Hemangioma activity score evaluation in infantile hemangioma patients: a retrospective study

Pub Date : 2024-03-08 DOI:10.15562/bmj.v13i1.5284
Putri Halla Shavira, M. Listiawan, Sawitri, C. Prakoeswa, Rahmadewi, L. Astari, Budi Utomo, Ni Putu Susari Widianingsih
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Abstract

Introduction: Infantile hemangioma (IH) is a benign vascular tumor commonly found in children. Generally, no special therapy is required because spontaneous resolutions occur. However, in some cases, therapy is required due to the potential of complications. During therapy, the side effects and effectiveness of therapy must be evaluated. One of the assessment tools is the Hemangioma Activity Score (HAS). HAS is a simple and objective assessment to evaluate the successful treatment of IH by observing swelling, color, and ulceration. The use of HAS in Indonesia is still minimal. This study aims to evaluate HAS before and after therapy in IH patients at Dr. Soetomo General Academic Hospital and Surabaya Skin Centre. Methods: Twenty-seven patient medical records were selected based on the inclusion and exclusion criteria. This study is an analytic cross-sectional retrospective using consecutive sampling. The collected data were tested for suitability using Cohen's Kappa. Pre- and post-tests were carried out using the Shapiro-Wilk and Wilcoxon tests afterward. Results: Among 27 IH cases occurred in females (81.4%), with the youngest age of the patient being 1 month and the oldest being 8 years. The onset of lesions in all patients appeared before 1 year of age. The most frequent location for IH lesions was the facial area (51.8%), with a clinical manifestation being plaque (37%). The most common therapy used in this study was pulse dye laser (PDL) (48.1%). Analysis of the difference in HAS before and after therapy showed p value = 0.00, a statistically significant difference in HAS before and after therapy. Conclusions: The hemangioma activity score is an effective measurement tool for measuring the severity of IH and evaluating the effectiveness of therapy.
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婴儿血管瘤患者的血管瘤活动评分评估:一项回顾性研究
简介婴儿血管瘤(IH)是一种常见于儿童的良性血管肿瘤。一般来说,不需要特殊治疗,因为会自然消退。但在某些情况下,由于可能出现并发症,需要进行治疗。在治疗过程中,必须对副作用和治疗效果进行评估。其中一种评估工具是血管瘤活动评分(HAS)。HAS 是一种简单而客观的评估方法,通过观察肿胀、颜色和溃疡情况来评估 IH 治疗是否成功。在印尼,HAS的使用仍然很少。本研究旨在评估苏托莫博士综合学术医院和泗水皮肤中心 IH 患者治疗前后的 HAS:根据纳入和排除标准选取了 27 份患者病历。本研究采用连续抽样法进行横断面回顾分析。使用科恩卡帕检验了所收集数据的适宜性。随后使用 Shapiro-Wilk 检验和 Wilcoxon 检验进行前后检验:在 27 例 IH 患者中,女性占 81.4%,年龄最小的 1 个月,最大的 8 岁。所有患者均在 1 岁前发病。IH 病变最常见的部位是面部(51.8%),临床表现为斑块(37%)。本研究中最常用的治疗方法是脉冲染料激光(PDL)(48.1%)。对治疗前后 HAS 差异的分析显示,P 值 = 0.00,治疗前后 HAS 差异具有统计学意义:血管瘤活动评分是衡量 IH 严重程度和评估治疗效果的有效测量工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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