Evidence map›Paper›PMID 41318795›Full record

ArticlePediatric research2026

Association of blood component transfusions with neurodevelopmental impairment in preterm infants by gestational age.

Soon Sung Kwon, Seung Hwan Baek, Jeong Eun Shin, In-Kyu Song, Hoseon Eun, Sinyoung Kim

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Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Soon Sung Kwon *Department of Laboratory Medicine, Yonsei College of Medicine, Seoul, Republic of Korea.
Seung Hwan Baek *Division of Neonatology, Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Jeong Eun ShinDivision of Neonatology, Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
In-Kyu SongDivision of Neonatology, Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Hoseon EunDivision of Neonatology, Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea. hseun@yuhs.ac.
Sinyoung KimDepartment of Laboratory Medicine, Yonsei College of Medicine, Seoul, Republic of Korea. sykim@yuhs.ac.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransfusion is frequently prescribed for preterm infants and known to be associated with adverse outcomes. We evaluated the association between transfusions of red blood cells (RBCs), platelets, and plasma in preterm infants and neurodevelopmental impairment (NDI).

methodsThis retrospective cohort study included 706 preterm infants. The primary outcome was severe NDI diagnosed at 18-30 months of corrected age. After adjusting, weighted logistic regression was performed to evaluate the associations between each transfusion type, the number of transfusions, and severe NDI.

resultsRBC transfusions were associated with severe NDI in both subgroups (<32 weeks: adjusted odds ratio [aOR] 2.47; 95% confidence interval [CI] 1.13-5.44; ≥32 weeks: aOR 8.13; 95% CI 3.39-19.52). Platelet transfusions were associated with severe NDI in the <32-week group (aOR 2.53; 95% CI 1.26-5.08) but not in the ≥32-week group (aOR 1.20; 95% CI 0.10-14.17). Plasma transfusions were associated with severe NDI in the ≥32-week group (aOR 2.69; 95% CI 1.38-5.24) but not in the <32-week group (aOR 1.19; 95% CI 0.58-2.42).

conclusionsTransfusions may be associated with severe NDI risk in preterm infants, and this association may differ according to the type of blood product and gestational age at birth. IMPACT: In addition to RBC and platelet, plasma transfusions are also linked to a higher risk of NDI by two years of corrected age. The association between transfusions and NDI varies by type of blood product and gestational age, with RBC and plasma transfusions posing a greater risk closer to term. Transfusions should be minimized by considering the differing risks based on blood product and gestational age, and further studies are warranted to explore the newly identified association between plasma transfusions and NDI.

Indexed as

Blood Component TransfusionGestational AgeInfant, PrematureNeurodevelopmental DisordersChild, PreschoolErythrocyte TransfusionFemaleHumansInfantInfant, NewbornLogistic ModelsMaleNeurodevelopmentOdds RatioPlatelet TransfusionRetrospective Studies

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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.