Evidence map›Paper›PMID 40151072›Full record

Observational studyTransfusion2025

O blood usage trends in the pediatric population 2015-2019: A multi-institutional analysis.

K Annen, S Andani, G Bosma, D Abbott, S Arinsburg, F Nguyen, N Ibeh, K Nicol, P Hernandez, R Jackups and 7 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Transfusion, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

K AnnenChildren's Hospital Colorado, Aurora, Colorado, USA.
S AndaniUniversity of Colorado-Anschutz School of Medicine, Aurora, Colorado, USA.
G BosmaDepartment of Biostatistics and Informatics, Center for Innovative Design & Analysis (CIDA), Colorado School of Public Health, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0002-2397-2772
D AbbottDepartment of Biostatistics and Informatics, Center for Innovative Design & Analysis (CIDA), Colorado School of Public Health, Aurora, Colorado, USA.
S ArinsburgMount Sinai Health System, New York, New York, USA.ORCID https://orcid.org/0000-0002-0739-9152
F NguyenMount Sinai Health System, New York, New York, USA.ORCID https://orcid.org/0000-0003-0106-8114
N IbehMount Sinai Health System, New York, New York, USA.ORCID https://orcid.org/0000-0002-1230-1391
K NicolNationwide Children's, Columbus, Ohio, USA.
P HernandezWashington University School of Medicine, St. Louis, Missouri, USA.ORCID https://orcid.org/0000-0002-7340-3631
R JackupsWashington University School of Medicine, St. Louis, Missouri, USA.
M DelaneyNational Children's, Washington, DC, USA.ORCID https://orcid.org/0000-0003-1089-5787
B BaharNational Children's, Washington, DC, USA.
Y MoNational Children's, Washington, DC, USA.
B AlexanderUTSW Medical Center and Children's Health Dallas, Dallas, Texas, USA.
D K NolandUTSW Medical Center and Children's Health Dallas, Dallas, Texas, USA.
T E WongOregon Heath and Sciences University, Portland, Oregon, USA.
J AndrewsVanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0002-3801-4198

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Colorado Clinical and Translational Sciences Institute (CCTSI)UM1TR004399 · NCATS · UNIVERSITY OF COLORADO DENVER · PI JANINE A HIGGINS, RONALD J. SOKOL · 2023 to 2026
$30.7M
NCATS NIH HHS UL1 TR002535NCATS NIH HHS UM1 TR004399
6 · The paper itself

Abstract

backgroundIn 2019, AABB released the bulletin "Recommendations on the Use of Group O Red Blood Cells" in which the recommendations about pediatric and neonatal blood transfusions were limited. Eight U.S. pediatric hospitals sought to determine trends in pediatric group O blood use and clarify which pediatric populations receive group O blood transfusions despite a non-group O blood type. STUDY DESIGN AND

methodsEight U.S.-based institutions serving a pediatric population provided data from their respective Electronic Health Records. Data submitted included unit blood type, patient blood type, patient age, sex, and discharge diagnosis. If the discharge diagnosis was not available, the admitting diagnosis was substituted. GPT-4 was used to sort diagnoses into categories for analysis. Data were visualized using a series of alluvial plots, spaghetti plots, and tables. Tables were stratified on variables of interest (blood type, age, sex, diagnosis) to explore O blood type distribution among different patient populations.

resultsA total of 142,227 discrete transfusion events were identified, of which 52,731 recipients were non-O blood type. Overall, 35,575 transfusion events of O blood went to A, B, or AB blood type recipients (67%). Additionally, 26% of Rh(D) negative transfusion events went to recipients who were Rh(D) positive. Top diagnostic categories for receiving O blood type were cardiovascular disorders (22%) and sickle cell anemia (15%). DISCUSSION: This study highlights opportunities to address O blood supply challenges by identifying where non-O blood may be utilized safely in the vulnerable pediatric population.

Indexed as

ABO Blood-Group SystemBlood TransfusionAdolescentChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleUnited StatesABO Blood-Group SystemneonateO blood typepediatricssickle cell diseasetransfusion

Identifiers

PMID40151072
PMCPMC12057999

What OpenQuestion holds

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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.