Hemodynamics, fluids & transfusion

Transfused Red Blood Cell Characteristics and Kidney Transplant Outcomes Among Patients Receiving Early Posttransplant Transfusion

JAMA Netw OpenPublished Retrospective cohort study

An erratum to this article was published (JAMA Netw Open, 2 Oct 2023 ↗)

Main finding · Transplant failure per additional RBC storage dayResult — go to the resultHazard ratio 0.99 95% CI 0.98–1.00

Authors' conclusion

In this study, longer RBC storage duration was associated with a decreased risk of transplant failure among patients who received kidney transplants and RBC transfusions.

Study context

Population
Recipients of a first kidney transplant in France, 2002–2008, who received RBC transfusion during the first 14 days posttransplanttransfused, of 12,559 transplanted
Participants
3,483 recipients
Exposure
Longer vs shorter storage duration of transfused RBC
Outcome
Transplant failure (graft loss or death with a functional graft)
Methodological detailsnationwide, registry linkage, multivariable Cox proportional hazards regression, Median (IQR) follow-up 7.8 (7.6-8.0) years, Median (IQR) age 53.0 (41.5-61.2) years; 1929 (55.4%) male
  • Nationwide
  • Registry linkage
  • Multivariable Cox proportional hazards regression
  • Median (IQR) follow-up 7.8 (7.6-8.0) years
  • Median (IQR) age 53.0 (41.5-61.2) years; 1929 (55.4%) male

Main finding

As reported in the abstract

Transplant failure per additional RBC storage day

Hazard ratio

0.99

95% CI 0.98–1.00

P = 0.06

Longer storage (per additional day) vs Shorter storage
HR 0.99 (95% CI 0.98–1.00); P = 0.06

Observational data: associations, not effects.

Further findings

Absolute decrease in transplant failure, stored >20 days vs <20 days · 3 and 5 years

Absolute decrease in transplant failure at 3 years
5%
Absolute decrease in transplant failure at 5 years
7%

Original publication

Transfused Red Blood Cell Characteristics and Kidney Transplant Outcomes Among Patients Receiving Early Posttransplant Transfusion. JAMA Netw Open. Published 5 September 2023. doi:10.1001/jamanetworkopen.2023.32821

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