Evidence map›Paper›PMID 41820276›Full record

ArticleVox sanguinis2026

Association of red blood cell transfusions with periventricular leukomalacia in very preterm infants.

Thomas Brune, Christian Weise, Siegfried Kropf

Abstract read
In one paragraph

Article in Vox sanguinis, 2026. 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

3 authors.

Thomas BruneChildren's Hospital, University Hospital Magdeburg, Magdeburg, Germany.
Christian WeiseChildren's Hospital, University Hospital Magdeburg, Magdeburg, Germany.ORCID https://orcid.org/0000-0002-7592-4780
Siegfried KropfInstitute for Medical Data Science, University Hospital Magdeburg, Magdeburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesRed blood cell (RBC) transfusions have been associated with retinopathy of prematurity (ROP) and adverse long-term neurodevelopmental outcomes in very preterm infants. Although lower transfusion thresholds reduce the incidence of ROP, they have not improved neurological outcome. Periventricular leukomalacia (PVL) is a major cause of long-term neurodevelopmental impairment in very preterm infants. The objective of this study was to determine whether exposure to RBC transfusions is an independent, dose-dependent risk factor for PVL. MATERIALS AND

methodsA retrospective cohort study was conducted. Infants born at 32 weeks of gestation or less or with a birth weight <1500 g were eligible. Infants transferred from other hospitals, managed with palliative care or who died before cranial imaging were excluded. Exposure was defined as the cumulative number of RBC transfusions during neonatal intensive care. Outcomes were PVL and severe ROP. Multivariable logistic regression analyses were performed and stratified by birth weight <750 g and ≥750 g.

resultsRBC transfusions were independently associated with PVL and ROP. The adjusted odds ratio was 1.10 and 1.09, respectively, in infants weighing <750 g, and 1.26 and 1.15 in infants weighing 750 g or more, respectively, with statistically significant confidence intervals.

conclusionRBC transfusions were independently associated with PVL in preterm infants. As lowering transfusion thresholds has not been associated with improved neurological outcomes, consideration of cord blood products may be warranted.

Indexed as

Erythrocyte TransfusionLeukomalacia, PeriventricularRetinopathy of PrematurityFemaleHumansInfant, Extremely PrematureInfant, NewbornInfant, PrematureMaleRetrospective StudiesRisk Factorsneuropathologypretermred blood cell transfusion

Identifiers

PMID41820276
PMCPMC13253060

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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.