Evidence map›Paper›PMID 41359861›Full record

Trial reportTransfusion2026

Heart rate changes in chronically red cell transfusion-dependent patients-A dose-dependent effect of red cell transfusion: A randomized cross-over trial, interim analysis.

Rik P B Tonino, Martin R Schipperus, Lizan Hardi, Nicolette L Tiren-Verbeet, Rolf E Brouwer, Jaap Jan Zwaginga

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Transfusion, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Observational
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

6 authors.

Rik P B ToninoLeiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0002-6775-6617
Martin R SchipperusSanquin, Amsterdam, The Netherlands.
Lizan HardiAlrijne Hospital, Leiderdorp, The Netherlands.
Nicolette L Tiren-VerbeetGroene Hart Ziekenhuis, Gouda, The Netherlands.
Rolf E BrouwerReinier de Graaf Gasthuis, Delft, The Netherlands.
Jaap Jan ZwagingaLeiden University Medical Center, Leiden, The Netherlands.

Funding

Sanquin PPOXStichting Sanquin Bloedvoorziening PPOC21-03_ L2583
6 · The paper itself

Abstract

backgroundRestrictive red blood cell transfusion strategies are widely recommended for acute anemia but may not adequately address the needs of chronically anemic patients with transfusion-dependent myelodysplastic syndromes or myeloproliferative neoplasms. For these patients with chronic anemia, alleviating symptoms and improving quality of life are key objectives. This study evaluates the impact of additional red blood cell (RBC) transfusions administered alongside standard-of-care transfusions on heart rate, physical activity, quality of life, and cognitive function. STUDY DESIGN AND

methodsThis interim analysis of a randomized, multicenter, within-subject, cross-over trial evaluated 12 transfusion-dependent patients receiving three transfusion regimens: standard-of-care, standard-of-care + 1 additional unit, and standard-of-care + 2 additional units. The primary outcome was heart rate, and secondary outcomes were physical activity, quality of life, and cognitive performance. Heart rate and activity were continuously monitored, while questionnaires and cognitive tasks assessed outcomes at predefined visits.

resultsGreater hemoglobin augmentation was associated with significant reductions in heart rate, with the largest decrease in patients receiving the standard-of-care + 2 regimen. Quality of life and fatigue measures showed transient improvements with more red blood cells transfused, though these changes were not statistically significant. Cognitive performance trends suggested possible benefits, but findings were inconsistent. Physical activity, as measured by daily step count, was unaffected by transfusions.

conclusionsThis interim analysis suggests that higher post-transfusion hemoglobin is associated with lower heart rate, reflecting enhanced oxygen delivery. Wearable monitoring was sensitive to these changes. Nonsignificant, hypothesis-generating trends toward improved QoL, fatigue, and cognition were observed.

Indexed as

AnemiaErythrocyte TransfusionHeart RateAdultAgedCognitionCross-Over StudiesExerciseFemaleHumansMaleMiddle AgedQuality of Lifebiosensorchronic anaemiapersonalizing transfusionquality of lifetransfusion strategy

Identifiers

PMID41359861
PMCPMC12857865

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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.