Document Detail


The effect of red blood cell age on coagulation.
MedLine Citation:
PMID:  19969149     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Packed red blood cell (PRBC) units stored and unused at community hospitals are transferred to trauma centers near the end of their shelf storage life, because of a higher likelihood of utilization before expiration without consideration of coagulation system effects. This study was conducted to determine if the stored age of PRBC units has an effect on coagulation. METHODS: Single-donor citrate/phosphate/dextrose-preserved, PRBCs, and fresh frozen plasma (FFP) were recalcified in an in vitro model. The activated clotting time (ACT) was measured using the microsample method on days 3, 19, 20, and 33 from the date of donation. RESULTS: The ACT was prolonged as the age of PRBCs increased while other factors were held constant. ACTs on days 19, 20, and 33 were prolonged relative to day 3. Measurements taken on day 33 were significantly prolonged relative to day 20. CONCLUSIONS: Increasing age of PRBCs measured from the date of donation adversely affects the global coagulation status. This study suggests that we should re-evaluate current blood banking and transfusion practices in trauma care.
Authors:
John A Aucar; Edan Isaak; Douglas Anthony
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  198     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-08     Completed Date:  2010-01-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  900-4     Citation Subset:  AIM; IM    
Affiliation:
University of Illinois Urbana-Champaign/Carle Foundation Hospital, Urbana, IL, USA. john.aucar@carle.com
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MeSH Terms
Descriptor/Qualifier:
Blood Coagulation*
Blood Preservation / standards*,  statistics & numerical data*
Erythrocytes*
Humans
Time Factors

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


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