Trauma & major bleeding

In Vitro Analysis of Platelet Adhesion, Aggregation, and Surface GP1bα Expression in Stored Refrigerated Whole Blood: A Pilot Study

Anesth AnalgPublished Mechanistic study

Authors' conclusion

Our study demonstrated significant decreases in measurable platelet count, platelet adhesion, and aggregation under high shear, platelet activation, and surface GP1bα expression between cold-storage days 5 and 19.

Study context

Population
Cold-stored whole blood (WB) samples
Comparison
Cold-stored WB on storage day 5 vs 12 vs 19
Outcome
In vitro platelet adhesion and aggregation over time
Methodological detailsin vitro, pilot, exploratory, serial measurements
  • In vitro
  • Pilot
  • Exploratory
  • Serial measurements

Main finding

As reported in the abstract

Platelet adhesion and aggregation under high shear (PFA-100 adenosine diphosphate (ADP)/collagen closure time)

P = 0.04

Further findings

OutcomeTimepoint 1Timepoint 3P value
Measurable platelet countTimepoint 3 vs Timepoint 1 · decreasedmean 163 (+ 53) × 109 platelets per litermean 107 (+ 32) × 109P = 0.02
Peak dense granule release in response to thrombin (platelet activation)Timepoint 3 vs Timepoint 1 · decreased significantlymean 0.7 (+ 0.3) nmolmean 0.4 (+ 0.3)P = 0.05
GP1bα surface expression (flow cytometry)Timepoint 3 vs Timepoint 1 · decreasedmean 232,552.8 (+ 32,887.0) relative fluorescence unitsmean 95,133.3 (+ 20,759.2)P < 0.001

Original publication

In Vitro Analysis of Platelet Adhesion, Aggregation, and Surface GP1bα Expression in Stored Refrigerated Whole Blood: A Pilot Study. Anesth Analg. Published 14 April 2023. doi:10.1213/ane.0000000000006277

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