Document Detail


Transfusions of CPDA-1 red blood cells stored for up to 28 days decrease donor exposures in very low-birth-weight premature infants.
MedLine Citation:
PMID:  16359417     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The goal of this research was to study the safety and the efficacy of transfusing citrate-phosphate-adenine anticoagulant-preservative (CPDA-1) RBC stored for up to 28 days to reduce donor exposures in premature infants. A prospective randomized two-group study was conducted with very low-birth-weight premature infants that received at least one RBC transfusion during hospital stay. Neonates randomly assigned to Group 1 (26 infants) were transfused with CPDA-1 RBC stored for up to 28 days; those assigned to Group 2 (26 infants) received CPDA-1 RBC stored for up to 3 days. Demographic and transfusion-related data were collected. Neonates from both groups showed similar demographics and clinical characteristics. The number of transfusions per infant transfused was 4.4 +/- 4.0 in Group 1 and 4.2 +/- 3.1 in Group 2, and the number of donors per infant transfused was 1.5 +/- 0.8 (Group 1) and 4.3 +/- 3.4 (Group 2), P < 0.001. RBC transfusions containing 29.7 +/- 18.3 mmol L(-1) of potassium (RBC stored for up to 28 days) did not cause clinical or biochemical changes and reduced donor exposures by 70.2%, compared to transfusions containing 19.8 +/- 12.3 mmol L(-1) of potassium (RBC stored for up to 3 days), P < 0.001. In conclusion, RBC stored for up to 28 days safely reduced donor exposures in premature infants.
Authors:
D H Fernandes da Cunha; A M Nunes Dos Santos; B I Kopelman; K N Areco; R Guinsburg; C de Araújo Peres; A K Chiba; S T Kuwano; C C N Terzian; J O Bordin
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Transfusion medicine (Oxford, England)     Volume:  15     ISSN:  0958-7578     ISO Abbreviation:  Transfus Med     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-12-19     Completed Date:  2006-05-26     Revised Date:  2008-07-31    
Medline Journal Info:
Nlm Unique ID:  9301182     Medline TA:  Transfus Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  467-73     Citation Subset:  IM    
Affiliation:
Division of Neonatal Medicine, Department of Pediatrics, Hematology and Transfusion Medicine Service, Department of Biostatistics, Federal University of São Paulo, São Paulo, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Adenine*
Blood Chemical Analysis
Blood Donors
Blood Preservation / methods*
Citrates*
Consumer Product Safety
Erythrocyte Transfusion / methods*,  standards
Glucose*
Humans
Infant, Low Birth Weight*
Infant, Newborn
Infant, Premature*
Phosphates*
Time Factors
Chemical
Reg. No./Substance:
0/CPDA solutions; 0/Citrates; 0/Phosphates; 50-99-7/Glucose; 73-24-5/Adenine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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