Evidence map›Paper›PMID 42163650›Full record

ArticleVox sanguinis2026

Preventing overfilling of blood bags to reduce clot formation and improve donor safety.

Kabiru M Sulaiman, Halima Ismail, Yahaya Yazid Ibrahim, Kathleen Selleng, Aisha K Gwarzo, Dalhat Gwarzo, Andreas Greinacher

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

7 authors.

Kabiru M SulaimanDepartment of Haematology and Blood Transfusion, Aminu Kano Teaching Hospital, Kano, Nigeria.
Halima IsmailNational Blood Service Agency, Abuja, Nigeria.
Yahaya Yazid IbrahimDepartment of Haematology and Blood Transfusion, Aminu Kano Teaching Hospital, Kano, Nigeria.
Kathleen SellengInstitut für Transfusionsmedizin, Universitätsmedizin Greifswald, Greifswald, Germany.
Aisha K GwarzoDepartment of Haematology and Blood Transfusion, Aminu Kano Teaching Hospital, Kano, Nigeria.
Dalhat GwarzoDepartment of Haematology and Blood Transfusion, Aminu Kano Teaching Hospital, Kano, Nigeria.
Andreas GreinacherInstitut für Transfusionsmedizin, Universitätsmedizin Greifswald, Greifswald, Germany.ORCID https://orcid.org/0000-0001-8343-7336

Funding

Deutsche Gesellschaft für Internationale Zusammenarbeit 81294574Deutsche Gesellschaft für Internationale Zusammenarbeit 81296280Else Kröner-Fresenius-Stiftung 2024_EKHA.180German Federal Ministry for Economic Cooperation and Development (BMZ)
6 · The paper itself

Abstract

BACKGROUND AND

objectivesOverfilling of blood bags is common in low-resource settings, causing clot formation, donor and recipient risks and blood wastage. This study assessed overfilling prevalence and evaluated a low-cost intervention to mitigate it. MATERIALS AND

methodsWe conducted a prospective study across six blood banks in Kano, Nigeria, weighing 131 blood bags and examining clot formation in 688 consecutive units. A simple, manual measuring and mixing (MeMi) device was developed and implemented to prevent overfilling.

resultsBefore intervention, 129/131 blood bags (98.5%) exceeded the 612 g upper limit (mean: 711 g; range: 560-888 g). Systematic assessment revealed macroclots in 72/688 bags (10.5%; 95% confidence interval [CI]: 8.18-12.76). After MeMi use, 658/723 bags (91%) met the target weight (500-612 g), while 2 were overweight (629 g, 639 g) and 63 underweight (265-499 g). Clot incidence dropped to 1.9% (95% CI: 0%-5.1%).

conclusionOverfilling of blood bags poses serious safety concerns in low-resource settings. The MeMi device provides a practical, low-cost mechanical solution without needing electricity. Locally producible for ~€15, it significantly reduces overfilling and clotting. This improves safety for donors and recipients. Its simplicity and affordability make it highly scalable across regions like sub-Saharan Africa.

Indexed as

Blood BanksBlood DonorsBlood PreservationBlood SafetyThrombosisBlood DonationHumansNigeriaProspective Studiesblood bag overfillingblood donationclot formationresource‐limited settingstransfusion safety

Identifiers

PMID42163650
PMCPMC13453926

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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.