Evidence map›Paper›PMID 31382318›Full record

ArticleTransfusion medicine (Oxford, England)2019

Effects of whole blood leukoreduction on platelet function and hemostatic parameters.

M C Morris, R Veile, L A Friend, D Oh, T A Pritts, W C Dorlac, P C Spinella, M D Goodman

Abstract read
In one paragraph

Article in Transfusion medicine (Oxford, England), 2019. 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
–field-weighted citation impact
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.

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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

8 authors.

M C MorrisDepartment of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0002-8047-5510
R VeileDepartment of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
L A FriendDepartment of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
D OhDepartment of Pathology, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
T A PrittsDepartment of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
W C DorlacDepartment of Surgery, University of Colorado and UC Health, Ft. Collins, Colorado, USA.
P C SpinellaDepartment of Pediatrics, Division of Pediatric Critical Care Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
M D GoodmanDepartment of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0001-7218-4855

Funding

HOST RESPONSE TO TRAUMA RESEARCH TRAINING PROGRAMT32GM008478 · NIGMS · UNIVERSITY OF CINCINNATI · PI TIMOTHY A PRITTS, BASILIA ZINGARELLI · 1993 to 2026
$6.7M
NIGMS NIH HHS T32 GM008478U.S. Air Force FA8650-15-2-6B36 FCT
6 · The paper itself

Abstract

AIMS/

objectivesThe aim of this study was to evaluate the hemostatic consequences of whole blood leukoreduction (LR).

backgroundWhole blood is being used for trauma resuscitation in the military, and an increasing number of civilian trauma centres across the nation. The benefits of LR, such as decreased infectious and transfusion-related complications, are well established, but the effects on hemostatic parameters remain a concern.

methodsTwenty-four units of whole blood were assigned to one of the four groups: non-leukoreduced (NLR), leukoreduced at 1 h and a height of 33 in. (LR-1), leukoreduced at 4 h and a height of 33 in. (LR-4(33)), or leukoreduced at 4 h and a height of 28 in. (LR-4(28)). Viscoelastic parameters, platelet aggregation, cell counts, physiological parameters and thrombin potential were evaluated immediately before and after LR, and on days 1, 7, 14 and 21 following LR.

resultsThe viscoelastic parameters and thrombin generation potential were unchanged between the groups. Platelet aggregation was reduced in the LR-1 group compared with NLR after 7 days. The LR-4(28) group also showed a trend of reduced platelet aggregation compared with NLR. Aggregation in LR-4(33) was similar to NLR throughout the storage time. Physiological and electrolyte changes over the whole blood storage period were not affected by LR.

conclusionOur study shows that whole blood can be LR at 4 h after collection and a height of 33 in. while maintaining platelet count and without altering platelet function and hemostatic performance.

Indexed as

Blood PreservationLeukocyte Reduction ProceduresAdultBlood PlateletsHumansMalePlatelet AggregationPlatelet Function TestsThrombelastographyTime FactorsTransfusion Reactioncoagulopathyhaemorrhageresuscitation, whole bloodshocktrauma

Identifiers

PMID31382318
PMCPMC6863083

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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.