Evidence map›Paper›PMID 33649761›Full record

ArticleBlood2021

Impacts of ABO-incompatible platelet transfusions on platelet recovery and outcomes after intracerebral hemorrhage.

Jessica Magid-Bernstein, Charles B Beaman, Fernanda Carvalho-Poyraz, Amelia Boehme, Eldad A Hod, Richard O Francis, Mitchell S V Elkind, Sachin Agarwal, Soojin Park, Jan Claassen and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.3field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 39 citations in OpenAlex.

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  6. DoTropical medicine and infectious disease · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 2 countries.

Jessica Magid-BernsteinDepartment of Neurology, Vagelos College of Physicians and Surgeons.ORCID 0000-0001-6506-6017
Charles B BeamanDepartment of Neurology, Vagelos College of Physicians and Surgeons.ORCID 0000-0001-5425-8849
Fernanda Carvalho-PoyrazDepartment of Neurology, Vagelos College of Physicians and Surgeons.
Amelia BoehmeDepartment of Neurology, Vagelos College of Physicians and Surgeons.
Eldad A HodDepartment of Pathology and Cell Biology, Vagelos College of Physicians and Surgeons, and.
Richard O FrancisDepartment of Pathology and Cell Biology, Vagelos College of Physicians and Surgeons, and.
Mitchell S V ElkindDepartment of Neurology, Vagelos College of Physicians and Surgeons.ORCID 0000-0003-2562-1156
Sachin AgarwalDepartment of Neurology, Vagelos College of Physicians and Surgeons.
Soojin ParkDepartment of Neurology, Vagelos College of Physicians and Surgeons.
Jan ClaassenDepartment of Neurology, Vagelos College of Physicians and Surgeons.ORCID 0000-0002-5893-8531
E Sander ConnollyDepartment of Neurological Surgery, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY.
David RohDepartment of Neurology, Vagelos College of Physicians and Surgeons.
Royal College of Physicians · GBNeurological Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute platelet transfusion after intracerebral hemorrhage (ICH) given in efforts to reverse antiplatelet medication effects and prevent ongoing bleeding does not appear to improve outcome and may be associated with harm. Although the underlying mechanisms are unclear, the influence of ABO-incompatible platelet transfusions on ICH outcomes has not been investigated. We hypothesized that patients with ICH who receive ABO-incompatible platelet transfusions would have worse platelet recovery (using absolute count increment [ACI]) and neurological outcomes (mortality and poor modified Rankin Scale [mRS 4-6]) than those receiving ABO-compatible transfusions. In a single-center cohort of consecutively admitted patients with ICH, we identified 125 patients receiving acute platelet transfusions, of whom 47 (38%) received an ABO-incompatible transfusion. Using quantile regression, we identified an association of ABO-incompatible platelet transfusion with lower platelet recovery (ACI, 2 × 103cells per μL vs 15 × 103cells per μL; adjusted coefficient β, -19; 95% confidence interval [CI], -35.55 to -4.44; P = .01). ABO-incompatible platelet transfusion was also associated with increased odds of mortality (adjusted odds ratio [OR], 2.59; 95% CI, 1.00-6.73; P = .05) and poor mRS (adjusted OR, 3.61; 95% CI, 0.97-13.42; P = .06); however, these estimates were imprecise. Together, these findings suggest the importance of ABO compatibility for platelet transfusions for ICH, but further investigation into the mechanism(s) underlying these observations is required.

Indexed as

Blood Group IncompatibilityPlatelet TransfusionABO Blood-Group SystemAgedBrain Damage, ChronicCerebral HemorrhageFemaleHematomaHospital MortalityHumansMaleMiddle AgedPlatelet Aggregation InhibitorsPlatelet CountProspective StudiesTreatment OutcomeABO Blood-Group SystemPlatelet Aggregation Inhibitors

Identifiers

PMID33649761
PMCPMC9635530
OpenAlexW3135254531

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.