Evidence map›Paper›PMID 40208213›Full record

ArticleTransfusion2025

An agnostic study of donor and component factors associated with transfusion-related changes in laboratory markers.

Lucas D Ekström, Mark Clements, Nareg Roubinian, Jingcheng Zhao, Torsten Dahlén, Michael P Busch, Gustaf Edgren

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
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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

7 authors.

Lucas D EkströmDepartment of Medicine Solna, Clinical Epidemiology Division, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-0377-6002
Mark ClementsDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Nareg RoubinianKaiser Permanente Division of Research, Pleasanton, California, USA.
Jingcheng ZhaoDepartment of Medicine Solna, Clinical Epidemiology Division, Karolinska Institutet, Stockholm, Sweden.
Torsten DahlénDepartment of Medicine Solna, Clinical Epidemiology Division, Karolinska Institutet, Stockholm, Sweden.
Michael P BuschVitalant Research Institute, San Francisco, California, USA.
Gustaf EdgrenDepartment of Medicine Solna, Clinical Epidemiology Division, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-2198-4745

Funding

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 R01 HL126130
6 · The paper itself

Abstract

backgroundDonor and red blood cell (RBC) component factors may affect patient outcomes after RBC transfusions, but data on the magnitude and consequences of these associations are limited. STUDY DESIGN AND

methodsIn this retrospective cohort study, we analyzed associations between 10 donor and component factors-including donor age, hemoglobin, parity, sex, and component storage time-and changes in 55 clinical laboratory markers measured within 24 h before and after RBC transfusions. Primary analyses used data from the Swedish SCANDAT3-S database, with findings replicated in the U.S. REDS-III database. The primary outcome was the transfusion-related change in pre- and post-transfusion values of the laboratory markers, normalized per RBC unit transfused.

resultsAfter adjusting for the false discovery rate, 33 significant associations were identified, with 20 replicated in the SCANDAT replication sample or the REDS-III cohort after Bonferroni corrections, and 18 remaining after visual assessment. Higher donor hemoglobin concentration consistently led to greater increases in recipient hemoglobin and measures of RBC mass. Extended component storage times were associated with elevated recipient bilirubin and carboxyhemoglobin levels. Differences in recipient hemoglobin response between the SCANDAT3-S and REDS-III cohorts suggest potential variations in transfusion efficacy across populations and practices. DISCUSSION: These findings suggest that considering donor hemoglobin and RBC component storage duration could enhance transfusion efficacy, providing avenues for personalized transfusion strategies to improve patient outcomes.

Indexed as

Blood DonorsErythrocyte TransfusionAdultAgedBiomarkersFemaleHemoglobinsHumansMaleMiddle AgedRetrospective StudiesBiomarkersHemoglobinsblood managementdonorsRBC transfusion

Identifiers

PMID40208213
PMCPMC12088316

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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.