Care for patients with hereditary coagulopathies in Slovakia.
Contemporary situation with the care for hereditary coagulopathies in Slovakia is discussed. The mode of obtaining the data for central registration of patients suffering from hereditary coagulopathies in Slovakia is elucidated. Importance of such a registration for prospective planning guaranteeing needs of patients and of concentration of medical care in hands of specialists in haematology and blood transfusion is pointed out. The specialists in Slovakia are responsible for both diagnosis and registration as well as for effective therapy of haemorrhagic incidents in the patients. The care is mostly realized in 3 of 4 regional departments of haematology and blood transfusion, occasionally also in some chosen district departments. Preparation of antihaemolytic blood fractions in Slovakia is connected exclusively to the national transfusion fractionation programme in departments of haematology and blood transfusion. With regard to the principle of free of charge blood donation and medical care, this mode of preparation is the most effective economically, because of the relatively high yield of active coagulation factors. Concrete data on the prevalence of hereditary coagulopathies in Slovakia are presented. Comparison of the number of registered haemophiliacs in Slovakia with that given in other countries indicates a very high registration of the hereditary haemorrhagic diseases in our country, which also follows from the centralized active medical care. To secure further rise of the haemophiliacs demands, however, it will be necessary to increase efforts in blood donor campaigns and to improve equipment of regional departments of haematology and blood transfusion which are responsible for medical care.
D001778:Blood Coagulation Disorders / Q000453:epidemiology / Q000235:genetics* / Q000628:therapy; D003604:Czechoslovakia; D006467:Hemophilia A / Q000453:epidemiology; D006801:Humans