Evidence map›Paper›PMID 25209730›Full record

Trial reportTransfusion2015

Transfusion and component characteristics are not associated with allergic transfusion reactions to apheresis platelets.

William J Savage, Aaron A R Tobian, Jessica H Savage, Robert G Hamilton, P Dayand Borge, Richard M Kaufman, Paul M Ness

Open access · greenAbstract readClinical TrialComparative Study
In one paragraph

Trial report in Transfusion, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.0field-weighted citation impact, top 16% of its field
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

3 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. History matters: Preventing severe allergic transfusion reactions.American journal of clinical pathology · 2025
    Article
  3. Article
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

7 authors at 4 institutions in 1 country.

William J SavageDepartment of Pathology, Brigham and Women's Hospital, Boston, Massachusetts.
Aaron A R Tobian
Jessica H Savage
Robert G Hamilton
P Dayand Borge
Richard M Kaufman
Paul M Ness
Brigham and Women's Hospital · USJohns Hopkins University · USAmerican Red Cross · USJohns Hopkins Medicine · US

Funding

Oncogenic HPV, Mucosal Immune Response and Risk of HIV AcquisitionK23AI093152 · NIAID · JOHNS HOPKINS UNIVERSITY · PI TOBIAN, AARON A · 2011 to 2015
$684k
Mechanisms of Allergic Transfusion ReactionsR21HL107828 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI SAVAGE, WILLIAM · 2012 to 2013
$466k
NHLBI NIH HHS R21 HL107828NHLBI NIH HHS R21HL107828NIAID NIH HHS 1K23AI093152-01A1NIAID NIH HHS K23 AI093152
6 · The paper itself

Abstract

backgroundTransfusion-related characteristics have been hypothesized to cause allergic transfusion reactions (ATRs) but they have not been thoroughly studied. The primary objective of this study is to evaluate the associations of infusion rate, infusion volume, ABO mismatching, component age, and pretransfusion medication with the incidence and severity of ATRs. A secondary objective is to compare the risk of these attributes relative to the previously reported risk factor for aeroallergen sensitization in transfusion recipients, as measured by an aeroallergen-specific immunoglobulin (Ig)E antibody screen. STUDY DESIGN AND

methodsClinical and transfusion-related data were collected on subjects with reported ATRs and uneventful (control) apheresis platelet (PLT) transfusions over a combined 21-month period at two academic medical centers. Control transfusions were selected as the next uneventful transfusion after an ATR was reported. Logistic regression, Mann-Whitney, and t tests were used to assess associations with ATRs. Previously reported aeroallergen-specific IgE screening data were incorporated into a multivariable logistic regression.

resultsA total of 143 ATRs and 61 control transfusions were evaluated among 168 subjects, ages 2 to 86 years. Infusion rate, infusion volume, ABO mismatching, component age, and pretransfusion medication showed no significant association with ATRs (p > 0.05). Neither infusion rate nor infusion volume increased the risk of anaphylaxis versus mucocutaneous-only ATRs. Aeroallergen sensitization has previously been associated with ATRs. After transfusion-related covariates were controlled for, aeroallergen sensitization remained significantly associated with ATRs (odds ratio, 2.68; 95% confidence interval, 1.26-5.69).

conclusionsTransfusion- and component-specific attributes are not associated with ATRs. An allergic predisposition in transfusion recipients is associated most strongly with ATR risk.

Indexed as

Databases, FactualPlateletpheresisPlatelet TransfusionAdolescentAdultAgedAged, 80 and overAge FactorsChildChild, PreschoolFemaleHumansHypersensitivityMaleMiddle AgedRisk Factors

Identifiers

PMID25209730
PMCPMC4331230
OpenAlexW1585719021

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.