Evidence map›Paper›PMID 40012124›Full record

ArticleTransfusion2025

Blood donor SARS-CoV-2 infection or vaccination and adverse outcomes in plasma and platelet transfusion recipients.

Nareg H Roubinian, John Greene, Bryan R Spencer, Marjorie Bravo, Roberta Bruhn, Paula Saa, Mars Stone, Brian Custer, Steve Kleinman, Vincent X Liu and 3 more

Abstract read
In one paragraph

Article in Transfusion, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

13 authors.

Nareg H RoubinianKaiser Permanente Northern California Division of Research, Pleasanton, California, USA.ORCID https://orcid.org/0000-0002-1063-6155
John GreeneKaiser Permanente Northern California Division of Research, Pleasanton, California, USA.ORCID https://orcid.org/0000-0002-0859-6828
Bryan R SpencerAmerican Red Cross, Scientific Affairs, Dedham, Massachusetts, USA.ORCID https://orcid.org/0000-0002-9008-9154
Marjorie BravoVitalant, Scottsdale, Arizona, USA.
Roberta BruhnVitalant Research Institute, San Francisco, California, USA.
Paula SaaAmerican Red Cross, Scientific Affairs, Derwood, Maryland, USA.
Mars StoneVitalant Research Institute, San Francisco, California, USA.
Brian CusterVitalant Research Institute, San Francisco, California, USA.ORCID https://orcid.org/0000-0001-6251-366X
Steve KleinmanUniversity of British Columbia, Vancouver, British Columbia, Canada.
Vincent X LiuKaiser Permanente Northern California Division of Research, Pleasanton, California, USA.
Philip J NorrisVitalant Research Institute, San Francisco, California, USA.ORCID https://orcid.org/0000-0003-0526-2088
Michael P BuschVitalant Research Institute, San Francisco, California, USA.
NHLBI Recipient Epidemiology and Donor Evaluation Study‐IV‐P (REDS‐IV)

Funding

(REDS-IV-P) RECIPIENT EPIDEMIOLOGY AND DONOR EVALUATION STUDY IV-DATA75N92019D00032 · NHLBI · WESTAT, INC. · PI CHAPMAN, KATHY · 2019 to 2025
$19.6M
REDS-IV-P - CENTER FOR TRANSFUSION LABORATORY STUDIES (CTLS) - SARS-CoV-2/COVID-19 STUDIES75N92019D00033 · NHLBI · VITALANT · PI NORRIS, PHILIP J. · 2019 to 2024
$15.6M
Effects of blood conservation and donor characteristics on transfused patient outcomes in a large community hospital networkR01HL126130 · NHLBI · VITALANT · PI ROUBINIAN, NAREG · 2016 to 2019
$1.9M
NHLBI NIH HHS 75N92019D00032NHLBI NIH HHS 75N92019D00033NHLBI NIH HHS HHSN 75N92019D00032NHLBI NIH HHS HHSN 75N92019D00033NHLBI NIH HHS R01 HL126130
6 · The paper itself

Abstract

backgroundDespite data supporting the safety of SARS-CoV-2 vaccination, concerns regarding the receipt of blood products from donors previously infected or vaccinated against SARS-CoV-2 persist. We assessed whether transfusions of plasma or platelet products from donors with prior SARS-CoV-2 infection or vaccination were associated with adverse outcomes in patients without COVID-19.

methodsWe linked donor SARS-CoV-2 spike and nucleocapsid antibody data and vaccination history to blood products transfused between June 1, 2020 and March 31, 2022. We used logistic regression, adjusting for demographics and comorbidities, to calculate odds ratios and 95% confidence intervals (CI) for posttransfusion thrombosis, increased respiratory requirement, and hospital mortality. Outcomes were assessed as per transfused unit from previously infected or vaccinated donors compared to units from uninfected or unvaccinated donors.

resultsAmong 8715 hospitalizations of 7773 transfusion recipients linked to donor SARS-CoV-2 antibody data, there were 251 thromboses, 700 hospitalizations with increased respiratory requirements, and 1443 deaths. Among 15,167 transfused plasma units, 4993 and 1106 were from vaccinated donors and previously infected donors, respectively. Among 19,295 transfused platelet units, 8530 and 1368 were from vaccinated and previously infected donors, respectively. There were no associations between the transfusion of blood products from vaccinated or previously infected donors and thrombosis, increased respiratory requirements, or hospital mortality (all CI including 1). Nor were there associations between the receipt of blood products from recently infected or vaccinated donors or high SARS-CoV-2 antibody titers and adverse outcomes. DISCUSSION: Donor SARS-Cov-2 infection and vaccination were not associated with adverse patient outcomes and do not need to be considered in blood allocation.

Indexed as

Blood Component TransfusionBlood DonorsCOVID-19COVID-19 VaccinesPlasmaPlatelet TransfusionSARS-CoV-2VaccinationAdultAgedAntibodies, ViralFemaleHospital MortalityHumansMaleMiddle AgedAntibodies, ViralCOVID-19 VaccinesFFP transfusionplatelet transfusiontransfusion complications‐non infectious

Identifiers

PMID40012124
PMCPMC12097843

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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.