Evidence map›Paper›PMID 21895675›Full record

Trial reportTransfusion2012

Providing ABO-identical platelets and cryoprecipitate to (almost) all patients: approach, logistics, and associated decreases in transfusion reaction and red blood cell alloimmunization incidence.

Kelly F Henrichs, Nedda Howk, Debra S Masel, Mark Thayer, Majed A Refaai, Scott A Kirkley, Joanna M Heal, Neil Blumberg

Abstract readClinical Trial
In one paragraph

Trial report in Transfusion, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Does ABO and RhD matching matter for platelet transfusion?Hematology. American Society of Hematology. Education Program · 2020
    Review
  7. Comparative Study for Measurement of Residual Leucocytes in Leucodepleted Red Blood Cells by Two Different Methods.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2020
    Article
  8. Article
  9. Review
  10. Review
  11. Effects of ABO Matching of Platelet Transfusions in Critically Ill Children.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2019
    Observational
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Platelet transfusion - the art and science of compromise.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2013
    Article
  18. CD40 ligand (CD154) involvement in platelet transfusion reactions.Transfusion clinique et biologique : journal de la Societe francaise de transfusion sanguine · 2012
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kelly F HenrichsDepartment of Pathology and Laboratory Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA.
Nedda Howk
Debra S Masel
Mark Thayer
Majed A Refaai
Scott A Kirkley
Joanna M Heal
Neil Blumberg

Funding

Identification and Significance of Biologic Mediators in Red Cell ConcentratesR01HL095467 · NHLBI · UNIVERSITY OF ROCHESTER · PI BLUMBERG, NEIL, PHIPPS, RICHARD P. · 2009 to 2012
$1.5M
Platelet Activation and Inflammatory MediatorsR01HL078603 · NHLBI · UNIVERSITY OF ROCHESTER · PI PHIPPS, RICHARD P. · 2004 to 2007
$1.2M
Microparticles as Messengers of Communication Between Blood and Vascular CellsRC1HL100051 · NHLBI · UNIVERSITY OF ROCHESTER · PI PHIPPS, RICHARD P. · 2009 to 2010
$1.0M
NHLBI NIH HHS HL078603NHLBI NIH HHS HL095467NHLBI NIH HHS HL100051NHLBI NIH HHS R01 HL078603NHLBI NIH HHS R01 HL095467NHLBI NIH HHS RC1 HL100051
6 · The paper itself

Abstract

backgroundThere are multiple benefits to transfusing only ABO-identical blood components. Historically our institution routinely transfused ABO-nonidentical platelets (PLTs) and cryoprecipitate to surgical patients. In April 2005, we implemented a policy of transfusing only ABO-identical components whenever feasible, regardless of outdating or logistic considerations. STUDY DESIGN AND

methodsTechnical staff closely monitored product usage and adjusted blood center orders based on recent utilization and planned transfusions. When unable to provide ABO-identical PLTs, ABO-compatible PLTs were washed to remove incompatible plasma. Data on outdating were collected for 18 months before and after implementation. We compared transfusion reaction and red blood cell (RBC) alloimmunization incidence for 4 years preceding (2001-2004) and subsequent (2006-2009) to implementation.

resultsIn the year after implementation, only 11 of 410 surgical patients received ABO-nonidentical PLTs (2.7%). There was a 5.6% increase in outdating of PLTs. Transfusing ABO-identical components was associated with significant reductions in febrile (-46%; 8.0 to 4.3 per 10,000 components; p < 0.0001) and allergic transfusion reactions (-23%; from 7.0 to 5.4 per 10,000 components; p = 0.025). A progressive reduction in de novo RBC alloimmunization incidence also occurred (-50% by 2009; p = 0.03).

conclusionsProviding ABO-identical PLTs to almost all patients was feasible in our setting by changing ordering and inventorying procedures and making the ABO-identical policy a staff priority. Unexpected and striking reductions in febrile and allergic reactions and RBC alloimmunization were observed, of uncertain causal relationship to this ABO policy change, which will require further study.

Indexed as

ABO Blood-Group SystemBlood BankingBlood BanksBlood Component TransfusionBlood Group IncompatibilityBlood Loss, SurgicalFactor VIIIFeasibility StudiesFibrinogenGuideline AdherenceHumansIncidenceIsoantibodiesOrganizational PolicyOutcome and Process Assessment, Health CarePlatelet TransfusionABO Blood-Group Systemcryoprecipitate coagulumFactor VIIIFibrinogenIsoantibodies

Identifiers

PMID21895675
PMCPMC3235249

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.