Evidence map›Paper›PMID 24333079›Full record

Trial reportBlood transfusion = Trasfusione del sangue2014

Estimation of the prevalence and rate of acute transfusion reactions occurring in Windhoek, Namibia.

Benjamin P L Meza, Britta Lohrke, Robert Wilkinson, John P Pitman, Ray W Shiraishi, Naomi Bock, David W Lowrance, Matthew J Kuehnert, Mary Mataranyika, Sridhar V Basavaraju

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Blood transfusion = Trasfusione del sangue, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

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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

10 authors.

Benjamin P L MezaHIV Prevention Branch, Division of Global HIV/AIDS, Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA, United States of America The CDC Experience Applied Epidemiology Fellowship, Scientific Education and Professional Development Program Office, U.S. Centers for Disease Control and Prevention, Atlanta, GA, United States of America.
Britta LohrkeBlood Transfusion Service of Namibia, Windhoek, Namibia.
Robert WilkinsonBlood Transfusion Service of Namibia, Windhoek, Namibia.
John P PitmanDivision of Global HIV/AIDS, Center for Global Health, U.S. Centers for Disease Control and Prevention, Windhoek, Namibia.
Ray W ShiraishiEpidemiology and Strategic Information Branch, Division of Global HIV/AIDS, Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA, United States of America.
Naomi BockHIV Prevention Branch, Division of Global HIV/AIDS, Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA, United States of America.
David W LowranceDivision of Global HIV/AIDS, Center for Global Health, U.S. Centers for Disease Control and Prevention, Windhoek, Namibia.
Matthew J KuehnertOffice of Blood, Organ, and Other Tissue Safety, Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, U.S. Centers for Disease Control and Prevention, Atlanta, GA, United States of America.
Mary MataranyikaNamibia Ministry of Health and Social Services, Directorate for Clinical Support Services, Windhoek, Namibia.
Sridhar V BasavarajuHIV Prevention Branch, Division of Global HIV/AIDS, Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute transfusion reactions are probably common in sub-Saharan Africa, but transfusion reaction surveillance systems have not been widely established. In 2008, the Blood Transfusion Service of Namibia implemented a national acute transfusion reaction surveillance system, but substantial under-reporting was suspected. We estimated the actual prevalence and rate of acute transfusion reactions occurring in Windhoek, Namibia.

methodsThe percentage of transfusion events resulting in a reported acute transfusion reaction was calculated. Actual percentage and rates of acute transfusion reactions per 1,000 transfused units were estimated by reviewing patients' records from six hospitals, which transfuse >99% of all blood in Windhoek. Patients' records for 1,162 transfusion events occurring between 1(st) January - 31(st) December 2011 were randomly selected. Clinical and demographic information were abstracted and Centers for Disease Control and Prevention National Healthcare Safety Network criteria were applied to categorize acute transfusion reactions.

resultsFrom January 1 - December 31, 2011, there were 3,697 transfusion events (involving 10,338 blood units) in the selected hospitals. Eight (0.2%) acute transfusion reactions were reported to the surveillance system. Of the 1,162 transfusion events selected, medical records for 785 transfusion events were analysed, and 28 acute transfusion reactions were detected, of which only one had also been reported to the surveillance system. An estimated 3.4% (95% confidence interval [CI]: 2.3-4.4) of transfusion events in Windhoek resulted in an acute transfusion reaction, with an estimated rate of 11.5 (95% CI: 7.6-14.5) acute transfusion reactions per 1,000 transfused units.

conclusionThe estimated actual rate of acute transfusion reactions is higher than the rate reported to the national haemovigilance system. Improved surveillance and interventions to reduce transfusion-related morbidity and mortality are required in Namibia.

Indexed as

Blood SafetyAdolescentAdultBlood TransfusionChildChild, PreschoolHumansMaleMedical RecordsNamibiaPrevalence

Identifiers

PMID24333079
PMCPMC4111817

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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.