Evidence map›Paper›PMID 30474858›Full record

ArticleTransfusion2019

Frequent blood donations alter susceptibility of red blood cells to storage- and stress-induced hemolysis.

Tamir Kanias, Mars Stone, Grier P Page, Yuelong Guo, Stacy M Endres-Dighe, Marion C Lanteri, Bryan R Spencer, Ritchard G Cable, Darrell J Triulzi, Joseph E Kiss and 6 more

Abstract read
In one paragraph

Article in Transfusion, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
11.1field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 52 citations in OpenAlex.

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  17. Long-Term Course of Haemoglobin and Ferritin Values in High-Frequency Donors of Whole Blood and Double Erythrocyte Apheresis.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 7 institutions in 2 countries.

Tamir KaniasPittsburgh Heart, Lung, Blood and Vascular Medicine Institute, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0001-6558-0913
Mars StoneBlood Systems Research Institute, San Francisco, and Department of Laboratory Medicine, University of California, San Francisco, California.ORCID 0000-0001-5619-2767
Grier P PageRTI International, Atlanta, Georgia.
Yuelong GuoRTI International, Research Triangle Park, North Carolina.
Stacy M Endres-DigheRTI International, Rockville, Maryland.
Marion C LanteriBlood Systems Research Institute, San Francisco, and Department of Laboratory Medicine, University of California, San Francisco, California.
Bryan R SpencerAmerican Red Cross Blood Services, Dedham, Massachusetts.
Ritchard G CableAmerican Red Cross, Farmington, Connecticut.
Darrell J TriulziDepartment of Pathology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Joseph E KissThe Institute for Transfusion Medicine, Pittsburgh, Pennsylvania.
Edward L MurphyBlood Systems Research Institute, San Francisco, and Department of Laboratory Medicine, University of California, San Francisco, California.
Steve KleinmanUniversity of British Columbia, Victoria, British Columbia, Canada.
Mark T GladwinPittsburgh Heart, Lung, Blood and Vascular Medicine Institute, University of Pittsburgh, Pittsburgh, Pennsylvania.
Michael P BuschBlood Systems Research Institute, San Francisco, and Department of Laboratory Medicine, University of California, San Francisco, California.
Alan E MastBlood Research Institute, Blood Center of Wisconsin, and Department of Cell Biology, Neurobiology and Anatomy, Medical College of Wisconsin, Milwaukee.
NHLBI Recipient Epidemiology Donor Evaluation Study (REDS)-III Program
University of California, San Francisco · USRTI International · USUniversity of Pittsburgh · USAmerican Red Cross · USInstitute for Transfusion Medicine · USMedical College of Wisconsin · USUniversity of British Columbia · CA

Funding

Storage Lesion in Banked Blood Due to Disruption of Nitric Oxide HomeostasisR01HL098032 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Mark T Gladwin · 2009 to 2026
$12.5M
NHLBI NIH HHS HHSN268201100001INHLBI NIH HHS HHSN268201100002INHLBI NIH HHS HHSN268201100004INHLBI NIH HHS HHSN268201100005INHLBI NIH HHS HHSN268201100007INHLBI NIH HHS HHSN268201100008INHLBI NIH HHS R01 HL098032NIH HHS HHSN263201000009I
6 · The paper itself

Abstract

backgroundFrequent whole blood donations increase the prevalence of iron depletion in blood donors, which may subsequently interfere with normal erythropoiesis. The purpose of this study was to evaluate the associations between donation frequency and red blood cell (RBC) storage stability in a racially/ethnically diverse population of blood donors. STUDY

designLeukoreduced RBC concentrate-derived samples from 13,403 donors were stored for 39 to 42 days (1-6°C) and then evaluated for storage, osmotic, and oxidative hemolysis. Iron status was evaluated by plasma ferritin measurement and self-reported intake of iron supplements. Donation history in the prior 2 years was obtained for each subject.

resultsFrequent blood donors enrolled in this study were likely to be white, male, and of older age (56.1 ± 5.0 years). Prior donation intensity was negatively associated with oxidative hemolysis (p < 0.0001) in multivariate analyses correcting for age, sex, and race/ethnicity. Increased plasma ferritin concentration was associated with increased RBC susceptibility to each of the three measures of hemolysis (p < 0.0001 for all), whereas self-reported iron intake was associated with reduced susceptibility to osmotic and oxidative hemolysis (p < 0.0001 for both).

conclusionsFrequent blood donations may alter the quality of blood components by modulating RBC predisposition to hemolysis. RBCs collected from frequent donors with low ferritin have altered susceptibility to hemolysis. Thus, frequent donation and associated iron loss may alter the quality of stored RBC components collected from iron-deficient donors. Further investigation is necessary to assess posttransfusion safety and efficacy in patients receiving these RBC products.

Indexed as

AdultAgedBlood DonorsBlood PreservationErythrocytesFemaleHemolysisHumansIronMaleMiddle AgedMultivariate AnalysisYoung AdultIron

Identifiers

PMID30474858
PMCPMC6347021
OpenAlexW2903145860

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.