Evidence map›Paper›PMID 36553244›Full record

ArticleChildren (Basel, Switzerland)2022

Blood Lost: A Retrospective Review of Blood Wastage from a Massive Transfusion Protocol in a Tertiary Paediatric Hospital.

Debbra Chong, Joyce Ching Mei Lam, Xun Yi Jasmine Feng, Mui Ling Heng, Yee Hui Mok, Li-Wei Chiang, Kee Chong Ng, Yong-Kwang Gene Ong

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

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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.

Debbra ChongHaematology Oncology Service, Department of Paediatric Subspecialties, KK Women's and Children's Hospital, Singapore 229899, Singapore.
Joyce Ching Mei LamHaematology Oncology Service, Department of Paediatric Subspecialties, KK Women's and Children's Hospital, Singapore 229899, Singapore.ORCID 0000-0001-9368-4752
Xun Yi Jasmine FengDepartment of Emergency Medicine, KK Women's and Children's Hospital, Singapore 229899, Singapore.
Mui Ling HengDepartment of Pathology and Laboratory Medicine, KK Women's and Children's Hospital, Singapore 229899, Singapore.
Yee Hui MokChildren's Intensive Care Unit, Department of Paediatric Subspecialties, KK Women's and Children's Hospital, Singapore 229899, Singapore.
Li-Wei ChiangDepartment of Paediatric Surgery, KK Women's and Children's Hospital, Singapore 229899, Singapore.
Kee Chong NgDepartment of Emergency Medicine, KK Women's and Children's Hospital, Singapore 229899, Singapore.
Yong-Kwang Gene OngDepartment of Emergency Medicine, KK Women's and Children's Hospital, Singapore 229899, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe paediatric massive transfusion protocol (MTP) is activated in the paediatric population for both trauma and non-trauma related indications. While it helps to improve the efficiency and efficacy of the delivery of blood products, it can also result in increased wastage. We aimed to evaluate the wastage rates from our paediatric MTP activations from 2013 to 2018.

methodAs part of an audit, we retrospectively reviewed the records of the paediatric patients who had MTP activations. We collected the following data: reason for MTP activation, weight of patient, number of cycles of MTP required, blood products used, blood products wasted, deviation from our institution's recommended MTP blood product ratio, and reason for wastage.

resultWe had 26 paediatric MTP activations within the audit period. There was an overall wastage rate of 1.5%, with wastage occurring in 3 out of 26 patients. The reason for all wastage was demise of the patient. Most patients' transfusion ratios deviated from our institution's MTP protocol.

conclusionOur wastage rates are low likely because of clear MTP activation guidelines and a flexible MTP workflow.

Indexed as

massive transfusionwastage

Identifiers

PMID36553244
PMCPMC9777499

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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.