{"id":"https://openalex.org/W4396555903","doi":"https://doi.org/10.51253/pafmj.v74i2.9192","title":"Does Gestational Thrombocytopenia and Immune Thrombocytopenic Purpura Warrant Hospital Admission?","display_name":"Does Gestational Thrombocytopenia and Immune Thrombocytopenic Purpura Warrant Hospital Admission?","publication_year":2024,"publication_date":"2024-04-29","ids":{"openalex":"https://openalex.org/W4396555903","doi":"https://doi.org/10.51253/pafmj.v74i2.9192"},"language":"en","primary_location":{"id":"doi:10.51253/pafmj.v74i2.9192","doi":"https://doi.org/10.51253/pafmj.v74i2.9192","is_oa":true,"landing_page_url":"http://dx.doi.org/10.51253/pafmj.v74i2.9192","pdf_url":null,"source":{"id":"https://openalex.org/S2739194844","display_name":"Pakistan Armed Forces Medical Journal","issn_l":"0030-9648","issn":["0030-9648","2411-8842"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310319259","host_organization_name":"The Army Press","host_organization_lineage":["https://openalex.org/P4310319259"],"host_organization_lineage_names":["The Army Press"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pakistan Armed Forces Medical Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"http://dx.doi.org/10.51253/pafmj.v74i2.9192","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5072874986","display_name":"Ayesha Ellahi","orcid":"https://orcid.org/0000-0003-2402-6072","observed_orcids":["https://orcid.org/0000-0003-2402-6072"]},"institutions":[{"id":"https://openalex.org/I58993843","display_name":"Army Medical College","ror":"https://ror.org/03w0kj141","country_code":"PK","type":"education","lineage":["https://openalex.org/I58993843"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Ayesha Ellahi","raw_affiliation_strings":["Army Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Army Medical College","institution_ids":["https://openalex.org/I58993843"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108099712","display_name":"Ayesha Nayyar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210155929","display_name":"National University of Medical Sciences","ror":"https://ror.org/04tj88f69","country_code":"PK","type":"education","lineage":["https://openalex.org/I4210155929"]},{"id":"https://openalex.org/I58993843","display_name":"Army Medical College","ror":"https://ror.org/03w0kj141","country_code":"PK","type":"education","lineage":["https://openalex.org/I58993843"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Ayesha Nayyar","raw_affiliation_strings":["Department of Pathology (Haematology). Army Medical College Rawalpindi / National University of Medical Sciences (NUMS) Rawalpindi Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pathology (Haematology). Army Medical College Rawalpindi / National University of Medical Sciences (NUMS) Rawalpindi Pakistan","institution_ids":["https://openalex.org/I4210155929","https://openalex.org/I58993843"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030022333","display_name":"Maham Arshad","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210155929","display_name":"National University of Medical Sciences","ror":"https://ror.org/04tj88f69","country_code":"PK","type":"education","lineage":["https://openalex.org/I4210155929"]},{"id":"https://openalex.org/I58993843","display_name":"Army Medical College","ror":"https://ror.org/03w0kj141","country_code":"PK","type":"education","lineage":["https://openalex.org/I58993843"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Maham Arshad","raw_affiliation_strings":["Department of Pathology (Haematology). Army Medical College Rawalpindi / National University of Medical Sciences (NUMS) Rawalpindi Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pathology (Haematology). Army Medical College Rawalpindi / National University of Medical Sciences (NUMS) Rawalpindi Pakistan","institution_ids":["https://openalex.org/I4210155929","https://openalex.org/I58993843"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101346733","display_name":"Wasiullah Khan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I195024194","display_name":"Riphah International University","ror":"https://ror.org/02kdm5630","country_code":"PK","type":"education","lineage":["https://openalex.org/I195024194"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Wasiullah Khan","raw_affiliation_strings":["Department of Pharmacology, Riphah International University Islamabad"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacology, Riphah International University Islamabad","institution_ids":["https://openalex.org/I195024194"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029999045","display_name":"Afnan Naeem","orcid":"https://orcid.org/0000-0002-8454-2522","observed_orcids":["https://orcid.org/0000-0002-8454-2522"]},"institutions":[{"id":"https://openalex.org/I4210155929","display_name":"National University of Medical Sciences","ror":"https://ror.org/04tj88f69","country_code":"PK","type":"education","lineage":["https://openalex.org/I4210155929"]},{"id":"https://openalex.org/I58993843","display_name":"Army Medical College","ror":"https://ror.org/03w0kj141","country_code":"PK","type":"education","lineage":["https://openalex.org/I58993843"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Afnan Naeem","raw_affiliation_strings":["Department Microbiology, Army Medical College /National University of Medical Sciences (NUMS) Rawalpindi Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department Microbiology, Army Medical College /National University of Medical Sciences (NUMS) Rawalpindi Pakistan","institution_ids":["https://openalex.org/I4210155929","https://openalex.org/I58993843"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5052525136","display_name":"Warda Furqan","orcid":"https://orcid.org/0000-0003-3713-1357","observed_orcids":["https://orcid.org/0000-0003-3713-1357"]},"institutions":[{"id":"https://openalex.org/I4210155929","display_name":"National University of Medical Sciences","ror":"https://ror.org/04tj88f69","country_code":"PK","type":"education","lineage":["https://openalex.org/I4210155929"]},{"id":"https://openalex.org/I58993843","display_name":"Army Medical College","ror":"https://ror.org/03w0kj141","country_code":"PK","type":"education","lineage":["https://openalex.org/I58993843"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Warda Furqan","raw_affiliation_strings":["Department Microbiology, Army Medical College /National University of Medical Sciences (NUMS) Rawalpindi Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department Microbiology, Army Medical College /National University of Medical Sciences (NUMS) Rawalpindi Pakistan","institution_ids":["https://openalex.org/I4210155929","https://openalex.org/I58993843"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":7000,"currency":"PKR","value_usd":null},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"74","issue":"2","first_page":"544","last_page":"548"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10746","display_name":"Platelet Disorders and Treatments","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10746","display_name":"Platelet Disorders and Treatments","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11660","display_name":"Blood groups and transfusion","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10290","display_name":"Pregnancy and preeclampsia studies","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/gestational-thrombocytopenia","display_name":"gestational thrombocytopenia","score":1.0},{"id":"https://openalex.org/keywords/immune-thrombocytopenic-purpura","display_name":"idiopathic thrombocytopenic purpura","score":0.9929999709129333},{"id":"https://openalex.org/keywords/thrombocytopenia-in-pregnancy","display_name":"thrombocytopenia in pregnancy","score":0.9369999766349792},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.7950000166893005},{"id":"https://openalex.org/keywords/outpatient-management","display_name":"outpatient management","score":0.9240000247955322},{"id":"https://openalex.org/keywords/thrombocytopenia-severity","display_name":"thrombocytopenia severity","score":0.9179999828338623},{"id":"https://openalex.org/keywords/maternal-fetal-safety","display_name":"maternal and fetal safety","score":0.753000020980835}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9558041095733643},{"id":"https://openalex.org/C2779771385","wikidata":"https://www.wikidata.org/wiki/Q6132707","display_name":"Thrombocytopenic purpura","level":3,"score":0.7189820408821106},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.5264782905578613},{"id":"https://openalex.org/C2776916960","wikidata":"https://www.wikidata.org/wiki/Q637156","display_name":"Warrant","level":2,"score":0.49129265546798706},{"id":"https://openalex.org/C2777121669","wikidata":"https://www.wikidata.org/wiki/Q148881","display_name":"Purpura (gastropod)","level":2,"score":0.46080589294433594},{"id":"https://openalex.org/C2993327898","wikidata":"https://www.wikidata.org/wiki/Q638729","display_name":"Immune thrombocytopenia","level":3,"score":0.4547847509384155},{"id":"https://openalex.org/C8891405","wikidata":"https://www.wikidata.org/wiki/Q1059","display_name":"Immune system","level":2,"score":0.41071566939353943},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.32060253620147705},{"id":"https://openalex.org/C89560881","wikidata":"https://www.wikidata.org/wiki/Q101026","display_name":"Platelet","level":2,"score":0.18891683220863342},{"id":"https://openalex.org/C18903297","wikidata":"https://www.wikidata.org/wiki/Q7150","display_name":"Ecology","level":1,"score":0.0},{"id":"https://openalex.org/C106159729","wikidata":"https://www.wikidata.org/wiki/Q2294553","display_name":"Financial economics","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.51253/pafmj.v74i2.9192","doi":"https://doi.org/10.51253/pafmj.v74i2.9192","is_oa":true,"landing_page_url":"http://dx.doi.org/10.51253/pafmj.v74i2.9192","pdf_url":null,"source":{"id":"https://openalex.org/S2739194844","display_name":"Pakistan Armed Forces Medical Journal","issn_l":"0030-9648","issn":["0030-9648","2411-8842"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310319259","host_organization_name":"The Army Press","host_organization_lineage":["https://openalex.org/P4310319259"],"host_organization_lineage_names":["The Army Press"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pakistan Armed Forces Medical Journal","raw_type":"journal-article"},{"id":"pmh:oai:pafmj.org:article/9192","doi":null,"is_oa":true,"landing_page_url":"https://www.pafmj.org/PAFMJ/article/view/9192","pdf_url":null,"source":{"id":"https://openalex.org/S2739194844","display_name":"Pakistan Armed Forces Medical Journal","issn_l":"0030-9648","issn":["0030-9648","2411-8842"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310319259","host_organization_name":"The Army Press","host_organization_lineage":["https://openalex.org/P4310319259"],"host_organization_lineage_names":["The Army Press"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"0030-9648","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:doaj.org/article:5f706b5f4e4349d8aa4073103d68d43b","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/5f706b5f4e4349d8aa4073103d68d43b","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Pakistan Armed Forces Medical Journal, Vol 74, Iss 2 (2024)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.51253/pafmj.v74i2.9192","doi":"https://doi.org/10.51253/pafmj.v74i2.9192","is_oa":true,"landing_page_url":"http://dx.doi.org/10.51253/pafmj.v74i2.9192","pdf_url":null,"source":{"id":"https://openalex.org/S2739194844","display_name":"Pakistan Armed Forces Medical Journal","issn_l":"0030-9648","issn":["0030-9648","2411-8842"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310319259","host_organization_name":"The Army Press","host_organization_lineage":["https://openalex.org/P4310319259"],"host_organization_lineage_names":["The Army Press"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pakistan Armed Forces Medical Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":19,"referenced_works":["https://openalex.org/W1552073833","https://openalex.org/W2559459058","https://openalex.org/W2591493407","https://openalex.org/W2715585706","https://openalex.org/W2737571165","https://openalex.org/W2782266870","https://openalex.org/W2789203893","https://openalex.org/W2891845585","https://openalex.org/W2906185669","https://openalex.org/W2913745094","https://openalex.org/W2915293176","https://openalex.org/W2961154668","https://openalex.org/W2963561095","https://openalex.org/W2987273507","https://openalex.org/W3000582159","https://openalex.org/W3006940494","https://openalex.org/W3167480407","https://openalex.org/W4211106014","https://openalex.org/W4244684677"],"related_works":["https://openalex.org/W4312511839","https://openalex.org/W2963561095","https://openalex.org/W4408077520","https://openalex.org/W4367300972","https://openalex.org/W2116564135","https://openalex.org/W1981611021","https://openalex.org/W2392598519","https://openalex.org/W4394958212","https://openalex.org/W1552073833","https://openalex.org/W3185254764"],"abstract_inverted_index":{"Objective:":[0],"To":[1],"determine":[2],"the":[3,15,22,46,178,230,233],"severity":[4],"of":[5,34,37,48,52,122,150,163,171,177,180,232],"thrombocytopenia":[6,12,128,144,152,157,184,193,204],"in":[7,14,18,43,140,148,161,188,197,207],"pregnancy":[8,208],"and":[9,32,50,56,106,113,155,191,209,226,235],"manage":[10],"gestational":[11,127,151,189],"patients":[13,149,162,173,198,216],"outpatient":[16],"department":[17],"order":[19],"to":[20,65],"reduce":[21],"economic":[23],"burden":[24],"on":[25],"hospitals.":[26],"Study":[27],"Design:":[28],"Cross-sectional":[29],"study.":[30],"Place":[31],"Duration":[33],"Study:":[35],"Department":[36],"Haematology,":[38],"Pakistan":[39,61],"Railway":[40],"Hospital,":[41,59],"Rawalpindi,":[42,60],"collaboration":[44],"with":[45,76,199,217],"Departments":[47],"Obstetrics":[49],"Gynaecology":[51],"Combined":[53],"Military":[54],"Hospital":[55],"Fauji":[57],"Foundation":[58],"from":[62],"Oct":[63,66],"2018":[64],"2019.":[67],"Methodology:":[68],"The":[69],"sample":[70],"population":[71],"included":[72],"ninety":[73],"pregnant":[74,125],"females":[75],"platelet":[77],"count":[78,92],"<150x109/l.":[79],"Blood":[80],"samples":[81],"were":[82,174],"analyzed":[83],"for":[84,224,229],"complete":[85],"blood":[86,89],"count,":[87],"peripheral":[88],"smear,":[90],"manual":[91],"by":[93],"improved":[94],"Neubauer":[95],"chamber,":[96],"serum":[97],"uric":[98],"acid,":[99],"urinary":[100],"proteins,":[101],"liver":[102],"function":[103],"tests":[104],"(bilirubin":[105],"aspartate":[107],"aminotransferase),":[108],"lactate":[109],"dehydrogenase,":[110],"coagulation":[111],"profile":[112],"viral":[114],"serology":[115],"(hepatitis":[116],"B":[117],"&":[118],"C).":[119],"Results:":[120],"Out":[121],"90":[123],"thrombocytopenic":[124,136,165,201,219],"females,":[126],"was":[129,138,145,158,185,194],"most":[130],"common,":[131],"(86,":[132],"95.5%),":[133],"while":[134],"immune":[135,164,200,218],"purpura":[137,166,220],"detected":[139,160],"4(4.5%)":[141],"patients.":[142],"Mild":[143,183],"frequently":[146],"observed":[147,187],"(59,":[153],"68.6%),":[154],"severe":[156,192],"mostly":[159],"(3,":[167],"75.0%).":[168],"About":[169],"58(64.4%)":[170],"these":[172],"hospitalized,":[175],"irrespective":[176],"cause":[179],"thrombocytopenia.":[181],"Conclusion:":[182],"commonly":[186],"thrombocytopenia,":[190],"usually":[195],"diagnosed":[196],"purpura.":[202],"Gestational":[203],"is":[205],"frequent":[206],"does":[210],"not":[211],"require":[212,221],"hospitalization.":[213],"In":[214],"contrast,":[215],"rational":[222],"hospitalization":[223],"appropriate":[225],"judicious":[227],"management":[228],"safety":[231],"mother":[234],"fetus.":[236]},"counts_by_year":[],"updated_date":"2026-10-03T13:16:28.481748","created_date":"2024-05-02T00:00:00"}