Evidence map›Paper›PMID 25752902›Full record

ArticleTransfusion2015

Washing stored red blood cells in an albumin solution improves their morphologic and hemorheologic properties.

Walter H Reinhart, Nathaniel Z Piety, Jeremy W Deuel, Asya Makhro, Thomas Schulzki, Nikolay Bogdanov, Jeroen S Goede, Anna Bogdanova, Rajaa Abidi, Sergey S Shevkoplyas

Open access · bronzeAbstract readComparative StudyEvaluation Study
In one paragraph

Article in Transfusion, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

39 citing papers in PubMed, 61 citations in OpenAlex.

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  15. Effect of washing units of canine red blood cells on storage lesions.Journal of veterinary internal medicine · 2022
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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 at 4 institutions in 2 countries.

Walter H ReinhartDepartment of Internal Medicine, Kantonsspital Graubünden, Chur, Switzerland.
Nathaniel Z PietyDepartment of Biomedical Engineering, University of Houston, Houston, Texas.
Jeremy W DeuelDivision of Hematology, University Hospital of Zürich.
Asya MakhroInstitute of Veterinary Physiology, University of Zürich, Zürich, Switzerland.
Thomas SchulzkiDepartment of Internal Medicine, Kantonsspital Graubünden, Chur, Switzerland.
Nikolay BogdanovInstitute of Veterinary Physiology, University of Zürich, Zürich, Switzerland.
Jeroen S GoedeDivision of Hematology, University Hospital of Zürich.
Anna BogdanovaInstitute of Veterinary Physiology, University of Zürich, Zürich, Switzerland.
Rajaa AbidiDepartment of Biomedical Engineering, University of Houston, Houston, Texas.
Sergey S ShevkoplyasDepartment of Biomedical Engineering, University of Houston, Houston, Texas.
University of Houston · USUniversity of Zurich · CHKantonsspital Graubünden · CHUniversity Hospital of Zurich · CH

Funding

Eliminating Mediators of Toxicity from Stored BloodR01HL117329 · NHLBI · UNIVERSITY OF HOUSTON · PI SHEVKOPLYAS, SERGEY S · 2012 to 2017
$1.9M
NHLBI NIH HHS R01 HL117329NHLBI NIH HHS R01HL117329
6 · The paper itself

Abstract

backgroundProlonged storage of red blood cells (RBCs) leads to storage lesions, which may impair clinical outcomes after transfusion. A hallmark of storage lesions is progressive echinocytic shape transformation, which can be partially reversed by washing in albumin solutions. Here we have investigated the impact of this shape recovery on biorheologic variables. STUDY DESIGN AND

methodsRBCs stored hypothermically for 6 to 7 weeks were washed in a 1% human serum albumin (HSA) solution. RBC deformability was measured with osmotic gradient ektacytometry. The viscosity of RBC suspensions was measured with a Couette-type viscometer. The flow behavior of RBCs suspended at 40% hematocrit was tested with an artificial microvascular network (AMVN).

resultsWashing in 1% albumin reduced higher degrees of echinocytes and increased the frequency of discocytes, thereby shifting the morphologic index toward discocytosis. Washing also reduced RBC swelling. This shape recovery was not seen after washing in saline, buffer, or plasma. RBC shape normalization did not improve cell deformability measured by ektacytometry, but it tended to decrease suspension viscosities at low shear rates and improved the perfusion of an AMVN.

conclusionsWashing of stored RBCs in a 1% HSA solution specifically reduces echinocytosis, and this shape recovery has a beneficial effect on microvascular perfusion in vitro. Washing in 1% albumin may represent a new approach to improving the quality of stored RBCs and thus potentially reducing the likelihood of adverse clinical outcomes associated with transfusion of blood stored for longer periods of time.

Indexed as

Erythrocyte TransfusionAdenineAdenosine TriphosphateBlood PreservationBuffersCell ShapeErythrocyte IndicesErythrocytesErythrocytes, AbnormalGlucoseGlutathioneGuanosineHemorheologyHumansIn Vitro TechniquesMannitolAdenineAdenosine TriphosphateADSOLBuffersGlucoseGlutathioneGuanosineMannitolPAGGS-M solutionSerum AlbuminSodium ChlorideSolutions

Identifiers

PMID25752902
PMCPMC4536109
OpenAlexW1919000131

What OpenQuestion holds

Textmetadata
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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.