1/6 YESSSS!!!
Our second ever Flash Mob project is now published and is Open Access in @JTHjournal. In the largest ever, multicentre study of time to treatment in #TTP we found that diagnostic uncertainty was the most frequent reason for treatment delay. onlinelibrary.wiley.com/doi/full/10.11…
3/6 Only 65% patients received plasma exchange within 24h of presentation with the cause of delays being diagnostic uncertainty because of older age, higher Hb (>100g/l) & platelets (>30x10^9/l), and absence of RBC fragments on blood film. Lack of on-site PEX also contributed.
4/6 This work supports improving access to out-of-hours ADAMTS13 testing to enable earlier diagnosis in cases where there is uncertainty. We are told to start PEX before ADAMTS13 results are back but clearly this is not reflective of the realities of practice and tricky diagnoses
6/6 Do you want to get involved with HaemSTAR and be part of something powerful? You can get involved with our current Flash Mob audit of DOAC reversal agents now. Head to haemstar.org/rapido to find out more or DM us.
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