Research Article

Analysis of Risk Factors of Coagulation Dysfunction and Hemorrhage in Newly Diagnosed Hyperleukocytic Acute Myeloma Leukemia

Table 1

Analysis on the basic features and coagulation index of HAML and non-HAML patients.

HAML (n = 76)Non-HAML (n = 648) value

Clinical characteristics
 Sex (n)
  Male404100.049
  Female36238
 Age (mean)54470.193
 WBC (×109//L)181.890 ± 92.1521.221 ± 15.971<0.005
 PLT (×109//L)60.07 ± 71.10163.97 ± 73.324<0.005
 HGB (g/L)72.730 ± 26.34277.800 ± 25.3420.164
 RBC (×1012//L)2.300 ± 1.0333.261 ± 11.9370.5115
Coagulation index
 PT (s)17.133 ± 12.86014.100 ± 8.940<0.005
 FIB (mg/dL)322.741 ± 118.92340.147 ± 171.510<0.005
 APTT (s)34.139 ± 12.7433.610 ± 6.1010.721
 DD (ng/mL)3849.276 ± 6742.6611329.32 ± 1811.171<0.005
 TT (s)13.291 ± 13.78214.052 ± 9.4600.579
Immune classification
 CD117+32.8%19.7%<0.005
 CD13+21.3%20.8%0.312
 HLADR23.1%22.1%0.479
 CD38+17.9%18.2%0.092
Gene mutation
 FLT3-ITD24.3%19.1%<0.005
 CEBPA8.1%11.6%<0.005
 C-kit/D8169.2%9.4%0.213
Cytogenetic prognosis
 Good7.9%9.5%0.1893
 Poor19.2%7.0%<0.005
Complication
 Respiratory failure33.3%23.6%<0.005
 Intracranial hemorrhage64,1%33.0%<0.005
 Heart failure19.2%18.7%0.942
 Infection71.8%67.5%<0.005

HAML: hyperleukocytic acute myeloma leukemia; WBC: white blood cell; PLT: platelet; Hb: hemoglobin; PT: prothrombin time; FIB: fibrinogen; APTT: activated partial thromboplastin time; DD: D-dimer; TT: thrombin time; values were calculated using the univariate Cox proportional-hazard model.