The prevalence of self-reported bleeding tendency symptoms among adolescents in Almadinah Almunawwarah, kingdom of Saudi Arabia

Abstract

Bleeding tendency is a common medical problem that is usually caused by either coagulation factors abnormalities, platelets disorders, or vasculopathy. Detection of patients with high bleeding risk through history taking and accurate diagnosis followed by appropriate management will help decreasing chances of significant complications. Methodology: A cross-sectional survey of a random sample of adolescent students in the preparatory year at Taibah University in Almadinah Almunawwarah, Saudi Arabia were interviewed using a validated semi-structured condensed bleeding tendency questionnaire generated from Molecular and Clinical Markers for the Diagnosis and Management of (MCMDM-1). Results: A total of 680 questionnaires were collected, the phase I data were analyzed to determine participants who gave a positive response to any related question while in Phase II respondents with at least one positive response of any bleeding symptom were interviewed. More than half 52.6% (358 out of 680) were positive for any bleeding symptoms. The incidence rose to 70.9% (482 out of 680) if “Mild” symptoms were also included. Epistaxis was positive in 21.8%, Cutaneous symptoms were reported by 22.65%, Bleeding from the oral cavity was reported in 39.6%, Gastrointestinal bleeding was observed by 5.9%, bleeding after the first surgery reported in 21% and Muscle hematomas/hemoarthrosis was observed by 3.2%, Among female papulation, 16.1% reported having 6-10 “Heavy Days” during their menstrual cycles. Discussion: High prevalence of bleeding symptoms having the possibility of the presence of an Inherited Bleeding Disorders were observed in our study in comparison to other studies, this might be attributed to the high percentage of consanguinity marriages in our area. Recommendations: Raising awareness among family doctors and pediatricians about the possibility of presence of bleeding tendency utilizing good history taking followed by appropriate examination and laboratory confirmatory testing will help in early detection and managements.

Do university students have enough knowledge of epistaxis management? A cross sectional study at Hail region in Saudi Arabia

“…In this study, the prevalence of self-reported epistaxis was 71%. A similar prevalence was recently reported in Saudi Arabia, (Zolaly et al, 2021) which is higher than the prevalence reported in other nations (60%) (Wojak, 2020). The prevalence of epistaxis in this study was significantly higher in men (51.7%) than in women (19.3%; P < 0.0001), which is in agreement with another report from Saudi Arabia (Al-Saleh et al, 2021).…”

A Child With Hereditary Spherocytosis Associated With Von Willebrand’s Disease: A Case Report From Saudi Arabia

“…Zolaly conducted a study among university students in Medina to assess bleeding tendency, which showed 52.6% had a history of bleeding tendency, with oral cavity bleeding (39.6%) and mucocutaneous bleeding (22.6%) being the most common symptoms reported. This indicated that the cause of these bleeding symptoms can be platelet disorders or VWD [7][8][9].…”

Bleeding disorders in Saudi Arabia, causes and prevalence: a review

“…Researchers have highlighted different symptoms of frequent bleeding among the preparatory year students at Taibah University in Almadinah Almunawwarah to understand the prevalence of self-reported bleeding symptoms among adolescents (Zolaly et al, 2021). They collected questionnaires from 680 young participants with an average age of 19 years old, 55.6% of the study participants were female individuals whereas 44.4% were male individuals.…”

“…3.2% have experienced hemarthrosis or muscle hematoma with few seeking special medical intervention. 16.1% of female participants reported heavy menstrual cycles in 6–10 days [ 13 ].…”