Drepa-Opia: A Pilot Study to Determine the Predictive Factors of Morphine Use and Consumption in Hospitalized Adult Patients with Sickle Cell Disease.

Abstract:

:The aim of this study was to evaluate the clinical, biological and genetic factors that could be associated with the use and dose of morphine during hospitalization for vaso-occlussive crisis (VOC) in adults with sickle cell disease. Ninety-nine hospitalizations for acute VOC (58 sickle cell disease patients aged 18 to 60 years, one to six hospitalizations each) were recorded; we investigated the associations between qualitative and quantitative opioid requirements and several biological, clinical, epidemiological and genetic parameters. Visual analog pain scale (VAS) was the only independent predictor of the qualitative need for morphine (mean value of 8.5 vs. 6.1 for the 77 hospitalizations that required morphine). A higher total administered morphine dose, which relates mainly to the overall crisis severity, was associated with a lower hemoglobin (Hb) level at entry. The mean daily morphine dose, which is more influenced by the individual sensitivity to morphine, was not influenced by the studied genetic parameters [sickle cell disease type, α-thalassemia (α-thal) status, UGT2B7 and ABCB1 genotypes] but a very slight negative association was found with the total bilirubin (BIL) level at entry. Our study demonstrated that physicians are often reluctant to prescribe morphine in sickle cell disease as a VAS of 6 corresponds to the usual threshold of administration in other instances. Total Hb at entry was also associated for the first time with higher total morphine consumption and could be used in a predictive VOC severity score. These results have to be confirmed and completed on larger cohorts.

journal_name

Hemoglobin

journal_title

Hemoglobin

authors

Sabrie M,Cannas G,Tazarourte K,Poutrel S,Connes P,Hot A,Renoux C,Fattoum J,Joly P

doi

10.1080/03630269.2018.1529602

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

217-224

issue

4

eissn

0363-0269

issn

1532-432X

journal_volume

42

pub_type

杂志文章
  • Hb Hradec Kralove (Hb HK) or alpha 2 beta 2 115(G17)Ala-->Asp, a severely unstable hemoglobin variant resulting in a dominant beta-thalassemia trait in a Czech family.

    abstract::We have identified through sequencing of amplified DNA a GCC-->GAC mutation in codon 115 of the beta-globin gene in a mother and daughter of a small Czech family. This base change was confirmed by hybridization with a 32P-labeled specific oligonucleotide probe and by gene mapping because it creates a new Ava II site. ...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269308997485

    authors: Divoky V,Svobodova M,Indrak K,Chrobak L,Molchanova TP,Huisman TH

    更新日期:1993-08-01 00:00:00

  • Hb Chile [beta28(B10)Leu-->Met]: an unstable hemoglobin associated with chronic methemoglobinemia and sulfonamide or methylene blue-induced hemolytic anemia.

    abstract::Among the causes of life-long cyanosis are congenital methemoglobinemia due to M hemoglobins, congenital methemoglobinemia due to methemoglobin reductase deficiency, a small number of low oxygen affinity hemoglobins, and a small number of unstable hemoglobins that spontaneously form methemoglobin in vivo at an acceler...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269908996157

    authors: Hojas-Bernal R,McNab-Martin P,Fairbanks VF,Holmes MW,Hoyer JD,McCormick DJ,Kubik KS

    更新日期:1999-05-01 00:00:00

  • Hemoglobin Tottori (alpha 59[E8] glycine replaced by valine).

    abstract::A new electrophoretically silent, unstable hemoglobin was discovered in a Japanese family. Isolation of the abnormal chain and chemical analyses demonstrated a previously unreported amino acid substitution, alpha 59[E8] glycine replaced by Valine. The new variant has been named Hb Tottori. ...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630268108991818

    authors: Nakatsuji T,Miwa S,Ohba Y,Miyaji T,Matsumoto N,Matsuoka I

    更新日期:1981-01-01 00:00:00

  • A Rare Hb H Hydrops Fetalis Syndrome Caused by the - -SEA Deletion in Combination with the Rare Hb Hirosaki Mutation in a Chinese Patient.

    abstract::Despite the milder clinical severity of Hb H patients compared with those of Hb Bart's hydrops fetalis or patients with β-thalassemia major (β-TM), a few cases of Hb H hydrops fetalis syndrome have been reported so far. Here, we describe, for the first time in the Chinese population, one case of a neonate with Hb H hy...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630269.2018.1536665

    authors: Li Q,Li Y,Zhong M,Zhang VW,Jin W,Li S,Li L

    更新日期:2018-07-01 00:00:00

  • Hb Groene Hart: a new Pro-->Ser amino acid substitution at position 119 of the alpha1-globin chain is associated with a mild alpha-thalassemia phenotype.

    abstract::Alpha-Thalassemia (thal) is generally considered to be an expression defect caused mostly by deletions silencing one or more alpha-globin genes. Although nondeletional alpha-thalassemia is considered rare, in our laboratory we frequently observe alpha-thal phenotypes induced by point mutations. We report a new point m...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1081/hem-120015029

    authors: Harteveld CL,van Delft P,Plug R,Versteegh FG,Hagen B,van Rooijen I,Kok PJ,Wajcman H,Kister J,Giordano PC

    更新日期:2002-08-01 00:00:00

  • Databases of human hemoglobin variants and other resources at the globin gene server.

    abstract::Building on the pioneering efforts of Professor Huisman, several different databases of hemoglobin variants have been developed, each with progressively increased capacity for sophisticated queries and prompt updating. These resources are reviewed in the context of a larger plan for providing related resources on hemo...

    journal_title:Hemoglobin

    pub_type: 杂志文章,评审

    doi:10.1081/hem-100104027

    authors: Hardison RC,Chui DH,Riemer C,Giardine B,Lehväslaiho H,Wajcman H,Miller W

    更新日期:2001-05-01 00:00:00

  • The first case of Hb Groene Hart [alpha119(H2)Pro-->Ser, CCT-->TCT (alpha1)] homozygosity confirms that a thalassemia phenotype is associated with this abnormal hemoglobin variant.

    abstract::Hb Groene Hart [alpha119(H2)Pro-->Ser, CCT-->TCT (alpha1)] has been reported in heterozygotes of Moroccan origin and also in association with the common -alpha(3.7) deletion. In all cases, the mutated protein was not detectable but was apparently associated with a mild alpha-thalassemia (thal) phenotype, presumably du...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630260701289490

    authors: Giordano PC,Zweegman S,Akkermans N,Arkesteijn SG,van Delft P,Versteegh FG,Wajcman H,Harteveld CL

    更新日期:2007-01-01 00:00:00

  • A study of the minor peaks in high performance liquid chromatograms of globin chains on reversed phase columns.

    abstract::The high performance liquid chromatograms of the hemoglobins in a hemolysate show minor peaks on reversed phase columns in addition to the expected major peaks of the alpha, beta, and gamma chains. One of these had previously been identified as the delta chain. The material in the most prominent minor peak which is te...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630268609042845

    authors: Schroeder WA,Shelton JB,Huynh V,Shelton JR

    更新日期:1986-01-01 00:00:00

  • Knowledge and attitude toward the hemoglobinopathies premarital screening program in Saudi Arabia: population-based survey.

    abstract::Genetic screening is an important tool to control, minimize, and prevent genetic disorders. Saudi Arabia started the first national premarital screening (PMS) program to control inherited hemoglobin (Hb) disorders that are the most commonly inherited genetic disorders in the Kingdom of Saudi Arabia. The aim of this st...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630260802508384

    authors: Al Sulaiman A,Suliman A,Al Mishari M,Al Sawadi A,Owaidah TM

    更新日期:2008-01-01 00:00:00

  • Compound Heterozygote of Hb S (HBB: c.20A>T)/Hb Westdale (HBB: c.380_396delTGCAGGCTGCCTATCAG): Report of Four Cases from Odisha State, India.

    abstract::We report four cases of compound heterozygotes for Hb S (HBB: c.20A>T) and a rare β0-thalassemia (β0-thal) mutation, Hb Westdale (HBB: c.380_396delTGCAGGCTGCCTATCAG), characterized by a 17 bp deletion between codons 126 to 131 in exon 3 of the β-globin gene of human hemoglobin (Hb) confirmed by direct β-globin gene se...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630269.2019.1602052

    authors: Dehury S,Meher S,Patel S,Das K,Jana A,Bhattacharya S,Sahoo S,Sarkar B,Mohanty PK

    更新日期:2019-03-01 00:00:00

  • Thrombosis in Hb Taybe [codons 38/39 (-ACC) (α1)].

    abstract::Hb Taybe is a highly unstable hemoglobin (Hb) variant caused by a 3 bp deletion at codons 38/39 (-ACC) on the α1-globin gene. We report for the first time, a patient with a compound heterozygosity for Hb Taybe and a 5 bp deletion at the splice donor site of IVS-I on the α2-globin gene and ischemic stroke and priapism....

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2012.746230

    authors: Juul MB,Vestergaard H,Petersen J,Frederiksen H

    更新日期:2012-01-01 00:00:00

  • Which psychosocial factors are related to chelation adherence in thalassemia? A systematic review.

    abstract::Good adherence to iron chelation therapy in thalassemia is crucial. Although there is evidence that adherence is related to regimen factors, there has been less emphasis on the relationship between psychosocial (psychological, demographic and social) factors and adherence. We present a systematic review of psychosocia...

    journal_title:Hemoglobin

    pub_type: 杂志文章,meta分析,评审

    doi:10.3109/03630269.2010.485080

    authors: Evangeli M,Mughal K,Porter JB

    更新日期:2010-06-01 00:00:00

  • Case report: prenatal diagnosis of Hb Hammersmith [β42(CD1)Phe→Ser; HBB: c.128T > C] in a family with an adult male patient.

    abstract::Hb Hammersmith [β42(CD1)Phe → Ser; HBB: c.128T > C] is a rare, unstable hemoglobin (Hb) variant. In this case report, we describe another male case of Hb Hammersmith. A 39-year-old male had hemolytic anemia, cyanosis and splenomegaly since 6 months after birth. He passed the disease allele to his daughter, a 3-year-ol...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2014.880352

    authors: Li R,Wang T,Xie XM,Li DZ

    更新日期:2014-01-01 00:00:00

  • Molecular Basis of β-Thalassemia Intermedia in Erbil Province of Iraqi Kurdistan.

    abstract::β-Thalassemia intermedia (β-TI) is a clinical term describing a range of clinical phenotypes that are intermediate in severity between the carrier state and β-thalassemia major (β-TM). To characterize the molecular basis of β-TI in Erbil Province, Northern Iraq, 83 unrelated patients were investigated. Detection of β-...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2015.1032415

    authors: Shamoon RP,Al-Allawi NA,Cappellini MD,Di Pierro E,Brancaleoni V,Granata F

    更新日期:2015-01-01 00:00:00

  • A Kindred with a β-Globin Base Substitution [β89(F5)Ser→Arg (AGT>AGG); HBB: c.270T>G] Resulting in Hemoglobin Vanderbilt.

    abstract::High oxygen affinity hemoglobins (Hbs), characterized by a decreased ability to release oxygen to the tissues and a left-shifted oxygen dissociation curve, are a rare cause of secondary erythrocytosis. Here, we report a base substitution in the β-globin gene at codon 89 (AGT>AGG) in a kindred with familial erythrocyto...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630269.2019.1680382

    authors: Shomali W,Brar R,Arekapudi SR,Gotlib JR

    更新日期:2019-01-01 00:00:00

  • A Wide Spectrum Study of α-Globin Chain Variants: Cases from the UK.

    abstract::Over many years, cases of suspected α-globin chain variants were collected from different parts of the UK. The suspicion was based on the clinical picture, high performance liquid chromatography (HPLC) variant percentage, retention time (RT) and isoelectric focusing (IEF). DNA sequencing and the restriction enzyme Eae...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630269.2020.1783288

    authors: Khalil MSM,Timbs AT,Henderson SJ,Schuh A,El-Khawanky MM,Old JM

    更新日期:2020-05-01 00:00:00

  • Hemoglobin Willamette (alpha2beta2 51Pro replaced by Apg (D2)) a new abnormal human hemoglobin.

    abstract::A hemoglobin variant with the same electrophoretic mobility as hemoglobin S was found in three generations of a black family. No clinical symptoms or findings were present in subjects heterozygous for this mutant. Except for target forms of mature erythrocytes, they have no abnormal hematologic findings. Structural st...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630267609031021

    authors: Jones RT,Koler RD,Duerst ML,Dhindsa DS

    更新日期:1976-01-01 00:00:00

  • Quality of Life of Pakistani Children with β-Thalassemia Major.

    abstract::Compromised quality of life (QoL) has been reported in individuals suffering from β-thalassemia major (β-TM) in Pakistan. However, insufficient data of its associated psychosocial, physical and other disease-related determinants is available. In an observational analytical study, 200 subjects aged between 5-25 years, ...

    journal_title:Hemoglobin

    pub_type: 杂志文章,多中心研究

    doi:10.1080/03630269.2018.1553183

    authors: Yasmeen H,Hasnain S

    更新日期:2018-01-01 00:00:00

  • Human immunodeficiency virus and beta-thalassemia major: A "competition of guilt" for pulmonary arterial hypertension. Report of a case and a review of the literature.

    abstract::We report a case of a 43-year-old woman, affected by human immunodeficiency virus (HIV) and beta-thalassemia major (beta-TM), adequately treated with antiretroviral and transfusion-chelation therapy, that develops progressive right ventricular dysfunction due to severe pulmonary arterial hypertension (PAH), in absence...

    journal_title:Hemoglobin

    pub_type: 杂志文章,评审

    doi:10.3109/03630260903547765

    authors: Derchi G,Lai ME,Marcaccini P,Carta MP,Vacquer S

    更新日期:2010-01-01 00:00:00

  • Studies on avian erythrocyte metabolism. VII. Effect of inositol pentaphosphate and other organic phosphates on oxygen affinity of the embryonic and adult-type hemoglobins of the turkey embryo.

    abstract::The effects of 2, 3-diphosphoglyceric acid (2, 3-DPG), adenosine triphosphate (ATP), inositol tetraphosphate (ITP), inositol pentaphosphate (IPP), and inositol hexaphosphate (IHP) on oxygen affinity of whole stripped hemoglobin (WSH), hemoglobin H (Hb-H; hatching hemoglobin), hemoglobin A (Hb-A), and hemoglobin D (Hb-...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630267709003422

    authors: Isaacks RE,Harkness DR,Goldman PH,Adler JL,Kim CY

    更新日期:1977-01-01 00:00:00

  • Effect of antioxidant therapy on hepatic fibrosis and liver iron concentrations in β-thalassemia major patients.

    abstract::To assess the effects of combined vitamin therapy on oxidant-antioxidant hepatic status and hemoglobin (Hb) derivatives on β-thalassemia major (β-TM), a prospective study of 60 β-TM patients aged 4 to 17 years, was conducted. Thirty-nine patients with initial low serum vitamins E, C and A, were treated with oral combi...

    journal_title:Hemoglobin

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/03630269.2013.778866

    authors: Elalfy MS,Adly AA,Attia AA,Ibrahim FA,Mohammed AS,Sayed AM

    更新日期:2013-01-01 00:00:00

  • Impact of COVID-19 Infection on 24 Patients with Sickle Cell Disease. One Center Urban Experience, Detroit, MI, USA.

    abstract::The city of Detroit has a large population of individuals with sickle cell disease, and hospitals in Detroit have seen some of the highest numbers of cases of coronavirus disease-19 (COVID-19) in 2020. The purpose of this study was to examine the pathophysiological characteristics of COVID-19 in patients with sickle c...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630269.2020.1797775

    authors: Balanchivadze N,Kudirka AA,Askar S,Almadhoun K,Kuriakose P,Fadel R,Dabak V

    更新日期:2020-07-01 00:00:00

  • Coinheritance of Hb S [β6(A3)Glu→Val, GAG>GTG] with β0-thalassemia codon 17 (A>T) in a Thai patient.

    abstract::Hb S [β6(A3)Glu→Val, GAG>GTG] is a β-globin gene variant that has a very low incidence in the Thai population. Coinheritance of Hb S and β(0)-thalassemia (β-thal) can result in severe clinical conditions. This study reports the case of a Thai patient with a compound heterozygosity for Hb S and β(0)-thal codon 17 (A>T)...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2012.669358

    authors: Pornprasert S,Panyasai S,Kongthai K,Treesuwan K

    更新日期:2012-01-01 00:00:00

  • β-Thalassemia mutations found during 1 year of prenatal diagnoses in Fars Province, Iran.

    abstract::We report the spectrum of β-thalassemia (β-thal) mutations observed in a cohort of at-risk couples, who presented for prenatal diagnosis at the Thalassemia, Hemophilia and Prenatal Diagnosis Genetic Research Center, Shiraz Medical University, Fars, Iran, from March 2001 to April 2002. Using polymerase chain reaction-a...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2011.601385

    authors: Rahiminejad MS,Zeinali S,Afrasiabi A,Valeshabad AK

    更新日期:2011-01-01 00:00:00

  • Hemoglobin Brest [beta 127 (H5)Gln----Lys] a new unstable human hemoglobin variant located at the alpha 1 beta 1 interface with specific electrophoretic behavior.

    abstract::Hb Brest [beta 127 (H5)Gln----Lys] is a new unstable variant located at the alpha 1 beta 1 interface at the same position as Hb Complutense [beta 127(H5)Gln----Glu]. In each of these, the substitution produces a distinct alteration in charge, yet both variants move with Hb A in conventional electrophoresis. This pecul...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630268808998024

    authors: Baudin-Chich V,Wajcman H,Gombaud-Saintonge G,Arous N,Riou J,Brière J,Galacteros F

    更新日期:1988-01-01 00:00:00

  • Hb Olivet (HBA1: C.40G > A; p.Ala14Thr), a Novel Silent Hemoglobin Variant in Two Families of Distinct Origin.

    abstract::We report two families, members of which are carriers of a novel hemoglobin (Hb) variant that was named Hb Olivet [α13(A11)Ala→Thr (α1) (GCC > ACC); HBA1: c.40G > A; p.Ala14Thr]. The analysis of these cases allowed a clear description of this anomaly that behaves as a silent Hb. In the first family, of Portuguese ethn...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630269.2016.1210160

    authors: Harteveld CL,Pissard S,Korver AM,Riou J,Legac E,Lansbergen G,Pardijs IL,Giordano PC,Versteegh FG

    更新日期:2016-09-01 00:00:00

  • Multidentate terephthalamidate and hydroxypyridonate ligands: towards new orally active chelators.

    abstract::The limitations of current therapies for the treatment of iron overload or radioisotope contamination have stimulated efforts to develop new orally bioavailable iron and actinide chelators. Siderophore-inspired tetradentate, hexadentate and octadentate terephthalamidate and hydroxypyridonate ligands were evaluated in ...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2011.560771

    authors: Abergel RJ,Raymond KN

    更新日期:2011-01-01 00:00:00

  • A Novel 31.1 kb α-Thalassemia Deletion (- -MEX3) Found in a Mexican Family.

    abstract::α-Thalassemia (α-thal), a genetic disease characterized by microcytosis, hypochromia and anemia, is predominantly caused by deletions of the α-globin genes, HBA2 and HBA1. In this study, we describe a novel 31.1 kb α-thal deletion, - -MEX3 (NC_000016.10: g.151479_182582del), observed in a Mexican family, probably orig...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630269.2017.1356330

    authors: Rentería-López VM,Perea-Díaz FJ,Rizo-delaTorre LC,Sánchez-López JY,Ibarra-Cortés B

    更新日期:2017-05-01 00:00:00

  • A new hemoglobin variant: Hb Dagestan alpha 60(E9) Lys leads to Glu.

    abstract::An electrophoretically I-like hemoglobin variant was detected during a survey for abnormal hemoglobins in Dagestan (USSR). Neither clinical nor hematological abnormalities were seen in the carrier for this mutant hemoglobin. Structural studies demonstrated a previously undescribed substitution of alpha 60 (E9) Lys lea...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630268108996919

    authors: Spivak VA,Molchanova TP,Ermakov NV,Tokarev YuN,Martinez G,Szelenyi J,Horanyi M,Foldi J,Hollan S,Kazieva H,Shamov IA

    更新日期:1981-01-01 00:00:00

  • Molecular heterogeneity of beta-thalassemia in Algeria: how to face up to a major health problem.

    abstract::This study concerns the molecular characterization of beta-thalassemia (beta-thal) alleles in 210 chromosomes. In the studied population, mutations were detected in 98% of the beta-thalassemic chromosomes. Twenty-one molecular defects have been found, where the five dominant mutations, IVS-I-110 (G>A), nonsense mutati...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630260802626061

    authors: Boudrahem-Addour N,Zidani N,Carion N,Labie D,Belhani M,Beldjord C

    更新日期:2009-01-01 00:00:00