| Transfusion-related acute lung injury surveillance (2003-2005) and the potential impact of the selective use of plasma from male donors in the American Red Cross. | |
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MedLine Citation:
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PMID: 17381617 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: American Red Cross surveillance data on transfusion-related acute lung injury (TRALI) fatalities were analyzed to evaluate the association with components from donors with white blood cell (WBC) antibodies and to examine the potential impact of the selective transfusion of plasma from male donors. STUDY DESIGN AND METHODS: Suspected TRALI reports in 2003 through 2005 were identified and all fatalities were reviewed and classified by three physicians as "probable TRALI" or of "unrelated etiology," with independent review of the associated serologic investigation. Hospital investigational and reporting biases could not be fully controlled in this retrospective study. RESULTS: A total of 550 reports of suspected TRALI, including 72 fatalities, were investigated. The number of reports increased each year and the rate varied by geographic region. Retrospective review of fatalities revealed 38 cases of probable TRALI, the majority (24 of 38 [63%]) after plasma transfusion. A female, WBC antibody-positive donor was involved in 71 percent (27 of 38) of cases and in 75 percent (18 of 24) of cases involving plasma transfusion. Female antibody-positive donors were more likely to be associated with probable TRALI than with unrelated cases (p = 0.0001; odds ratio [OR], 9.5; 95% confidence interval [CI], 2.9-31.1]. The rate of probable TRALI among recipient fatalities was higher for plasma components (1:202,673; OR, 12.5; 95% CI, 5.4-28.9) and apheresis platelets (PLTs; 1:320,572; OR, 7.9; 95% CI, 2.5-24.8) compared to red cells (1:2,527,437). Male donors contributed 64.5 and 52.0 percent of distributed apheresis PLTs and plasma components, respectively, in 2005. CONCLUSION: Plasma components linked to female donors with WBC antibodies were responsible for the majority of probable TRALI fatalities. Prudent measures to limit transfusion of WBC antibody-containing plasma components may prevent as many as six fatalities per year in the Red Cross system. |
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Authors:
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Anne F Eder; Ross Herron; Annie Strupp; Beth Dy; Edward P Notari; Linda A Chambers; Roger Y Dodd; Richard J Benjamin |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Transfusion Volume: 47 ISSN: 0041-1132 ISO Abbreviation: Transfusion Publication Date: 2007 Apr |
Date Detail:
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Created Date: 2007-03-26 Completed Date: 2007-09-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0417360 Medline TA: Transfusion Country: United States |
Other Details:
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Languages: eng Pagination: 599-607 Citation Subset: IM |
Affiliation:
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Biomedical Services, National Headquarters, American Red Cross, Washington, DC 20006, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Blood Component Transfusion / adverse effects, statistics & numerical data Blood Donors Blood Transfusion / adverse effects*, statistics & numerical data Female Histocompatibility Testing Humans Male Middle Aged Plasma* Red Cross* Respiratory Distress Syndrome, Adult / etiology*, mortality, prevention & control Retrospective Studies Risk Management / methods, standards Sex Factors Survival Rate United States |
| Comments/Corrections | |
Comment In:
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Transfusion. 2007 Apr;47(4):563-4
[PMID:
17381611
]
Transfusion. 2007 Apr;47(4):559-62 [PMID: 17381610 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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