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...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade de Pediatria de São Paulo
2013-09-01
|
| Series: | Revista Paulista de Pediatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822013000300285&lng=en&tlng=en |
| _version_ | 1818567619850010624 |
|---|---|
| author | Cristina Lika Uezima Ariane Moreira Barreto Ruth Guinsburg Akemi Kuroda Chiba José Orlando Bordin Melca Maria O. Barros Amélia Miyashiro N. dos Santos |
| author_facet | Cristina Lika Uezima Ariane Moreira Barreto Ruth Guinsburg Akemi Kuroda Chiba José Orlando Bordin Melca Maria O. Barros Amélia Miyashiro N. dos Santos |
| author_sort | Cristina Lika Uezima |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-14T06:25:42Z |
| format | Article |
| id | doaj.art-cf0af635746b40de8017214977815290 |
| institution | Directory Open Access Journal |
| issn | 1984-0462 |
| language | English |
| last_indexed | 2024-12-14T06:25:42Z |
| publishDate | 2013-09-01 |
| publisher | Sociedade de Pediatria de São Paulo |
| record_format | Article |
| series | Revista Paulista de Pediatria |
| spelling | doaj.art-cf0af635746b40de80172149778152902022-12-21T23:13:42ZengSociedade de Pediatria de São PauloRevista Paulista de Pediatria1984-04622013-09-0131328529210.1590/S0103-05822013000300003S0103-05822013000300285Reduction of exposure to blood donors in preterm infants submitted to red blood cell transfusions using pediatric satellite packsCristina Lika UezimaAriane Moreira BarretoRuth GuinsburgAkemi Kuroda ChibaJosé Orlando BordinMelca Maria O. BarrosAmélia Miyashiro N. dos SantosOBJECTIVE: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822013000300285&lng=en&tlng=enPrematuroanemiatransfusión de eritrocitosdonantes de sangre |
| spellingShingle | Cristina Lika Uezima Ariane Moreira Barreto Ruth Guinsburg Akemi Kuroda Chiba José Orlando Bordin Melca Maria O. Barros Amélia Miyashiro N. dos Santos Reduction of exposure to blood donors in preterm infants submitted to red blood cell transfusions using pediatric satellite packs Revista Paulista de Pediatria Prematuro anemia transfusión de eritrocitos donantes de sangre |
| 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 | Prematuro anemia transfusión de eritrocitos donantes de sangre |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822013000300285&lng=en&tlng=en |
| work_keys_str_mv | AT cristinalikauezima reductionofexposuretoblooddonorsinpreterminfantssubmittedtoredbloodcelltransfusionsusingpediatricsatellitepacks AT arianemoreirabarreto reductionofexposuretoblooddonorsinpreterminfantssubmittedtoredbloodcelltransfusionsusingpediatricsatellitepacks AT ruthguinsburg reductionofexposuretoblooddonorsinpreterminfantssubmittedtoredbloodcelltransfusionsusingpediatricsatellitepacks AT akemikurodachiba reductionofexposuretoblooddonorsinpreterminfantssubmittedtoredbloodcelltransfusionsusingpediatricsatellitepacks AT joseorlandobordin reductionofexposuretoblooddonorsinpreterminfantssubmittedtoredbloodcelltransfusionsusingpediatricsatellitepacks AT melcamariaobarros reductionofexposuretoblooddonorsinpreterminfantssubmittedtoredbloodcelltransfusionsusingpediatricsatellitepacks AT ameliamiyashirondossantos reductionofexposuretoblooddonorsinpreterminfantssubmittedtoredbloodcelltransfusionsusingpediatricsatellitepacks |