Evidence map›Paper›PMID 31602669›Full record

ArticleTransfusion2019

Association of donor age, body mass index, hemoglobin, and smoking status with in-hospital mortality and length of stay among red blood cell-transfused recipients.

Nareg H Roubinian, Matt Westlake, Elizabeth M St Lezin, Gustaf Edgren, Don J Brambilla, Catherine Lee, Roberta Bruhn, Ritchard G Cable, Darrell J Triulzi, Simone A Glynn and 3 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. The Effect of Sex-Mismatched Red Blood Cell Transfusion on Endothelial Cell Activation in Critically Ill Patients.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2022
    Article
  8. Article
  9. Review
  10. Objective assessment of stored blood quality by deep learning.Proceedings of the National Academy of Sciences of the United States of America · 2020
    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.

Nareg H RoubinianKaiser Permanente Northern California Division of Research, Oakland, California.ORCID 0000-0002-1063-6155
Matt WestlakeRTI International, Rockville, Maryland.
Elizabeth M St LezinDepartment of Laboratory Medicine, UCSF, San Francisco, California.ORCID 0000-0001-6191-3418
Gustaf EdgrenDepartment of Medicine, Solna, Clinical Epidemiology Division, Karolinska Institutet, Stockholm, Sweden.
Don J BrambillaRTI International, Rockville, Maryland.ORCID 0000-0002-7276-4689
Catherine LeeKaiser Permanente Northern California Division of Research, Oakland, California.
Roberta BruhnVitalant Research Institute, San Francisco, California.
Ritchard G CableAmerican Red Cross Blood Services, Connecticut Region, Farmington, Connecticut.
Darrell J TriulziInstitute for Transfusion Medicine, Pittsburgh, Pennsylvania.
Simone A GlynnNational Heart, Lung, and Blood Institute, NIH, Bethesda, Maryland.
Steve KleinmanUniversity of British Columbia, Victoria, Canada.
Edward L MurphyVitalant Research Institute, San Francisco, California.
NHLBI Recipient Epidemiology and Donor Evaluation Study-III (REDS-III)

Funding

Effects of blood conservation and donor characteristics on transfused patient outcomes in a large community hospital networkR01HL126130 · NHLBI · VITALANT · PI ROUBINIAN, NAREG · 2016 to 2019
$1.9M
NHLBI NIH HHS HHSN268201000002CNHLBI NIH HHS HHSN268201000003CNHLBI NIH HHS HHSN268201000004CNHLBI NIH HHS HHSN268201000005CNHLBI NIH HHS HHSN2682011000002INHLBI NIH HHS HHSN2682011000003INHLBI NIH HHS HHSN2682011000004INHLBI NIH HHS HHSN2682011000005INHLBI NIH HHS HHSN268201100002INHLBI NIH HHS HHSN268201100003INHLBI NIH HHS HHSN268201100004INHLBI NIH HHS HHSN268201100005CNHLBI NIH HHS HHSN268201100005GNHLBI NIH HHS HHSN268201100005INHLBI NIH HHS HHSN268201100006CNHLBI NIH HHS HHSN268201100006INHLBI NIH HHS R01 HL126130NHLBI NIH HHS R01HL126130WHI NIH HHS HHSN268201100002CWHI NIH HHS HHSN268201100003CWHI NIH HHS HHSN268201100004C
6 · The paper itself

Abstract

backgroundRecent publications have reported conflicting findings regarding associations of blood donor demographics and mortality of transfused patients. We hypothesized that the analysis of additional donor characteristics and consideration of alternative outcomes might provide insight into these disparate results. STUDY DESIGN AND

methodsWe analyzed data from a retrospective cohort of transfused patients from the Recipient Epidemiology and Donor Evaluation Study-III (REDS-III). We used stratified Cox regression models to estimate associations between blood donor characteristics and hospital mortality and posttransfusion length of stay among patients transfused red blood cell (RBC) units. Donor characteristics evaluated included age, body mass index, hemoglobin levels, and smoking status. The statistical analyses were adjusted for recipient factors, including total number of transfusions.

resultsWe studied 93,726 patients in 130,381 hospitalizations during which 428,461 RBC units were transfused. There were no associations between blood donor characteristics and hospital mortality. Receipt of RBC units from donors less than 20 years of age was associated with a shorter hospital length of stay (hazard ratio for discharge per transfused unit, 1.03; 95% confidence interval, 1.02-1.04; p < 0.001) but not for other donor characteristics.

conclusionWe found no evidence of associations between blood donor factors and in-hospital mortality. Our finding of shorter hospital length of stay in patients transfused RBCs from younger donors is intriguing but requires confirmation. Future collaborations are needed to develop a framework of appropriate methodologic approaches to be used in linked analyses across large cohorts.

Indexed as

Body Mass IndexErythrocyte TransfusionHospital MortalityLength of StaySmokingAgedAge FactorsBlood DonorsFemaleHumansMaleMiddle AgedProportional Hazards ModelsRetrospective Studies

Identifiers

PMID31602669
PMCPMC7029395

What OpenQuestion holds

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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.