Neonatal Outcomes Unaffected by Transfused Blood Cell Age

Similar outcomes for transfusion with fresh and standard red blood cells

MONDAY, Oct. 8 (HealthDay News) -- Premature, very-low-birth-weight infants requiring a blood transfusion do equally well if they receive fresh red blood cells (RBCs) or standard blood bank RBCs, according to a study published online Oct. 8 in the Journal of the American Medical Association to coincide with presentation at the annual meeting of AABB (formerly the American Association of Blood Banks), held from Oct. 6 to 9 in Boston.

Dean A. Fergusson, M.H.A., Ph.D., from the Ottawa Hospital Research Institute in Canada, and colleagues randomly assigned 377 premature, very-low-birth-weight (<1,250 g) infants in neonatal intensive care requiring at least one blood transfusion to fresh RBCs (stored seven days or less, mean age 5.1 days; 188 infants) or standard blood bank RBCs (mean age, 14.6 days; 189 infants).

The researchers found that a composite outcome of major neonatal morbidities within 90 days occurred in 52.7 percent of the fresh RBC group and 52.9 percent of the standard RBC group. The two groups also had similar rates of clinically suspected infection (77.7 and 77.2 percent, respectively) and positive cultures (67.5 and 64.0 percent, respectively).

"In this trial, the use of fresh RBCs compared with standard blood bank practice did not improve outcomes in premature, very low-birth-weight infants requiring a transfusion," Fergusson and colleagues conclude. "We thus do not recommend any changes to storage time practices for the provision of RBCs to infants admitted to neonatal intensive care."

Several authors disclosed financial ties to pharmaceutical companies and/or a law firm.

Full Text
More Information

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95

The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95

Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95

More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.

Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.

Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.

More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events