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Effective reduction of transfusion-related acute lung injury risk with male-predominant plasma strategy in the American Red Cross (2006-2008)
BACKGROUND: Plasma components from female donors were responsible for most cases of transfusion‐related acute lung injury (TRALI) reported to the American Red Cross (ARC) between 2003 and 2005. Consequently, we began preferentially distributing plasma from male donors for transfusion in 2006 and eva...
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Published in: | Transfusion (Philadelphia, Pa.) Pa.), 2010-08, Vol.50 (8), p.1732-1742 |
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container_title | Transfusion (Philadelphia, Pa.) |
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creator | Eder, Anne F. Herron Jr, Ross M. Strupp, Annie Dy, Beth White, Jenni Notari, Edward P. Dodd, Roger Y. Benjamin, Richard J. |
description | BACKGROUND: Plasma components from female donors were responsible for most cases of transfusion‐related acute lung injury (TRALI) reported to the American Red Cross (ARC) between 2003 and 2005. Consequently, we began preferentially distributing plasma from male donors for transfusion in 2006 and evaluated the effect on reported TRALI cases in the ensuing 2 years.
STUDY DESIGN AND METHODS: Suspected TRALI cases reported to the ARC Hemovigilance Program in calendar years (CY) 2006, 2007, and 2008 are described. Any case involving a fatality was also independently reviewed by three ARC physicians and classified as probable TRALI or not TRALI.
RESULTS: The percentage of plasma collected from male donors and distributed for transfusion increased each year from 55% in CY2006 to 79% in CY2007 and 95% in CY2008. Independent medical review of the 77 reported TRALI cases involving a fatality identified 38 cases as probable TRALI. Plasma was the only component transfused in six of these cases in 2006, five in 2007, and zero in 2008. Overall, the analysis of reported fatalities and nonfatal cases demonstrates that TRALI involving only plasma transfusion was significantly reduced in 2008 compared to 2006 (32 vs. 7 cases; odds ratio [OR] = 0.21; 95% confidence interval [CI] = 0.08‐0.45), to a level that was no longer different from the rate of TRALI observed for RBC transfusion (4.0 vs. 2.3 per 106 distributed components; OR = 1.78; 95% CI = 0.67‐4.36).
CONCLUSIONS: Reported TRALI cases from plasma transfusion decreased in 2008 compared to the prior 2 years simultaneously with the conversion to male‐predominant plasma for transfusion. |
doi_str_mv | 10.1111/j.1537-2995.2010.02652.x |
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STUDY DESIGN AND METHODS: Suspected TRALI cases reported to the ARC Hemovigilance Program in calendar years (CY) 2006, 2007, and 2008 are described. Any case involving a fatality was also independently reviewed by three ARC physicians and classified as probable TRALI or not TRALI.
RESULTS: The percentage of plasma collected from male donors and distributed for transfusion increased each year from 55% in CY2006 to 79% in CY2007 and 95% in CY2008. Independent medical review of the 77 reported TRALI cases involving a fatality identified 38 cases as probable TRALI. Plasma was the only component transfused in six of these cases in 2006, five in 2007, and zero in 2008. Overall, the analysis of reported fatalities and nonfatal cases demonstrates that TRALI involving only plasma transfusion was significantly reduced in 2008 compared to 2006 (32 vs. 7 cases; odds ratio [OR] = 0.21; 95% confidence interval [CI] = 0.08‐0.45), to a level that was no longer different from the rate of TRALI observed for RBC transfusion (4.0 vs. 2.3 per 106 distributed components; OR = 1.78; 95% CI = 0.67‐4.36).
CONCLUSIONS: Reported TRALI cases from plasma transfusion decreased in 2008 compared to the prior 2 years simultaneously with the conversion to male‐predominant plasma for transfusion.</description><identifier>ISSN: 0041-1132</identifier><identifier>EISSN: 1537-2995</identifier><identifier>DOI: 10.1111/j.1537-2995.2010.02652.x</identifier><identifier>PMID: 20456698</identifier><identifier>CODEN: TRANAT</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Acute Lung Injury - prevention & control ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Blood Donors ; Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis ; Female ; Hematology ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques ; Red Cross ; Sex Factors ; Time Factors ; Transfusion Reaction ; Transfusions. Complications. Transfusion reactions. Cell and gene therapy</subject><ispartof>Transfusion (Philadelphia, Pa.), 2010-08, Vol.50 (8), p.1732-1742</ispartof><rights>2010 American Association of Blood Banks</rights><rights>2015 INIST-CNRS</rights><rights>2010 American Association of Blood Banks.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4682-b9080fbccd3790bf8e1daa54bb1ed7fb09b8427c3164c8681627c2b0cd4edcbe3</citedby><cites>FETCH-LOGICAL-c4682-b9080fbccd3790bf8e1daa54bb1ed7fb09b8427c3164c8681627c2b0cd4edcbe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23091471$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20456698$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eder, Anne F.</creatorcontrib><creatorcontrib>Herron Jr, Ross M.</creatorcontrib><creatorcontrib>Strupp, Annie</creatorcontrib><creatorcontrib>Dy, Beth</creatorcontrib><creatorcontrib>White, Jenni</creatorcontrib><creatorcontrib>Notari, Edward P.</creatorcontrib><creatorcontrib>Dodd, Roger Y.</creatorcontrib><creatorcontrib>Benjamin, Richard J.</creatorcontrib><title>Effective reduction of transfusion-related acute lung injury risk with male-predominant plasma strategy in the American Red Cross (2006-2008)</title><title>Transfusion (Philadelphia, Pa.)</title><addtitle>Transfusion</addtitle><description>BACKGROUND: Plasma components from female donors were responsible for most cases of transfusion‐related acute lung injury (TRALI) reported to the American Red Cross (ARC) between 2003 and 2005. Consequently, we began preferentially distributing plasma from male donors for transfusion in 2006 and evaluated the effect on reported TRALI cases in the ensuing 2 years.
STUDY DESIGN AND METHODS: Suspected TRALI cases reported to the ARC Hemovigilance Program in calendar years (CY) 2006, 2007, and 2008 are described. Any case involving a fatality was also independently reviewed by three ARC physicians and classified as probable TRALI or not TRALI.
RESULTS: The percentage of plasma collected from male donors and distributed for transfusion increased each year from 55% in CY2006 to 79% in CY2007 and 95% in CY2008. Independent medical review of the 77 reported TRALI cases involving a fatality identified 38 cases as probable TRALI. Plasma was the only component transfused in six of these cases in 2006, five in 2007, and zero in 2008. Overall, the analysis of reported fatalities and nonfatal cases demonstrates that TRALI involving only plasma transfusion was significantly reduced in 2008 compared to 2006 (32 vs. 7 cases; odds ratio [OR] = 0.21; 95% confidence interval [CI] = 0.08‐0.45), to a level that was no longer different from the rate of TRALI observed for RBC transfusion (4.0 vs. 2.3 per 106 distributed components; OR = 1.78; 95% CI = 0.67‐4.36).
CONCLUSIONS: Reported TRALI cases from plasma transfusion decreased in 2008 compared to the prior 2 years simultaneously with the conversion to male‐predominant plasma for transfusion.</description><subject>Acute Lung Injury - prevention & control</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Blood Donors</subject><subject>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</subject><subject>Female</subject><subject>Hematology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</subject><subject>Red Cross</subject><subject>Sex Factors</subject><subject>Time Factors</subject><subject>Transfusion Reaction</subject><subject>Transfusions. Complications. Transfusion reactions. Cell and gene therapy</subject><issn>0041-1132</issn><issn>1537-2995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNqNkc1u1DAUhS0EokPhFZA3CFhkuLYTx1mwKENbkKYgjYpYWo5z03qan6md0JmH4J1xmGHY1gv72v7O8c8hhDKYs9g-rOcsE3nCiyKbc4irwGXG59snZHbceEpmAClLGBP8hLwIYQ0AvAD2nJxwSDMpCzUjv8_rGu3gfiH1WI2x6jva13Twpgv1GOI08diYAStq7DggbcbuhrpuPfod9S7c0Qc33NLWNJhsokXfus50A900JrSGhmg04M0uKuhwi_SsRe-s6egqGi58HwJ9xwFkEjv1_iV5Vpsm4KvDeEp-XJxfL74ky--XXxdny8SmUvGkLEBBXVpbibyAslbIKmOytCwZVnldQlGqlOdWMJlaJRWTccJLsFWKlS1RnJK3e9-N7-9HDINuXbDYNKbDfgw6j78jQaTFI8g0E1JwiKTak3Z6lcdab7xrjd9pBnpKTa_1FI6ewtFTavpvanobpa8Ph4xli9VR-C-mCLw5ACZY09QxHOvCf05AwdKcRe7jnntwDe4efQF9vbqYqqhP9noXBtwe9cbfaZmLPNM_v13q1dVnpZZXS_1J_AFTDcL0</recordid><startdate>201008</startdate><enddate>201008</enddate><creator>Eder, Anne F.</creator><creator>Herron Jr, Ross M.</creator><creator>Strupp, Annie</creator><creator>Dy, Beth</creator><creator>White, Jenni</creator><creator>Notari, Edward P.</creator><creator>Dodd, Roger Y.</creator><creator>Benjamin, Richard J.</creator><general>Blackwell Publishing Inc</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>201008</creationdate><title>Effective reduction of transfusion-related acute lung injury risk with male-predominant plasma strategy in the American Red Cross (2006-2008)</title><author>Eder, Anne F. ; Herron Jr, Ross M. ; Strupp, Annie ; Dy, Beth ; White, Jenni ; Notari, Edward P. ; Dodd, Roger Y. ; Benjamin, Richard J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4682-b9080fbccd3790bf8e1daa54bb1ed7fb09b8427c3164c8681627c2b0cd4edcbe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Acute Lung Injury - prevention & control</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Blood Donors</topic><topic>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</topic><topic>Female</topic><topic>Hematology</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</topic><topic>Red Cross</topic><topic>Sex Factors</topic><topic>Time Factors</topic><topic>Transfusion Reaction</topic><topic>Transfusions. Complications. Transfusion reactions. Cell and gene therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eder, Anne F.</creatorcontrib><creatorcontrib>Herron Jr, Ross M.</creatorcontrib><creatorcontrib>Strupp, Annie</creatorcontrib><creatorcontrib>Dy, Beth</creatorcontrib><creatorcontrib>White, Jenni</creatorcontrib><creatorcontrib>Notari, Edward P.</creatorcontrib><creatorcontrib>Dodd, Roger Y.</creatorcontrib><creatorcontrib>Benjamin, Richard J.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Transfusion (Philadelphia, Pa.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eder, Anne F.</au><au>Herron Jr, Ross M.</au><au>Strupp, Annie</au><au>Dy, Beth</au><au>White, Jenni</au><au>Notari, Edward P.</au><au>Dodd, Roger Y.</au><au>Benjamin, Richard J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effective reduction of transfusion-related acute lung injury risk with male-predominant plasma strategy in the American Red Cross (2006-2008)</atitle><jtitle>Transfusion (Philadelphia, Pa.)</jtitle><addtitle>Transfusion</addtitle><date>2010-08</date><risdate>2010</risdate><volume>50</volume><issue>8</issue><spage>1732</spage><epage>1742</epage><pages>1732-1742</pages><issn>0041-1132</issn><eissn>1537-2995</eissn><coden>TRANAT</coden><abstract>BACKGROUND: Plasma components from female donors were responsible for most cases of transfusion‐related acute lung injury (TRALI) reported to the American Red Cross (ARC) between 2003 and 2005. Consequently, we began preferentially distributing plasma from male donors for transfusion in 2006 and evaluated the effect on reported TRALI cases in the ensuing 2 years.
STUDY DESIGN AND METHODS: Suspected TRALI cases reported to the ARC Hemovigilance Program in calendar years (CY) 2006, 2007, and 2008 are described. Any case involving a fatality was also independently reviewed by three ARC physicians and classified as probable TRALI or not TRALI.
RESULTS: The percentage of plasma collected from male donors and distributed for transfusion increased each year from 55% in CY2006 to 79% in CY2007 and 95% in CY2008. Independent medical review of the 77 reported TRALI cases involving a fatality identified 38 cases as probable TRALI. Plasma was the only component transfused in six of these cases in 2006, five in 2007, and zero in 2008. Overall, the analysis of reported fatalities and nonfatal cases demonstrates that TRALI involving only plasma transfusion was significantly reduced in 2008 compared to 2006 (32 vs. 7 cases; odds ratio [OR] = 0.21; 95% confidence interval [CI] = 0.08‐0.45), to a level that was no longer different from the rate of TRALI observed for RBC transfusion (4.0 vs. 2.3 per 106 distributed components; OR = 1.78; 95% CI = 0.67‐4.36).
CONCLUSIONS: Reported TRALI cases from plasma transfusion decreased in 2008 compared to the prior 2 years simultaneously with the conversion to male‐predominant plasma for transfusion.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>20456698</pmid><doi>10.1111/j.1537-2995.2010.02652.x</doi><tpages>11</tpages></addata></record> |
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subjects | Acute Lung Injury - prevention & control Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blood Donors Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis Female Hematology Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques Red Cross Sex Factors Time Factors Transfusion Reaction Transfusions. Complications. Transfusion reactions. Cell and gene therapy |
title | Effective reduction of transfusion-related acute lung injury risk with male-predominant plasma strategy in the American Red Cross (2006-2008) |
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