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Reduction of exposure to blood donors in preterm infants submitted to red blood cell transfusions using pediatric satellite packs
OBJECTIVE: In preterm newborn infants transfused with erythrocytes stored up to 28 days, to compare the reduction of blood donor exposure in two groups of infants classified according to birth weight. METHODS: A prospective study was conducted with preterm infants with birth weight <1000g (Group...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade de Pediatria de São Paulo
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4182979/ https://www.ncbi.nlm.nih.gov/pubmed/24142309 http://dx.doi.org/10.1590/S0103-05822013000300003 |
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author | Uezima, Cristina Lika Barreto, Ariane Moreira Guinsburg, Ruth Chiba, Akemi Kuroda Bordin, José Orlando Barros, Melca Maria O. dos Santos, Amélia Miyashiro N. |
author_facet | Uezima, Cristina Lika Barreto, Ariane Moreira Guinsburg, Ruth Chiba, Akemi Kuroda Bordin, José Orlando Barros, Melca Maria O. dos Santos, Amélia Miyashiro N. |
author_sort | Uezima, Cristina Lika |
collection | PubMed |
description | OBJECTIVE: In preterm newborn infants transfused with erythrocytes stored up to 28 days, to compare the reduction of blood donor exposure in two groups of infants classified according to birth weight. METHODS: A prospective study was conducted with preterm infants with birth weight <1000g (Group 1) and 1000-1499g (Group 2), born between April, 2008 and December, 2009. Neonates submitted to exchange transfusions, emergency erythrocyte transfusion, or those who died in the first 24 hours of life were excluded. Transfusions were indicated according to the local guideline using pediatric transfusion satellite bags. Demographic and clinical data, besides number of transfusions and donors were assessed. . Logistic regression analysis was performed to determine factors associated with multiple transfusions. RESULTS: 30 and 48 neonates were included in Groups 1 and 2, respectively. The percentage of newborns with more than one erythrocyte transfusion (90 versus 11%), the median number of transfusions (3 versus 1) and the median of blood donors (2 versus 1) were higher in Group 1 (p<0.001), compared to Group 2. Among those with multiple transfusions, 14 (82%) and one (50%) presented 50% reduction in the number of blood donors, respectively in Groups 1 and 2. Factors associated with multiple transfusions were: birth weight <1000g (OR 11.91; 95%CI 2.14-66.27) and presence of arterial umbilical catheter (OR 8.59; 95%CI 1.94-38.13), adjusted for confounders. CONCLUSIONS: The efficacy of pediatrics satellites bags on blood donor reduction was higher in preterm infants with birth weight <1000g. |
format | Online Article Text |
id | pubmed-4182979 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Sociedade de Pediatria de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-41829792014-10-14 Reduction of exposure to blood donors in preterm infants submitted to red blood cell transfusions using pediatric satellite packs Uezima, Cristina Lika Barreto, Ariane Moreira Guinsburg, Ruth Chiba, Akemi Kuroda Bordin, José Orlando Barros, Melca Maria O. dos Santos, Amélia Miyashiro N. Rev Paul Pediatr Original Article OBJECTIVE: In preterm newborn infants transfused with erythrocytes stored up to 28 days, to compare the reduction of blood donor exposure in two groups of infants classified according to birth weight. METHODS: A prospective study was conducted with preterm infants with birth weight <1000g (Group 1) and 1000-1499g (Group 2), born between April, 2008 and December, 2009. Neonates submitted to exchange transfusions, emergency erythrocyte transfusion, or those who died in the first 24 hours of life were excluded. Transfusions were indicated according to the local guideline using pediatric transfusion satellite bags. Demographic and clinical data, besides number of transfusions and donors were assessed. . Logistic regression analysis was performed to determine factors associated with multiple transfusions. RESULTS: 30 and 48 neonates were included in Groups 1 and 2, respectively. The percentage of newborns with more than one erythrocyte transfusion (90 versus 11%), the median number of transfusions (3 versus 1) and the median of blood donors (2 versus 1) were higher in Group 1 (p<0.001), compared to Group 2. Among those with multiple transfusions, 14 (82%) and one (50%) presented 50% reduction in the number of blood donors, respectively in Groups 1 and 2. Factors associated with multiple transfusions were: birth weight <1000g (OR 11.91; 95%CI 2.14-66.27) and presence of arterial umbilical catheter (OR 8.59; 95%CI 1.94-38.13), adjusted for confounders. CONCLUSIONS: The efficacy of pediatrics satellites bags on blood donor reduction was higher in preterm infants with birth weight <1000g. Sociedade de Pediatria de São Paulo 2013-09 /pmc/articles/PMC4182979/ /pubmed/24142309 http://dx.doi.org/10.1590/S0103-05822013000300003 Text en http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Uezima, Cristina Lika Barreto, Ariane Moreira Guinsburg, Ruth Chiba, Akemi Kuroda Bordin, José Orlando Barros, Melca Maria O. dos Santos, Amélia Miyashiro N. Reduction of exposure to blood donors in preterm infants submitted to red blood cell transfusions using pediatric satellite packs |
title | Reduction of exposure to blood donors in preterm infants submitted to
red blood cell transfusions using pediatric satellite packs |
title_full | Reduction of exposure to blood donors in preterm infants submitted to
red blood cell transfusions using pediatric satellite packs |
title_fullStr | Reduction of exposure to blood donors in preterm infants submitted to
red blood cell transfusions using pediatric satellite packs |
title_full_unstemmed | Reduction of exposure to blood donors in preterm infants submitted to
red blood cell transfusions using pediatric satellite packs |
title_short | Reduction of exposure to blood donors in preterm infants submitted to
red blood cell transfusions using pediatric satellite packs |
title_sort | reduction of exposure to blood donors in preterm infants submitted to
red blood cell transfusions using pediatric satellite packs |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4182979/ https://www.ncbi.nlm.nih.gov/pubmed/24142309 http://dx.doi.org/10.1590/S0103-05822013000300003 |
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