Academic Journal
Transfusion from male-only versus female donors in critically ill recipients of high plasma, volume components
| العنوان: | Transfusion from male-only versus female donors in critically ill recipients of high plasma, volume components |
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| المؤلفون: | Gajic, Ognjen, Yılmaz, Murat, Kor, Darly J., Winters, J. L., Moore, S. Breanndan, Afessa, Bekele |
| المساهمون: | Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon/Yoğun Bakım Bilim Dalı., orcid:0000-0001-8111-5958, İşçimen, Remzi, AAI-8104-2021, 16645821200 |
| بيانات النشر: | Lippincott Williams & Wilkins |
| سنة النشر: | 2007 |
| المجموعة: | Açık Erişim@BUU (Bursa Uludağ Üniversitesi) |
| مصطلحات موضوعية: | Adult, Acute lung injury, Cohort study, Fresh frozen plasma, Outcome, Platelet transfusion, Prevention, Respiratory distress, Consensus conference, Clinical-trial, Outcomes, Care, Critical care medicine, Transfusion-Related Acute Lung Injury, Transfusion Reaction, Blood Safety, Article, Aged, Apheresis, Controlled study, Retrospective study, Artificial ventilation, Blood donor, Blood transfusion, Comparative study, Female, Treatment outcome, Critically ill patient, Disease course, Gas exchange |
| الوصف: | Objective: To reduce the incidence of transfusion-related acute lung injury (ALI), the American Association of Blood Banks recently recommended rapid implementation of strategies to minimize transfusion of high plasma volume components, fresh frozen plasma and apheresis platelets, from potentially alloimmunized donors, especially females. The objective of this study was to evaluate the effect of transfusing components from male-only vs. female donors on development of ALI, gas exchange, and outcome in critically ill patients. Design: In this retrospective case-control study, we identified patients who received high plasma volume components from male-only donors and compared them with patients matched by severity of illness, postoperative state, and number of transfusions but who received high plasma volume components from female donors. Setting: Four intensive care units at a tertiary medical center. Patients: Critically ill patients who received > 2 units of fresh frozen plasma or apheresis platelets. Interventions: None. Measurements and Main Results: From a database of 3,567 patients who received a total of 46,101 units of fresh frozen plasma and 6,251 units of apheresis platelets, we identified 112 patients who received three or more male-only donor components and 112 matched controls. Baseline characteristics, ALI risk factors, and development of ALI were similar between the two groups. Arterial oxygenation (Pao(2)/Fio(2)) worsened after the female (mean difference -52, 95% confidence interval -14 to -91, p = .008) but not after male-only donor product transfusion (mean difference 22, 95% confidence interval -23 to 67, p = .325). Male-only component recipients had more ventilator-free days (median 28 vs. 27, p = .006) and a trend toward lower hospital mortality rates (14% vs. 24%, p = .054). Conclusions: In critically ill recipients of high plasma volume components, gas exchange worsened significantly after transfusion of female but not male donor components. Prospective studies are needed to evaluate ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 0090-3493 1530-0293 |
| Relation: | Makale - Uluslararası Hakemli Dergi; Critical Care Medicine; Yurt içi; Yurt dışı; Gajic, O. vd. (2007). "Transfusion from male-only versus female donors in critically ill recipients of high plasma, volume components". Critical Care Medicine, 35(7), 1645-1648.; https://doi.org/10.1097/01.CCM.0000269036.16398.0D; https://journals.lww.com/ccmjournal/Fulltext/2007/07000/Transfusion_from_male_only_versus_female_donors_in.2.aspx; http://hdl.handle.net/11452/28227; 000247424100002; 2-s2.0-34250856261; 1645; 1648; 35 |
| DOI: | 10.1097/01.CCM.0000269036.16398.0D |
| الاتاحة: | http://hdl.handle.net/11452/28227 https://doi.org/10.1097/01.CCM.0000269036.16398.0D https://journals.lww.com/ccmjournal/Fulltext/2007/07000/Transfusion_from_male_only_versus_female_donors_in.2.aspx |
| Rights: | info:eu-repo/semantics/closedAccess |
| رقم الانضمام: | edsbas.93A4BA10 |
| قاعدة البيانات: | BASE |
| تدمد: | 00903493 15300293 |
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| DOI: | 10.1097/01.CCM.0000269036.16398.0D |