Evidence map›Paper›PMID 40187235›Full record

ArticleClinics (Sao Paulo, Brazil)2025

The effect of the leukoreduction filtration moment on the clinical outcome of transfused patients: A retrospective cohort study.

Natasha Dejigov Monteiro da Silva, Lilia de Souza Nogueira, Youko Nukui, Cesar de Almeida-Neto

Abstract read
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Article in Clinics (Sao Paulo, Brazil), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Natasha Dejigov Monteiro da SilvaEscola de Enfermagem da Universidade de São Paulo (EEUSP), São Paulo, SP, Brazil; Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil. Electronic address: natasha.dejigov@hc.fm.usp.br.
Lilia de Souza NogueiraEscola de Enfermagem da Universidade de São Paulo (EEUSP), São Paulo, SP, Brazil.
Youko NukuiHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil.
Cesar de Almeida-NetoFundação Pró-Sangue Hemocentro de São Paulo, São Paulo, SP, Brazil; Disciplina de Ciências Médicas, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. Electronic address: cesarnt@prosangue.sp.gov.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLeukoreduction is performed to decrease the occurrence of adverse effects of transfusion, and can be performed by pre-storage (bench or in-line) or post-storage filtration (bedside) moment. The authors verified the effect of the leukoreduction filtration moment of Red Blood Cell (RBC) and Platelet Concentrate (PC) on the occurrence of Adverse Transfusion Reactions (ATRs), the presence of Healthcare-Associated Infections (HAIs), Length of Hospital Stay (LOS), and hospital death.

methodsRetrospective cohort conducted at the Hospital das Clínicas of the Medicine Faculty of the University of São Paulo, and at the Fundação Pró-Sangue Hemocentro in São Paulo, Brazil. Adult patients, hospitalized for >24 hours, who received leukoreduced RBC and/or PC transfusion between 2017‒2020 were included. The generalized mixed effects model and the Wald test were applied in the analysis with a significance level of 5 %.

resultsThe authors evaluated 3668 patients who received 23,782 transfusions and we found no evidence of a leukoreduction filtration moment effect for ATR (p = 0.991) or HAI (p = 0.982), regardless of the transfused blood component. Meanwhile, the leukoreduction filtration moment had an effect (p < 0.001) on LOS, depending on the blood component transfused (p = 0.023), with pre-storage RBC filtration showing better performance, while in-line filtration stood out for PC. Both the leukoreduction filtration moment and the blood component (p = 0.041) influenced hospital death, with emphasis on the protective effect of bench RBC filtration and pre-storage PC filtration.

conclusionThe leukoreduction filtration moment associated with the blood component had an effect on the LOS and hospital death of patients undergoing transfusion.

Indexed as

Erythrocyte TransfusionLeukocyte Reduction ProceduresPlatelet TransfusionTransfusion ReactionAdultAgedBrazilFemaleFiltrationHospital MortalityHumansLength of StayMaleMiddle AgedRetrospective StudiesTime FactorsBlood transfusionClinical evolution, BrazilLeukocyte reduction proceduresTransfusion reaction

Identifiers

PMID40187235
PMCPMC12013718

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