Evidence map›Paper›PMID 35045272›Full record

Trial reportAnnals of the American Thoracic Society2022

Transfusion-related Acute Lung Injury: 36 Years of Progress (1985-2021).

Pearl Toy, Mark R Looney, Mark Popovsky, Miodrag Palfi, Gösta Berlin, Catherine E Chapman, Paula Bolton-Maggs, Michael A Matthay

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of the American Thoracic Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Review
  6. Mouse Models of Transfusion-Related Acute Lung Injury (TRALI).Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Observational
  14. Article
  15. Article
  16. 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

8 authors at 4 institutions in 4 countries.

Pearl ToyDepartment of Laboratory Medicine.
Mark R LooneyDepartment of Laboratory Medicine.
Mark PopovskyVelico Medical, Beverly, Massachusetts.
Miodrag PalfiDepartment of Clinical Immunology and Transfusion Medicine and.
Gösta BerlinDepartment of Clinical Immunology and Transfusion Medicine and.
Catherine E ChapmanNHS Blood and Transplant, Holland Drive, Newcastle-upon-Tyne, United Kingdom; and.
Paula Bolton-MaggsSerious Hazards of Transfusion, Manchester Blood Center, Plymouth Grove, Manchester, United Kingdom.
Michael A MatthayDepartment of Medicine.
Linköping University · SEBeverly Hospital · USCardiovascular Institute Hospital · JPNHS Blood and Transplant · GB

Funding

Immunobiology of the normal and injured lungR35HL161241 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MARK ROBERTS LOONEY · 2022 to 2026
$4.2M
National Institutes of Health (NIH), National Heart, Lung, and Blood Institute (NHLBI) SCCOR on TRALI NIH P50 HL08102NHLBI NIH HHS R35 HL161241NIH, NHLBI HL138673
6 · The paper itself

Abstract

The term transfusion-related acute lung injury (TRALI) was coined in 1985 to describe acute respiratory distress syndrome (ARDS) after transfusion, when another ARDS risk factor was absent; TRALI cases were mostly associated with donor leukocyte antibody. In 2001, plasma from multiparous donors was implicated in TRALI in a randomized controlled trial in Sweden. In 2003 and in many years thereafter, the U.S. Food and Drug Administration reported that TRALI was the leading cause of death from transfusion in the United States. In 2003, the United Kingdom was the first among many countries to successfully reduce TRALI using male-predominant plasma. These successes are to be celebrated. Nevertheless, questions remain about the mechanisms of non-antibody TRALI, the role of blood products in the development of ARDS in patients receiving massive transfusion, the causes of unusual TRALI cases, and how to reduce inaccurate diagnoses of TRALI in clinical practice. Regarding the latter, a study in 2013-2015 at 169 U.S. hospitals found that many TRALI diagnoses did not meet clinical definitions. In 2019, a consensus panel established a more precise terminology for clinical diagnosis: TRALI type I and TRALI type II are cases where transfusion is the likely cause, and ARDS are cases where transfusion is not the likely cause. For accurate diagnosis using these clinical definitions, critical care or pulmonary expertise is needed to distinguish between permeability versus hydrostatic pulmonary edema, to determine whether an ARDS risk factor is present, and, if so, to determine whether respiratory function was stable within the 12 hours before transfusion.

Indexed as

Pulmonary EdemaRespiratory Distress SyndromeTransfusion ReactionTransfusion-Related Acute Lung InjuryBlood TransfusionHumansMaleblood transfusionpulmonary edemarespiratory distress syndrometransfusion reactiontransfusion-related acute lung injury

Identifiers

PMID35045272
PMCPMC9116340
OpenAlexW4205235479

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.