Evidence map›Paper›PMID 36194042›Full record

Observational studyTransfusion2022

Transfusion-associated hyperkalemia in pediatric population: Analyses for risk factors and recommendations.

Chisa Yamada, Maureen F Edelson, Angela C Lee, Nabiha H Saifee, Ivo D Dinov

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Transfusion, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. 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

5 authors at 5 institutions in 1 country.

Chisa YamadaDepartment of Pathology, Division of Transfusion Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-1968-2385
Maureen F EdelsonBlood Bank and Stem Cell Processing Laboratory, Nemours Children's Hospital, Wilmington, Delaware, USA.
Angela C LeeDivision of Anesthesiology, Pain and Perioperative Medicine, Children's National Hospital, George Washington University School of Medicine & Health Sciences, Washington, DC, USA.ORCID 0000-0003-3417-1310
Nabiha H SaifeeDepartment of Pathology and Laboratory Medicine, Division of Transfusion Medicine, Seattle Children's and University of Washington, Seattle, Washington, USA.ORCID 0000-0003-1646-9201
Ivo D DinovStatistics Online Computational Resource, Department of Health Behavior and Biological Sciences, Department of Computational Medicine and Bioinformatics, Precision Health, University of Michigan, Ann Arbor, Michigan, USA.
Community Health Systems - Dupont Hospital · USGeorge Washington University · USMichigan Medicine · USSeattle Children's Hospital · USUniversity of Michigan · US

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
COVID-19 supplement to a computational examination of threat and reward constructs in a predominantly low-income, longitudinal sample at increased risk for internalizing disordersR01MH121079 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HYDE, LUKE WILLIAMSON, MITCHELL, COLTER M.S. · 2019 to 2024
$7.2M
Digital behavioral phenotyping and multi-region electrophysiology to determine behavioral and neural network changes underlying the stress response in miceR01MH126137 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WATSON, BRENDON O · 2021 to 2025
$3.3M
Biomedical Informatics and Data Science Training Program (BIDS-TP)T32GM141746 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Ivo D Dinov, RYAN E MILLS · 2021 to 2026
$2.6M
Optimal Decision Making in Radiotherapy Using Panomics AnalyticsR01CA233487 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI EL NAQA, ISSAM M. · 2019 to 2023
$2.4M
Pilot Projects CoreP20NR015331 · NINR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LARSON, JANET L. · 2014 to 2018
$1.3M
NCATS NIH HHS UL1 TR002240NCI NIH HHS R01 CA233487NIGMS NIH HHS T32 GM141746NIMH NIH HHS R01 MH121079NIMH NIH HHS R01 MH126137NINR NIH HHS P20 NR015331
6 · The paper itself

Abstract

backgroundTransfusion-associated hyperkalemia (TAH) is a potentially life-threatening complication of red blood cell (RBC) transfusion. Previously, we reported features of RBC transfusions from 35 pediatric patients (TAH group) who had hyperkalemia with RBC transfusion in one-year period at four facilities. In this study, we used multivariate analyses and artificial intelligence to compare the TAH group to newly collected control group (non-TAH group) to identify factors associated with TAH occurrence. STUDY

designA review of RBC transfusion with TAH was compared to non-TAH group who did not develop TAH with RBC transfusion at each facility during the same one-year period. The non-TAH group included 12 patients each in 5 age groups. Wilcoxon rank-sum tests recursive feature elimination, least absolute shrinkage, and selection operator (LASSO), and other artificial intelligence techniques were employed to identify the most salient features associated with predicting specific clinical outcomes for TAH occurrence. RESULTS/

findingsPre-transfusion creatinine, comorbidities of kidney and/or liver dysfunctions, and total transfused volume within 12 h (tV-12) per kg and per estimated total blood volume (eTBV) showed statistically significant differences between TAH and non-TAH groups. Multivariate analysis revealed the biggest factor in TAH occurrence was tV-12/kg followed by age of RBC units. The thresholds of risks were tV-12/kg of 30 ml/kg, tV-12/eTBV of 30%, and RBC unit age of 7.95 days.

conclusionsThe study findings suggest that the biggest factor on TAH occurrence is tV-12/kg. More importantly, 30% of eTBV transfusion could cause TAH in patients with multiple comorbidities.

Indexed as

Artificial IntelligenceChildHumansInfant, NewbornRisk Factors

Identifiers

PMID36194042
PMCPMC9742194
OpenAlexW4301391407

What OpenQuestion holds

Textmetadata
LicenceTDM
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.