Evidence map›Paper›PMID 36653173›Full record

ArticleArchives of disease in childhood. Fetal and neonatal edition2023

Survey of transfusion practices in preterm infants in Europe.

Alexandra Scrivens, Nora Johanna Reibel, Lisanne Heeger, Simon Stanworth, Enrico Lopriore, Helen V New, Christof Dame, Karin Fijnvandraat, Emöke Deschmann, Marta Aguar and 16 more

Open access · hybridAbstract read
In one paragraph

Article in Archives of disease in childhood. Fetal and neonatal edition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
9.0field-weighted citation impact, top 2% 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

21 citing papers in PubMed, 35 citations in OpenAlex.

  1. Plasma transfusion in neonatal sepsis.World journal of pediatrics : WJP · 2026
    Article
  2. Pre-transfusion platelet counts and bleeding in very low birth weight infants.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  3. Article
  4. Article
  5. Identifying barriers to complying with new restrictive NICU transfusion guidelines.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  6. Observational
  7. Plasma transfusions in neonatal intensive care units: a prospective observational study.Archives of disease in childhood. Fetal and neonatal edition · 2025
    Observational
  8. Article
  9. Review
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Review
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

26 authors at 20 institutions in 18 countries.

Alexandra ScrivensNewborn Care Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID http://orcid.org/0000-0002-3429-8007
Nora Johanna ReibelNeonatology, Charité Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-6412-4606
Lisanne HeegerNeonatology, Leiden University Medical Centre, Leiden, The Netherlands.
Simon StanworthDepartment of Haematology, National Health Service, Blood and Transplant, Oxford University Hopsitals NHS Foundation Trust, Oxford, UK.
Enrico LoprioreNeonatology, Leiden University Medical Centre, Leiden, The Netherlands.ORCID http://orcid.org/0000-0002-3513-5066
Helen V NewPaediatric Transfusion Medicine, National Health Service, Blood and Transplant, London, UK.
Christof DameNeonatology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Karin FijnvandraatSanquin Blood Supply Foundation, Amsterdam, The Netherlands.
Emöke DeschmannUniversity Hospital, Stockholm, Karolinska Institute, Stockholm, Sweden.
Marta AguarServicio de Neonatologia, University & Polytechnic Hospital La Fe, Valencia, Spain.
Kristin BrækkeWomen and Children's division, Department of Neonatal Intensive Care, Ullevål, Oslo University Hospital, Oslo, Norway.
Francesco Stefano CardonaDepartment of Pediatrics and Adolescent Medicine, Division of Neonatology, Intensive Care and Pediatric Neurology, Medical University of Vienna, Wien, Austria.ORCID http://orcid.org/0000-0002-9993-617X
Filip CoolsUniversitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Ryan FarrugiaPediatrics, Mater Dei Hospital, Msida, Malta.
Stefano GhirardelloNeonatal Intensive Care and Neonatology Unit, Department of Pediatrics, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Jana LozarNeonatology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Katarina MatasovaJessenius Faculty of Medicine in Martin, University Hospital Martin, Martin, Slovakia.
Tobias MuehlbacherNeonatology, University Hospital Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0001-8661-9645
Ulla SankilampiDepartment of Pediatrics, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.
Henrique SoaresNeonatology, Centro Hospitalar Universitário de São João, Porto, Portugal.
Miklos SzaboDivision of Neonatology 1st Department of Pediatrics, Semmelweis University, Budapest, Hungary.
Tomasz SzczapaII Department of Neonatology, Neonatal Biophysical Monitoring and Cardiopulmonary Therapies Research Unit, Poznan University of Medical Sciences, Poznan, Poland.
Gabriela ZaharieNeonatology, University of Medicine and Pharmacy Iuliu Hatieganu Cluj, Cluj Napoca, Romania.
Charles Christoph RoehrNational Perinatal Epidemiology Unit, Clinical Trials Unit, Oxford Population Health, Medical Sciences Division, University of Oxford, Oxford, UK charles.roehr@npeu.ox.ac.uk.ORCID http://orcid.org/0000-0001-7965-4637
Suzanne Fustolo-GunninkSanquin Blood Supply Foundation, Amsterdam, The Netherlands.
Neonatal Transfusion Network
Charité - Universitätsmedizin Berlin · DELeiden University · NLNational Health Service · GBHospital de São João · PTHospital Universitari i Politècnic La Fe · ESIuliu Hațieganu University of Medicine and Pharmacy · ROKarolinska University Hospital · SELeiden University Medical Center · NLLjubljana University Medical Centre · SIMartin University Hospital · SKMater Dei Hospital · MTMedical University of Vienna · ATNorth Bristol NHS Trust · GBOslo University Hospital · NOOxford University Hospitals NHS Trust · GBPoliclinico San Matteo Fondazione · ITPoznan University of Medical Sciences · PLSanquin · NLSemmelweis University · HUUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreterm infants commonly receive red blood cell (RBC), platelet and fresh frozen plasma (FFP) transfusions. The aim of this Neonatal Transfusion Network survey was to describe current transfusion practices in Europe and to compare our findings to three recent randomised controlled trials to understand how clinical practice relates to the trial data.

methodsFrom October to December 2020, we performed an online survey among 597 neonatal intensive care units (NICUs) caring for infants with a gestational age (GA) of <32 weeks in 18 European countries.

resultsResponses from 343 NICUs (response rate: 57%) are presented and showed substantial variation in clinical practice. For RBC transfusions, 70% of NICUs transfused at thresholds above the restrictive thresholds tested in the recent trials and 22% below the restrictive thresholds. For platelet transfusions, 57% of NICUs transfused at platelet count thresholds above 25×10

conclusionsTransfusion thresholds and aspects of administration vary widely across European NICUs. In general, transfusion thresholds used tend to be more liberal compared with data from recent trials supporting the use of more restrictive thresholds. Further research is needed to identify the barriers and enablers to incorporation of recent trial findings into neonatal transfusion practice.

Indexed as

Blood TransfusionInfant, PrematureErythrocyte TransfusionHemorrhageHumansInfantInfant, NewbornIntensive Care Units, NeonatalPlatelet Transfusionchild healthdata collectionepidemiologyhealthcare disparitiesneonatology

Identifiers

PMID36653173
PMCPMC10314003
OpenAlexW4317390048

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.