Evidence map›Paper›PMID 29588281›Full record

ArticleBMJ case reports2018

When a transfusion in an emergency service is not really urgent: hyperhaemolysis syndrome in a child with sickle cell disease.

Sara Chinchilla Langeber, Marta Pilar Osuna Marco, María Benedit, Áurea Cervera Bravo

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 97% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

4 authors at 2 institutions in 1 country.

Sara Chinchilla LangeberDepartment of Paediatrics, Hospital Universitario de Mostoles, Mostoles, Spain.
Marta Pilar Osuna MarcoDepartment of Paediatrics, Hospital Universitario de Mostoles, Mostoles, Spain.
María BeneditDepartment of Paediatrics, Hospital Puerta del Sur, Mostoles, Spain.
Áurea Cervera BravoDepartment of Paediatrics, Hospital Universitario de Mostoles, Mostoles, Spain.
Hospital Universitario de Móstoles · ESUniversity Hospital HM Puerta del Sur · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 13-month-old boy with sickle cell disease (SCD) from Equatorial Guinea, who had recently arrived in Spain, presented with fever. He had suffered from malaria and had received a blood transfusion. Following physical examination and complementary tests, intravenous antibiotics and a red blood cell (RBC) transfusion were administered. Soon after a second transfusion 5 days later, the haemoglobin level fell below pretransfusion levels, together with reticulocytopenia, and haematuria-the so-called hyperhaemolysis syndrome-requiring intensive care and treatment with intravenous immunoglobulins and corticosteroids, with resolution of the complication. We want to emphasise the importance of suspecting this rare, though severe complication that can appear after any RBC transfusion especially in patients with SCD, as the clinical syndrome can simulate other more common complications of these patients and a further transfusion is contraindicated. There is no standardised treatment, but intravenous immunoglobulin and corticosteroids are usually effective.

Indexed as

Blood TransfusionEmergency Medical ServicesHemolysisAdrenal Cortex HormonesAnemia, Sickle CellHemoglobinuriaHumansImmunoglobulins, IntravenousInfantMaleReticulocyte CountSyndromeAdrenal Cortex HormonesImmunoglobulins, Intravenoushaematology (drugs and medicines)haematology (incl blood transfusion)paediatrics (drugs and medicines)

Identifiers

PMID29588281
PMCPMC5878350
OpenAlexW2794586380

What OpenQuestion holds

Textmetadata
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.