Evidence map›Paper›PMID 39664460›Full record

ArticleTransfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie2024

Erythrocyte Alloimmunization and Autoimmunization in the Pediatric Population: A Multicenter, Cross-Sectional Study in Central China.

Yongjun Wang, Yuanqing Yang, Zhengfeng Li, Wei Li, Hongbin Hu, Ding Zhao

Abstract read
In one paragraph

Article in Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yongjun WangDepartment of Blood Transfusion, The Second Xiangya Hospital, Central South University, Changsha, China.
Yuanqing YangDepartment of Blood Transfusion, The Second Xiangya Hospital, Central South University, Changsha, China.
Zhengfeng LiDepartment of Blood Transfusion, Huazhong University of Science and Technology, Tongji Medical College Affiliated to Wuhan Children's Hospital, Wuhan Women and Children Medical Care Center, Wuhan, China.
Wei LiDepartment of Blood Transfusion, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou, China.
Hongbin HuDepartment of Blood Transfusion, Huazhong University of Science and Technology, Tongji Medical College Affiliated to Wuhan Children's Hospital, Wuhan Women and Children Medical Care Center, Wuhan, China.
Ding ZhaoDepartment of Blood Transfusion, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Erythrocyte alloantibodies and autoantibodies complicate transfusion. However, the prevalence of erythrocyte alloimmunization and autoimmunization has not been estimated in the Chinese pediatric population. Therefore, we investigated the prevalence of erythrocyte alloimmunization and autoimmunization in the Chinese pediatric population with the aim of developing a reasonable transfusion management policy in children from China. Methods: This study included 30,603 pediatric inpatients who were admitted to three tertiary hospitals in central China from May 2020 to October 2022. Antibody screening was carried out with a three-cell panel by column agglutination technology, and samples with positive screening were analyzed for antibody specificity with a 16-cell identification panel. Clinical details of the patients were collected to identify associations with antibody formation. Results: The alloimmunization rate was 0.55% (169/30,603), and the autoimmunization rate was 0.14% (43/30,603). Alloantibodies comprised 80.09% of the antibodies. The most frequent alloantibodies were anti-M (58.77%), anti-E (9.48%), and anti-P1 (4.27%). Autoantibodies comprised 19.91% of antibodies. Age ( Conclusion: Repeat pre-transfusion testing for infants less than 4 months of age can be omitted for no risk of antibody formation. MNS system antibodies, especially anti-M, are prominent in younger children, and this decreases with age. Provision of extended phenotype-matched transfusion for Rh system antigens, especially antigen E, is necessary in children to control erythrocyte alloimmunization. The presence of antibodies with high evanescence rates in the pediatric population suggests the pressing need for nationwide shared transfusion records to avoid hemolytic transfusion reactions in children.

Indexed as

Erythrocyte alloimmunizationErythrocyte autoimmunizationPediatric population

Identifiers

PMID39664460
PMCPMC11630902

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