Evidence map›Paper›PMID 28589139›Full record

Observational studyBioMed research international2017

Red Cell Storage Duration Does Not Affect Outcome after Massive Blood Transfusion in Trauma and Nontrauma Patients: A Retrospective Analysis of 305 Patients.

Alexander Bautista, Theodore B Wright, Janice Meany, Sunitha K Kandadai, Benjamin Brown, Kareim Khalafalla, Saeed Hashem, Jason W Smith, Tayyeb M Ayyoubi, Jarrod E Dalton and 3 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in BioMed research international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 48% 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, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Observational
  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

13 authors at 3 institutions in 1 country.

Alexander BautistaDepartment of Anaesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY, USA.
Theodore B WrightDepartment of Anaesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY, USA.
Janice MeanyBlood Bank University Hospital, Institute of Pathology, University of Louisville, Louisville, KY, USA.
Sunitha K KandadaiDepartment of Anaesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY, USA.
Benjamin BrownDepartment of Anaesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY, USA.
Kareim KhalafallaDepartment of Anaesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY, USA.
Saeed HashemDepartment of Anaesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY, USA.
Jason W SmithTrauma Institute, Department of Surgery, University of Louisville, Louisville, KY, USA.
Tayyeb M AyyoubiBlood Bank University Hospital, Institute of Pathology, University of Louisville, Louisville, KY, USA.
Jarrod E DaltonDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA.
Anupama WadhwaDepartment of Anaesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY, USA.
Daniel I SesslerDepartment of Outcomes Research, Anaesthesiology Institute, Cleveland Clinic, Cleveland, OH, USA.ORCID 0000-0001-9932-3077
Detlef ObalDepartment of Anaesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY, USA.ORCID 0000-0002-1126-2132
University of Louisville · USCleveland Clinic · USUniversity of Louisville Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProlonged storage of packed red blood cells (PRBCs) may increase morbidity and mortality, and patients having massive transfusion might be especially susceptible. We therefore tested the hypothesis that prolonged storage increases mortality in patients receiving massive transfusion after trauma or nontrauma surgery. Secondarily, we considered the extent to which storage effects differ for trauma and nontrauma surgery.

methodsWe considered surgical patients given more than 10 units of PRBC within 24 hours and evaluated the relationship between mean PRBC storage duration and in-hospital mortality using multivariable logistic regression. Potential nonlinearities in the relationship were assessed via restricted cubic splines. The secondary hypothesis was evaluated by considering whether there was an interaction between the type of surgery (trauma versus nontrauma) and the effect of storage duration on outcomes.

results305 patients were given a total of 8,046 units of PRBCs, with duration ranging from 8 to 36 days (mean ± SD: 22 ± 6 days). The odds ratio [95% confidence interval (CI)] for in-hospital mortality corresponding to a one-day in mean PRBC storage duration was 0.99 (0.95, 1.03,

conclusionsMortality after massive blood transfusion was no worse in patients transfused with PRBC stored for long periods. Trauma and nontrauma patients did not differ in their susceptibility to prolonged PRBC storage.

Indexed as

Blood PreservationDatabases, FactualErythrocytesErythrocyte TransfusionAdultAgedFemaleHospital MortalityHumansMaleMiddle AgedRetrospective StudiesTime FactorsWounds and Injuries

Identifiers

PMID28589139
PMCPMC5446873
OpenAlexW2613082695

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.