replacement, as well as to investigate prognostic factors for joint outcomes. School-aged boys with severe hemophilia A or B at a...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2009-11, Vol.124 (5), p.1267-1272
Main Authors: Ross, Cassie, Goldenberg, Neil A, Hund, Dana, Manco-Johnson, Marilyn J
Format: Article
Language:English
Subjects:
Adolescent
Adult
Athletes
Athletic Injuries - complications
Biological and medical sciences
Child
Children & youth
Children's sports
Elementary school students
Health aspects
Hemarthrosis - etiology
Hemarthrosis - prevention & control
Hematologic and hematopoietic diseases
Hemophilia
Hemophilia A - complications
Hemophilia A - therapy
Hemorrhage - etiology
Hemorrhage - prevention & control
Humans
Male
Medical sciences
Patient outcomes
Pediatrics
Platelet diseases and coagulopathies
Prevention and actions
Public health. Hygiene
Public health. Hygiene-occupational medicine
Regression analysis
Sports
Sports for children
Sports injuries
Young Adult
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Summary:We sought to determine joint outcomes relative to impact level of athletic participation among school-aged children who had hemophilia and were taking prophylactic factor replacement, as well as to investigate prognostic factors for joint outcomes. School-aged boys with severe hemophilia A or B at a single center were included in the study. Clinical data on baseline joint status, BMI, hemophilia treatment, bleeding episodes, joint assessments, athletic participation, and injuries were retrospectively reviewed. Data on athletic participation were supplemented, when incomplete in the medical record, via structured telephone interview. Among 37 children with severe hemophilia A or B receiving factor prophylaxis, 73% participated in high-impact activities, whereas 27% participated in exclusively low-impact activities. The frequency of joint hemorrhages and new injuries did not appreciably differ between high- and low-impact athletics. In most instances, children developed
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2009-0072