Evidence map›Paper›PMID 28970688›Full record

ArticleAsian journal of transfusion science

Transfusion-related adverse reactions in pediatric and surgical patients at a tertiary care teaching hospital in India.

Kunal J Ghataliya, Jigar D Kapadia, Mira K Desai, K M Mehariya, G H Rathod, Nidhi Bhatnagar, M D Gajjar

Open access · diamondAbstract read
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Article in Asian journal of transfusion science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.1field-weighted citation impact, top 61% 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

5 citing papers in PubMed, 15 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Kunal J GhataliyaDepartment of Pharmacology, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India.
Jigar D KapadiaDepartment of Pharmacology, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India.
Mira K DesaiDepartment of Pharmacology, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India.
K M MehariyaDepartment of Paediatrics, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India.
G H RathodDepartment of Surgery, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India.
Nidhi BhatnagarDepartment of Immunohematology and Blood Transfusion, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India.
M D GajjarDepartment of Immunohematology and Blood Transfusion, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India.
B.J. Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUse of blood and its components is lifesaving. However, their use is often associated with adverse events.

objectiveTo analyze the pattern of adverse reactions associated with transfusion of blood and its components in pediatric and surgical patients at a tertiary care teaching hospital. MATERIALS AND

methodsPatients receiving transfusion of blood or its components in a randomly selected unit each from Departments of Pediatrics, including thalassemia OPD and surgery, were monitored intensively for a period of 6 months. Clinical course, management, outcome, causality, severity, seriousness, and preventability of observed transfusion reactions (TRs) were analyzed.

resultsA total of 411 pediatric and 433 surgical patients received 594 and 745 transfusions respectively during the study period. Of these, TRs were observed in 69 (11.6%) children and 63 (8.4%) surgical patients. Majority of reactions in children (48, 69.5%) and surgical patients (51, 80.9%) were acute, developing within 24 h of transfusion. TRs were observed with packed cells (13.2%), cryoprecipitate (10%), platelet concentrate (14.3%) and fresh frozen plasma (1.3%) in pediatric patients and with packed cells (7.2%), whole blood (25%) and platelet concentrate (62.5%) in surgical patients. Most common TRs included febrile nonhemolytic TRs (FNHTRs) and allergic reactions. Reactions were more frequent in patients with a previous history of transfusion or those receiving more than one transfusion and in children, when transfusion was initiated after 30 min of issue of blood component. Majority of reactions were managed with symptomatic treatment, were nonserious, moderately severe, probably preventable and probably associated with the suspect blood component in both populations.

conclusionTransfusion reactions in children and surgical patients are commonly observed with cellular blood components. Majority of reactions are acute and nonserious. FNHTRs and allergic reactions are the most common transfusion reactions. Risk of transfusion reactions is more in patients receiving multiple transfusions.

Indexed as

Allergic reactionfebrile nonhemolytic transfusion reactionintensive monitoringpediatric patientssurgical patientstransfusion reactions

Identifiers

PMID28970688
PMCPMC5613427
OpenAlexW2754293955

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.