Reduction of exposure to blood donors in preterm infants submitted to red blood cell transfusions using pediatric satellite packs

Detalhes bibliográficos
Autor(a) principal: Uezima,Cristina Lika
Data de Publicação: 2013
Outros Autores: Barreto,Ariane Moreira, Guinsburg,Ruth, Chiba,Akemi Kuroda, Bordin,José Orlando, Barros,Melca Maria O., Santos,Amélia Miyashiro N. dos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Paulista de Pediatria (Ed. Português. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822013000300285
Resumo: 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.
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spelling Reduction of exposure to blood donors in preterm infants submitted to red blood cell transfusions using pediatric satellite packsinfant, prematureanemiaerythrocyte transfusionblood donors 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 Paulo2013-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822013000300285Revista Paulista de Pediatria v.31 n.3 2013reponame:Revista Paulista de Pediatria (Ed. Português. Online)instname:Sociedade de Pediatria de São Paulo (SPSP)instacron:SPSP10.1590/S0103-05822013000300003info:eu-repo/semantics/openAccessUezima,Cristina LikaBarreto,Ariane MoreiraGuinsburg,RuthChiba,Akemi KurodaBordin,José OrlandoBarros,Melca Maria O.Santos,Amélia Miyashiro N. doseng2015-07-31T00:00:00Zoai:scielo:S0103-05822013000300285Revistahttps://www.rpped.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.phppediatria@spsp.org.br||rpp@spsp.org.br1984-04620103-0582opendoar:2015-07-31T00:00Revista Paulista de Pediatria (Ed. Português. Online) - Sociedade de Pediatria de São Paulo (SPSP)false
dc.title.none.fl_str_mv 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
spellingShingle Reduction of exposure to blood donors in preterm infants submitted to red blood cell transfusions using pediatric satellite packs
Uezima,Cristina Lika
infant, premature
anemia
erythrocyte transfusion
blood donors
title_short 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_sort Reduction of exposure to blood donors in preterm infants submitted to red blood cell transfusions using pediatric satellite packs
author Uezima,Cristina Lika
author_facet Uezima,Cristina Lika
Barreto,Ariane Moreira
Guinsburg,Ruth
Chiba,Akemi Kuroda
Bordin,José Orlando
Barros,Melca Maria O.
Santos,Amélia Miyashiro N. dos
author_role author
author2 Barreto,Ariane Moreira
Guinsburg,Ruth
Chiba,Akemi Kuroda
Bordin,José Orlando
Barros,Melca Maria O.
Santos,Amélia Miyashiro N. dos
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Uezima,Cristina Lika
Barreto,Ariane Moreira
Guinsburg,Ruth
Chiba,Akemi Kuroda
Bordin,José Orlando
Barros,Melca Maria O.
Santos,Amélia Miyashiro N. dos
dc.subject.por.fl_str_mv infant, premature
anemia
erythrocyte transfusion
blood donors
topic infant, premature
anemia
erythrocyte transfusion
blood donors
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.
publishDate 2013
dc.date.none.fl_str_mv 2013-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822013000300285
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822013000300285
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0103-05822013000300003
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade de Pediatria de São Paulo
publisher.none.fl_str_mv Sociedade de Pediatria de São Paulo
dc.source.none.fl_str_mv Revista Paulista de Pediatria v.31 n.3 2013
reponame:Revista Paulista de Pediatria (Ed. Português. Online)
instname:Sociedade de Pediatria de São Paulo (SPSP)
instacron:SPSP
instname_str Sociedade de Pediatria de São Paulo (SPSP)
instacron_str SPSP
institution SPSP
reponame_str Revista Paulista de Pediatria (Ed. Português. Online)
collection Revista Paulista de Pediatria (Ed. Português. Online)
repository.name.fl_str_mv Revista Paulista de Pediatria (Ed. Português. Online) - Sociedade de Pediatria de São Paulo (SPSP)
repository.mail.fl_str_mv pediatria@spsp.org.br||rpp@spsp.org.br
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