Evidence map›Paper›PMID 27696473›Full record

ReviewTransfusion2017

Transfusion-related immunomodulation: review of the literature and implications for pediatric critical illness.

Jennifer A Muszynski, Philip C Spinella, Jill M Cholette, Jason P Acker, Mark W Hall, Nicole P Juffermans, Daniel P Kelly, Neil Blumberg, Kathleen Nicol, Jennifer Liedel and 6 more

Open access · greenAbstract readReview
In one paragraph

Review in Transfusion, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 4 pooled it
9.0field-weighted citation impact, top 1% 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

64 citing papers in PubMed, 4 syntheses or guidelines pooled it, 151 citations in OpenAlex.

  1. Prophylactic Transfusion Strategies in Children Supported by Extracorporeal Membrane Oxygenation: The Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2024
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Research Priorities for Plasma and Platelet Transfusion Strategies in Critically Ill Children: From the Transfusion and Anemia EXpertise Initiative-Control/Avoidance of Bleeding.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2022
    Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Observational
  10. Article
  11. Plasma transfusion in neonatal sepsis.World journal of pediatrics : WJP · 2026
    Article
  12. Observational
  13. Article
  14. Review
  15. Article
  16. Ex Vivo Evaluation of CD3Journal of clinical medicine · 2026
    Article
  17. Article
  18. Review
  19. Review
  20. Article

4 more citing papers are in PubMed but not listed here.

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

16 authors at 10 institutions in 3 countries.

Jennifer A MuszynskiDivision of Critical Care Medicine, Canadian Blood Services, Edmonton, Alberta, Canada.
Philip C SpinellaDepartment of Pediatrics, Division Pediatric Critical Care, Canadian Blood Services, Edmonton, Alberta, Canada.
Jill M CholettePediatric Critical Care and Cardiology, Canadian Blood Services, Edmonton, Alberta, Canada.
Jason P AckerCentre for Innovation, Canadian Blood Services.
Mark W HallDivision of Critical Care Medicine, Canadian Blood Services, Edmonton, Alberta, Canada.
Nicole P JuffermansDepartment of Intensive Care Medicine, Academic Medical Center, Amsterdam, the Netherlands.
Daniel P KellyDivision of Critical Care, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts.
Neil BlumbergTransfusion Medicine/Blood Bank and Clinical Laboratories, Departments of Pathology and Laboratory Medicine, University of Rochester, Rochester, New York.
Kathleen NicolDepartment of Pathology, Nationwide Children's Hospital, Columbus, Ohio.
Jennifer LiedelPediatric Critical Care Medicine, Albert Einstein College of Medicine, Children's Hospital at Montefiore, Bronx, New York.
Allan DoctorDepartments of Pediatrics and Biochemistry, Washington University in St Louis, St Louis, Missouri.
Kenneth E RemyDepartment of Pediatrics, Division Pediatric Critical Care, Canadian Blood Services, Edmonton, Alberta, Canada.
Marisa TucciDepartment of Pediatrics, Sainte-Justine Hospital, Université de Montréal, Montreal, Quebec, Canada.
Jacques LacroixDepartment of Pediatrics, Sainte-Justine Hospital, Université de Montréal, Montreal, Quebec, Canada.
Philip J NorrisBlood Systems Research Institute.ORCID 0000-0003-0526-2088
Pediatric Critical Care Blood Research Network (Blood Net)
Canadian Blood Services · CACentre Hospitalier Universitaire Sainte-Justine · CAAlbert Einstein College of Medicine · USAmsterdam UMC Location University of Amsterdam · NLBoston Children's Hospital · USNationwide Children's Hospital · USUniversity of Alberta · CAUniversity of California, San Francisco · USUniversity of Rochester · USWashington University in St. Louis · US

Funding

Child Health Research CenterK12HD076224 · NICHD · WASHINGTON UNIVERSITY · PI MARK E. LOWE · 2013 to 2026
$6.2M
SEPSIS-INDUCED RED CELL DYSFUNCTION (SIRD)R01GM113838 · NIGMS · WASHINGTON UNIVERSITY · PI DOCTOR, ALLAN, MARSHALL, GARLAND ROSS · 2015 to 2019
$4.0M
NICHD NIH HHS K12 HD076224NIGMS NIH HHS R01 GM113838
6 · The paper itself

Abstract

Transfusion-related immunomodulation (TRIM) in the intensive care unit (ICU) is difficult to define and likely represents a complicated set of physiologic responses to transfusion, including both proinflammatory and immunosuppressive effects. Similarly, the immunologic response to critical illness in both adults and children is highly complex and is characterized by both acute inflammation and acquired immune suppression. How transfusion may contribute to or perpetuate these phenotypes in the ICU is poorly understood, despite the fact that transfusion is common in critically ill patients. Both hyperinflammation and severe immune suppression are associated with poor outcomes from critical illness, underscoring the need to understand potential immunologic consequences of blood product transfusion. In this review we outline the dynamic immunologic response to critical illness, provide clinical evidence in support of immunomodulatory effects of blood product transfusion, review preclinical and translational studies to date of TRIM, and provide insight into future research directions.

Indexed as

Blood Component TransfusionImmunomodulationIntensive Care UnitsAcute DiseaseAdolescentAdultChildChild, PreschoolCritical IllnessFemaleHumansInfantInflammationMale

Identifiers

PMID27696473
PMCPMC8341144
OpenAlexW2528954978

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.