Evidence map›Paper›PMID 41088951›Full record

ArticleTransfusion2025

Patient characteristics and clinical determinants of outpatient red cell transfusions.

Nora Hemesath, Daniel Fürst, Marianne Holl, Bianca Ries, Astrid Marx-Hofmann, Christine Kroll, Britta Höchsmann, Bernd Jahrsdörfer, Christof Weinstock, Hubert Schrezenmeier and 1 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 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

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

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

11 authors.

Nora HemesathInstitute for Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm and Institute of Transfusion Medicine, University of Ulm, Ulm, Germany.
Daniel FürstInstitute for Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm and Institute of Transfusion Medicine, University of Ulm, Ulm, Germany.ORCID https://orcid.org/0000-0001-9542-3169
Marianne HollInstitute for Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm and Institute of Transfusion Medicine, University of Ulm, Ulm, Germany.
Bianca RiesInstitute for Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm and Institute of Transfusion Medicine, University of Ulm, Ulm, Germany.
Astrid Marx-HofmannInstitute for Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm and Institute of Transfusion Medicine, University of Ulm, Ulm, Germany.
Christine KrollInstitute for Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm and Institute of Transfusion Medicine, University of Ulm, Ulm, Germany.
Britta HöchsmannInstitute for Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm and Institute of Transfusion Medicine, University of Ulm, Ulm, Germany.
Bernd JahrsdörferInstitute for Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm and Institute of Transfusion Medicine, University of Ulm, Ulm, Germany.
Christof WeinstockInstitute for Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm and Institute of Transfusion Medicine, University of Ulm, Ulm, Germany.ORCID https://orcid.org/0000-0001-9739-8948
Hubert SchrezenmeierInstitute for Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm and Institute of Transfusion Medicine, University of Ulm, Ulm, Germany.
Sixten KörperInstitute for Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen and University Hospital Ulm and Institute of Transfusion Medicine, University of Ulm, Ulm, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a knowledge gap in the outpatient transfusion practice of red blood cells (RBC) according to optimal trigger, dose, and interval as well as which patients are in need of outpatient transfusion. STUDY DESIGN AND

methodsThis single-center retrospective analysis investigates RBC transfusion practices in 804 patients with 5591 visits.

resultsBlood disorders and solid tumors were the primary indications for transfusion, accounting for 82% of RBC use. Median (interquartile range) pretransfusion hemoglobin (Hb) level was 7.5 (6.9;8.1)g/dL. Linear regression models revealed that Hb increased by 1.04 g/dL per unit transfused and identified the concomitant transfusion of platelets, male sex, higher height, weight, and lower pre-transfusion Hb level as negative factors for the increase in Hb. Factors that correlate with Hb decline after transfusion include lower reticulocytes, male sex, height, and concomitant platelet transfusion. A longer interval to next transfusion was associated with higher reticulocyte counts, higher pre-transfusion Hb levels and number of units transfused. According to our models, the potential for reducing the use of RBC through single-unit transfusions decreases with increasing height, concomitant platelet transfusions, and lower pretransfusion Hb levels and is going along with a shorter interval to next transfusion. Nonsevere adverse reactions occurred in ≤0.24% of transfusions.

conclusionThese results highlighted the effect of patient age, sex, Hb, height, and weight on outpatient RBC transfusion. These variables have to be considered in clinical practice and trials evaluating patient outcomes.

Indexed as

Ambulatory CareErythrocyte TransfusionAdultAgedFemaleHemoglobinsHumansMaleMiddle AgedOutpatientsRetrospective StudiesHemoglobinschronic anemiaoutpatientsred cell transfusion

Identifiers

PMID41088951
PMCPMC12618906

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Registered trials

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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.