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Red blood cell transfusion is associated with increased hemolysis and an acute phase response in a subset of critically ill children.


ABSTRACT: In healthy adults, transfusion of older stored red blood cells (RBCs) produces extravascular hemolysis and circulating non-transferrin-bound iron. In a prospective, observational study of critically ill children, we examined the effect of RBC storage duration on the extent of hemolysis by comparing laboratory measurements obtained before, and 4 hr after, RBC transfusion (N?=?100) or saline/albumin infusion (N?=?20). Transfusion of RBCs stored for longer than 4 weeks significantly increased plasma free hemoglobin (P?

SUBMITTER: L'Acqua C 

PROVIDER: S-EPMC4831067 | biostudies-literature | 2015 Oct

REPOSITORIES: biostudies-literature

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Red blood cell transfusion is associated with increased hemolysis and an acute phase response in a subset of critically ill children.

L'Acqua Camilla C   Bandyopadhyay Sheila S   Francis Richard O RO   McMahon Donald J DJ   Nellis Marianne M   Sheth Sujit S   Kernie Steven G SG   Brittenham Gary M GM   Spitalnik Steven L SL   Hod Eldad A EA  

American journal of hematology 20151001 10


In healthy adults, transfusion of older stored red blood cells (RBCs) produces extravascular hemolysis and circulating non-transferrin-bound iron. In a prospective, observational study of critically ill children, we examined the effect of RBC storage duration on the extent of hemolysis by comparing laboratory measurements obtained before, and 4 hr after, RBC transfusion (N = 100) or saline/albumin infusion (N = 20). Transfusion of RBCs stored for longer than 4 weeks significantly increased plasm  ...[more]

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