Evidence map›Paper›PMID 40877907›Full record

ArticleAmerican journal of clinical pathology2025

History matters: Preventing severe allergic transfusion reactions.

Edina A Wappler-Guzzetta, Asad Shafiq, Umaima Asad, Tushar Chakravarty, Elena G Nedelcu

Abstract read
In one paragraph

Article in American journal of clinical pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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

5 authors.

Edina A Wappler-GuzzettaDepartment of Laboratory Medicine, University of California San Francisco, San Francisco, CA, United States.
Asad ShafiqCollege of Business and Economics, California State University Fullerton, Fullerton, CA, United States.
Umaima AsadCentennial High School, Corona, CA, United States.
Tushar ChakravartyDepartment of Pathology and Laboratory Medicine, University of California San Francisco, San Francisco, CA, United States.
Elena G NedelcuDepartment of Laboratory Medicine, University of California San Francisco, San Francisco, CA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrior studies have shown that pretransfusion medication is not effective in preventing allergic transfusion reactions (ATRs), but these studies did not consider the patient's history of ATR. This study evaluated whether pretransfusion antiallergy medications decrease the chance of ATRs in patients with a history of severe ATR.

methodsThis single-center, retrospective study investigated the effect of pretransfusion medications on preventing ATRs in patients with a history of at least 1 severe ATR between March 2018 and January 2024. Patient demographics as well as clinical and transfusion reaction data were collected from our electronic health record (EHR) system. Data were analyzed using SPSS (IBM Corp) and machine learning in Python, version 3.12.4.

resultsIn our cohort, 53 patients aged 5 weeks to 94 years with 2767 analyzable transfusion encounters had experienced 88 lifelong mild and severe ATRs. Premedication (P = .021), regular antiallergy medication (P < .001), and washing/volume reduction (P = .032) were associated with a statistically significantly lower chance of developing ATRs in our patient population.

conclusionsPatients with at least 1 severe ATR benefit from pretransfusion administration of antiallergy medications.

Indexed as

Anti-Allergic AgentsHypersensitivityTransfusion ReactionAdolescentAdultChildChild, PreschoolElectronic Health RecordsFemaleHumansInfantMachine LearningMaleMiddle AgedRetrospective StudiesTreatment OutcomeAnti-Allergic Agentsallergic transfusion reactionspretransfusion medicationsretrospective study

Identifiers

PMID40877907
PMCPMC12495513

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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.