Evidence map›Paper›PMID 25393772›Full record

Trial reportTransfusion2015

Effects of storage-aged red blood cell transfusions on endothelial function in hospitalized patients.

Robert Neuman, Salim Hayek, Ayaz Rahman, Joseph C Poole, Vivek Menon, Salman Sher, James L Newman, Sulaiman Karatela, David Polhemus, David J Lefer and 4 more

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
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 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Prolonged storage of packed red blood cells for blood transfusion.The Cochrane database of systematic reviews · 2015
    Pooled it
  3. Trial
  4. Effects of Aged Stored Autologous Red Blood Cells on Human Endothelial Function.American journal of respiratory and critical care medicine · 2015
    Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Red blood cell storage lesion: causes and potential clinical consequences.Blood transfusion = Trasfusione del sangue · 2019
    Review
  11. Peritransplantation Red Blood Cell Transfusion Is Associated with Increased Risk of Graft-versus-Host Disease after Allogeneic Hematopoietic Stem Cell Transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    Article
  12. Review
  13. Hematological disorders and pulmonary hypertension.World journal of cardiology · 2016
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Acid Sphingomyelinase Inhibition Prevents Hemolysis During Erythrocyte Storage.Cellular physiology and biochemistry : international journal of experimental cellular physiology, biochemistry, and pharmacology · 2016
    Article
  19. Article
  20. Observational
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

14 authors at 3 institutions in 1 country.

Robert NeumanDivision of Cardiology, Emory University School of Medicine, Atlanta, Georgia.
Salim HayekDivision of Cardiology, Emory University School of Medicine, Atlanta, Georgia.
Ayaz RahmanDivision of Cardiology, Emory University School of Medicine, Atlanta, Georgia.
Joseph C PooleDivision of Cardiology, Emory University School of Medicine, Atlanta, Georgia.
Vivek MenonDivision of Cardiology, Emory University School of Medicine, Atlanta, Georgia.
Salman SherDivision of Cardiology, Emory University School of Medicine, Atlanta, Georgia.
James L NewmanDepartment of Pathology and Laboratory Medicine, Center for Transfusion and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia.
Sulaiman KaratelaDepartment of Pathology and Laboratory Medicine, Center for Transfusion and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia.
David PolhemusDepartment of Pharmacology, Louisiana State University Health Sciences Center, New Orleans, Louisiana.
David J LeferDepartment of Pharmacology, Louisiana State University Health Sciences Center, New Orleans, Louisiana.
Christine De StaerckeNational Center on Birth Defects and Developmental Disabilities, Division of Blood Disorders, Centers for Disease Control and Prevention, Atlanta, Georgia.
Craig HooperNational Center on Birth Defects and Developmental Disabilities, Division of Blood Disorders, Centers for Disease Control and Prevention, Atlanta, Georgia.
Arshed A QuyyumiDivision of Cardiology, Emory University School of Medicine, Atlanta, Georgia.
John D RobackDepartment of Pathology and Laboratory Medicine, Center for Transfusion and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia.
Emory University · USCenters for Disease Control and Prevention · USLouisiana State University Health Sciences Center New Orleans · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Serious Hazards of Transfusion & Cellular Therapies: Mechanisms and InterventionP01HL086773 · NHLBI · EMORY UNIVERSITY · PI JONES, DEAN PAUL · 2008 to 2019
$17.9M
Adverse effects of RBC transfusions: A unifying hypothesisR01HL095479 · NHLBI · EMORY UNIVERSITY · PI ROBACK, JOHN D · 2009 to 2017
$5.2M
Functional Cardio-MetabolomicsP20HL113452 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI HAZEN, STANLEY L, TANG, WAI HONG WILSON · 2012 to 2016
$4.8M
Training Grant in Transfusion Medicine (T32)T32HL069769 · NHLBI · EMORY UNIVERSITY · PI Una T O'Doherty, John D Roback · 2004 to 2026
$2.6M
NCRR NIH HHS UL1 RR025008NHLBI NIH HHS P01 HL086773NHLBI NIH HHS P20 HL113452NHLBI NIH HHS R01 HL095479NHLBI NIH HHS R01 HL095479-01NHLBI NIH HHS T32 HL069769
6 · The paper itself

Abstract

backgroundClinical and animal studies indicate that transfusions of older stored red blood cells (RBCs) impair clinical outcomes as compared to fresh RBC transfusions. It has been suggested that this effect is due to inhibition of nitric oxide (NO)-mediated vasodilation after transfusion of older RBC units. However, to date this effect has not been identified in human transfusion recipients. STUDY DESIGN AND

methodsForty-three hospitalized patients with transfusion orders were randomly assigned to receive either fresh (<14 days) or older stored (>21 days) RBC units. Before transfusion, and at selected time points after the start of transfusion, endothelial function was assessed using noninvasive flow-mediated dilation assays.

resultsAfter transfusion of older RBC units, there was a significant reduction in NO-mediated vasodilation at 24 hours after transfusion (p = 0.045), while fresh RBC transfusions had no effect (p = 0.231).

conclusionsThis study suggests for the first time a significant inhibitory effect of transfused RBC units stored more than 21 days on NO-mediated vasodilation in anemic hospitalized patients. This finding lends further support to the hypothesis that deranged NO signaling mediates adverse clinical effects of older RBC transfusions. Future investigations will be necessary to address possible confounding factors and confirm these results.

Indexed as

Blood PreservationErythrocyte AgingErythrocyte Transfusion2,3-DiphosphoglycerateAdenosine TriphosphateAdultAgedAnemiaBrachial ArteryChemokine CCL2Endothelium, VascularFemaleHumansInpatientsInterleukin-2Interleukin-62,3-DiphosphoglycerateAdenosine TriphosphateCCL2 protein, humanChemokine CCL2IL6 protein, humanInterleukin-2Interleukin-6Nitric OxideTumor Necrosis Factor-alpha

Identifiers

PMID25393772
PMCPMC4430456
OpenAlexW1625330469

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.