Evidence map›Paper›PMID 35366803›Full record

Observational studyBMC anesthesiology2022

ABO and RhD blood group are not associated with mortality and morbidity in critically ill patients; a multicentre observational study of 29 512 patients.

Thomas Kander, Martin F Bjurström, Attila Frigyesi, Magnus Jöud, Caroline U Nilsson

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC anesthesiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Observational
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

5 authors at 2 institutions in 1 country.

Thomas KanderAnaesthesia & Intensive Care, Department of Clinical Sciences, Lund University, Skåne University Hospital, Entrégatan 7, 222 42, Lund, Sweden. thomas.kander@med.lu.se.
Martin F BjurströmAnaesthesia & Intensive Care, Department of Clinical Sciences, Lund University, Skåne University Hospital, Entrégatan 7, 222 42, Lund, Sweden.
Attila FrigyesiAnaesthesia & Intensive Care, Department of Clinical Sciences, Lund University, Skåne University Hospital, Entrégatan 7, 222 42, Lund, Sweden.
Magnus JöudClinical Immunology and Transfusion Medicine, Laboratory Medicine, Office for Medical Services, Region Skåne, Lund, Sweden.
Caroline U NilssonAnaesthesia & Intensive Care, Department of Clinical Sciences, Lund University, Skåne University Hospital, Entrégatan 7, 222 42, Lund, Sweden.
Skåne University Hospital · SELund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ABO and RhD blood group represent antigens on the surface of erythrocytes. The ABO blood group antigens are also present on multiple other cells. Interestingly, previous studies have demonstrated associations between the blood group and many types of disease. The present study aimed to identifying associations between the ABO blood group, the RhD blood group, and morbidity and mortality in a mixed cohort and in six pre-defined subgroups of critically ill patients.

methodsAdult patients admitted to any of the five intensive care units (ICUs) in the Scania Region, Sweden, between February 2007 and April 2021 were eligible for inclusion. The outcomes were mortality analysed at 28- and 90-days as well as at the end of observation and morbidity measured using days alive and free of (DAF) invasive ventilation (DAF ventilation) and DAF circulatory support, including vasopressors or inotropes (DAF circulation), maximum Sequential Organ Failure Assessment score (SOFAmax) the first 28 days after admission and length of stay. All outcomes were analysed in separate multivariable regression models adjusted for age and sex. In addition, in a sensitivity analysis, five subgroups of patients with the main diagnoses sepsis, septic shock, acute respiratory distress syndrome, cardiac arrest and trauma were analysed using the same separate multivariable regression models.

resultsIn total, 29,512 unique patients were included in the analyses. There were no significant differences for any of the outcomes between non-O blood groups and blood group O, or between RhD blood groups. In the sensitivity analysis of subgroups, there were no differences in mortality between non-O blood groups and blood group O or between the RhD blood groups. AB was the most common blood group in the COVID-19 cohort.

conclusionsThe ABO and RhD blood group do not influence mortality or morbidity in a general critically ill patient population.

Indexed as

COVID-19Critical IllnessABO Blood-Group SystemAdultHumansIntensive Care UnitsMorbidityABO Blood-Group SystemABO blood groupBlood group antigenCritical careEpidemiologyIntensive careMorbidityMortalityRhD blood group

Identifiers

PMID35366803
PMCPMC8976170
OpenAlexW4226109927

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.