Blood transfusions and adverse acute events: a retrospective study from 214 transfusion-dependent pediatric patients comparing transfused blood components by apheresis or by whole blood

Ann Ist Super Sanita. 2019 Oct-Dec;55(4):351-356. doi: 10.4415/ANN_19_04_08.

Abstract

Introduction: Blood transfusion is a lifesaving procedure for patients affected by hematological diseases or hemorrhage risk.

Aim: This retrospective study was aimed to evaluate clinical safety of pediatric transfusions by comparing the frequency of adverse events caused by apheretic blood components vs whole blood.

Methods: From 2011 to 2015, 214 patients (blood malignancy patients, n = 144 and thalassemic patients, n = 70) received 12 531 units of blood components. The adverse acute reactions occurred during patient hospitalization were reported to the Hemovigilance system and assessed by fitting a logistic mixed-effect model.

Results: A total of 33 (0.3%) adverse acute events occurred. Odds ratio (OR) of adverse events from apheresis vs whole blood transfusion adjusted by patient classification was not statistically significant (OR [95% CI], 0.75 [0.23-2.47]).

Conclusion: Our findings showed no significant differences in the prevalence of adverse acute events between blood component collected by apheresis vs whole blood in our study center.

MeSH terms

  • Adolescent
  • Blood Component Removal
  • Blood Component Transfusion / adverse effects
  • Blood Component Transfusion / statistics & numerical data
  • Blood Safety
  • Blood Transfusion / methods
  • Blood Transfusion / statistics & numerical data*
  • Child
  • Female
  • Hematologic Neoplasms / therapy
  • Humans
  • Logistic Models
  • Male
  • Odds Ratio
  • Prevalence
  • Random Allocation
  • Retrospective Studies
  • Thalassemia / therapy
  • Transfusion Reaction / epidemiology*
  • Young Adult