Diagnosis and severity criteria for sinusoidal obstruction syndrome/veno-occlusive disease in adult patients: a refined classification from the European society for blood and marrow transplantation (EBMT)

Mohty, Mohamad ; Malard, Florent ; Alaskar, Ahmed S. ; Aljurf, Mahmoud ; Arat, Mutlu ; Bader, Peter ; Baron, Frederic ; Bazarbachi, Ali ; Blaise, Didier ; Brissot, Eolia ; Ciceri, Fabio ; Corbacioglu, Selim ; Dalle, Jean-Hugues ; Dignan, Fiona ; Huynh, Anne ; Kenyon, Michelle ; Nagler, Arnon ; Pagliuca, Antonio ; Perić, Zinaida ; Richardson, Paul G. ; Ruggeri, Annalisa ; Ruutu, Tapani ; Yakoub-Agha, Ibrahim ; Duarte, Rafael F. ; Carreras, Enric

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Details

Item type:	Article
Journal or Publication Title:	Bone Marrow Transplantation
Publisher:	SPRINGERNATURE
Place of Publication:	LONDON
Volume:	58
Number of Issue or Book Chapter:	7
Page Range:	pp. 749-754
Date:	2023
Institutions:	Medicine > Abteilung für Pädiatrische Hämatologie, Onkologie und Stammzelltransplantation
Identification Number:	Value Type 10.1038/s41409-023-01992-8 DOI
Keywords:	HEPATIC VENOOCCLUSIVE DISEASE; STEM-CELL TRANSPLANTATION; ORGAN FAILURE; LIVER; COMPLICATIONS; SEPSIS; COHORT
Dewey Decimal Classification:	600 Technology > 610 Medical sciences Medicine
Status:	Published
Refereed:	Yes, this version has been refereed
Created at the University of Regensburg:	Yes
Item ID:	76249

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Abstract

Sinusoidal obstruction syndrome, also known as veno-occlusive disease (SOS/VOD), is a potentially life-threatening complication that can develop after hematopoietic cell transplantation (HCT). A new definition for diagnosis, and a severity grading system for SOS/VOD in adult patients, was reported a few years ago on behalf of the European Society for Blood and Marrow Transplantation (EBMT). The ...

Abstract

Sinusoidal obstruction syndrome, also known as veno-occlusive disease (SOS/VOD), is a potentially life-threatening complication that can develop after hematopoietic cell transplantation (HCT). A new definition for diagnosis, and a severity grading system for SOS/VOD in adult patients, was reported a few years ago on behalf of the European Society for Blood and Marrow Transplantation (EBMT). The aim of this work is to update knowledge regarding diagnosis and severity assessment of SOS/VOD in adult patients, and also its pathophysiology and treatment. In particular, we now propose to refine the previous classification and distinguish probable, clinical and proven SOS/VOD at diagnosis. We also provide an accurate definition of multiorgan dysfunction (MOD) for SOS/VOD severity grading based on Sequential Organ Failure Assessment (SOFA) score.

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