Hemodynamics, fluids & transfusion

Implications of packed red bloods cells production and transfer on post transfusion hemoglobin increase

J Clin AnesthPublished Observational cohort study

Authors' conclusion

The aspired increase in hemoglobin can be achieved with red blood cell concentrates of any storage duration.

Study context

Population
Patients older than 70 years who underwent non-cardiac surgery and received red blood cell (RBC) transfusions, surgical cohorts of the LIBERAL-Trial1,626 transfusion events
Participants
505 participants
Exposure
RBC unit storage duration
Outcome
Hemoglobin increment upon RBC transfusion
Methodological detailslinear mixed effects model, two study sites, Transfusion events and Hb assessments 2018–2022 with manufacturing and product-specific quality review information
  • Linear mixed effects model
  • Two study sites
  • Transfusion events and Hb assessments 2018–2022 with manufacturing and product-specific quality review information

Main finding

As reported in the abstract

Hemoglobin increment by RBC storage duration
  • No statistically significant effect of RBC unit storage duration

Observational data: associations, not effects.

Further findings

Other predictors of hemoglobin increment

Higher Hb increase with lower pre-transfusion Hb, length of Hb measurement intervals before and after transfusion, and method of RBC cell separation (different manufacturer Hb values)

Original publication

Implications of packed red bloods cells production and transfer on post transfusion hemoglobin increase. J Clin Anesth. Published 23 January 2025. doi:10.1016/j.jclinane.2025.111743

Composed by AI from the published abstract and checked against it. How Briefs are made →

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