Transfusion and Apheresis Science最新文献_第2页

A predictive score model based on complete blood count for a single-unit red blood cell transfusion 基于全血细胞计数的单单位红细胞输血预测评分模型

IF 1.2 4区医学

Transfusion and Apheresis Science Pub Date : 2025-08-20 DOI: 10.1016/j.transci.2025.104242

Prakarn Sawatdee , Oytip Nathalang , Dollapak Apipongrat , Kamphon Intharanut

{"title":"A predictive score model based on complete blood count for a single-unit red blood cell transfusion","authors":"Prakarn Sawatdee , Oytip Nathalang , Dollapak Apipongrat , Kamphon Intharanut","doi":"10.1016/j.transci.2025.104242","DOIUrl":"10.1016/j.transci.2025.104242","url":null,"abstract":"<div><h3>Background</h3><div>Red blood cell (RBC) transfusions are life-saving options for those who are unable to carry oxygen. Although administering a single RBC unit usually elicits a sufficient response, identifying the optimal transfusion trigger can be challenging because this variable remains unknown.</div></div><div><h3>Objectives</h3><div>This study aimed to develop a one-unit RBC Transfusion Requirement Scoring Model (1RTRSM), a predictive scoring system through studying the value of each CBC parameter and basic demographics of the patients. Methods: A five-year, retrospective study of patients requesting a single unit of RBC transfusion was carried out to determine the variables influencing transfusion, develop a scoring tool, and pilot test it one year prospectively. Age, sex, ABO grouping and Rh(D) typing department and CBC parameters were included. Based on transfusion status, the results were divided in cases and controls. The score was determined, and the cut-off was assigned using the receiver operating characteristic curve.</div></div><div><h3>Results</h3><div>Totally, 10,995 individuals - 4635 controls and 6320 cases - were included. They were selected to construct the score considering they possessed positively predicted one-unit RBC transfusion: male, age ≥ 43 years, Hb < 8.9, g/dL, RDW ≥ 15.0 %, PLT < 229.9 × 10 ³ /μL, and MPV < 9.9 fL. The total score value of 5 was chosen as the cut-off with strengths of 87 % accuracy, 89 % sensitivity and 85 % specificity. Within a pilot study, the score's accuracy over all departments was 85 %.</div></div><div><h3>Conclusions</h3><div>We established a novel 1RTRSM model that predicts patients' transfusion needs across a variety of departments using a simple, valid and reliable tool demonstrating high accuracy.</div></div>","PeriodicalId":49422,"journal":{"name":"Transfusion and Apheresis Science","volume":"64 5","pages":"Article 104242"},"PeriodicalIF":1.2,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144880264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preoperative embolization reduces blood loss and recurrence in aneurysmal bone cyst surgery: A retrospective cohort study 术前栓塞可减少动脉瘤性骨囊肿手术的失血和复发：一项回顾性队列研究

IF 1.2 4区医学

Transfusion and Apheresis Science Pub Date : 2025-08-20 DOI: 10.1016/j.transci.2025.104240

İbrahim Kaya , İsmet Mert Erdoğan , Mustafa Çeltik , Yaman Karakoç , Muhammed Furkan Tosun , Özlem Orhan , Coşkun Ulucaköy

{"title":"Preoperative embolization reduces blood loss and recurrence in aneurysmal bone cyst surgery: A retrospective cohort study","authors":"İbrahim Kaya , İsmet Mert Erdoğan , Mustafa Çeltik , Yaman Karakoç , Muhammed Furkan Tosun , Özlem Orhan , Coşkun Ulucaköy","doi":"10.1016/j.transci.2025.104240","DOIUrl":"10.1016/j.transci.2025.104240","url":null,"abstract":"<div><h3>Aim</h3><div>This study aims to evaluate the effectiveness of preoperative embolization in reducing intraoperative blood loss and transfusion requirements, as well as its impact on recurrence in patients with histopathologically confirmed aneurysmal bone cysts (ABCs).</div></div><div><h3>Methods</h3><div>A retrospective review was conducted on 107 patients who underwent surgical treatment for ABC at a tertiary oncology center between 2004 and 2023. Patients were grouped based on whether they received preoperative embolization (n = 50) or not (n = 57). Data collected included demographic features, lesion location, estimated blood loss (EBL), erythrocyte suspension (ES) transfusion volume, operative time, VAS scores, and recurrence rates.</div></div><div><h3>Results</h3><div>Patients in the embolization group had significantly lower EBL (772 ± 445.4 ml vs. 1220.17 ± 523.37 ml; p < 0.001), VAS scores (2.14 ± 1.92 vs. 3.61 ± 2.52; p = 0.002), and ES transfusion volumes (312 ± 337.2 ml vs. 580.7 ± 394.8 ml; p < 0.001). Recurrence rates were also lower in the embolization group (8 % vs. 24.6 %; p = 0.023). Operative time did not differ significantly (p = 0.089).</div></div><div><h3>Conclusion</h3><div>In conclusion, the use of preoperative embolization in patients with aneurysmal bone cysts may help reduce intraoperative blood loss, transfusion requirements, and the likelihood of postoperative recurrence. In light of its potential to minimize both intraoperative complications and long-term recurrence, embolization should be considered as a component of preoperative planning in appropriately selected cases of ABC.</div></div>","PeriodicalId":49422,"journal":{"name":"Transfusion and Apheresis Science","volume":"64 6","pages":"Article 104240"},"PeriodicalIF":1.2,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimizing anti-seizure medication management in therapeutic plasma exchange: A practical case report 血浆置换治疗中抗癫痫药物管理的优化：一个实际病例报告

IF 1.2 4区医学

Transfusion and Apheresis Science Pub Date : 2025-08-12 DOI: 10.1016/j.transci.2025.104239

Valentin Coirier , Marie Gallais , Adrien Benard , Dragos-Mihai Maliia , Joanna Bourgine , Bénédicte Franck

引用次数: 0

Actual versus ideal donor body weight in planning bone marrow harvest 计划骨髓采集时实际与理想供体体重的对比

IF 1.2 4区医学

Transfusion and Apheresis Science Pub Date : 2025-08-05 DOI: 10.1016/j.transci.2025.104238

Rui Murahashi , Shin-ichiro Fujiwara , Daisuke Minakata , Masahiro Ashizawa , Chihiro Yamamoto , Kaoru Hatano , Kazuya Sato , Ikuko Otsuki , Ken Ohmine , Yoshinobu Kanda

{"title":"Actual versus ideal donor body weight in planning bone marrow harvest","authors":"Rui Murahashi , Shin-ichiro Fujiwara , Daisuke Minakata , Masahiro Ashizawa , Chihiro Yamamoto , Kaoru Hatano , Kazuya Sato , Ikuko Otsuki , Ken Ohmine , Yoshinobu Kanda","doi":"10.1016/j.transci.2025.104238","DOIUrl":"10.1016/j.transci.2025.104238","url":null,"abstract":"<div><h3>Background</h3><div>Donor selection and harvest volume calculation typically use actual body weight (ABW). However, in obese donors, increased ABW mainly reflects adipose tissue rather than hematopoietic stem cell (HSC)-rich bone marrow. This study aimed to investigate whether ideal body weight (IBW) is a better indicator than ABW for estimating the required HSC yield.</div></div><div><h3>Study design and methods</h3><div>This study included 157 donors (106 men and 51 women) with a body mass index of ≥ 22. An analysis of the correlation between harvested HSCs and harvested volume per ABW and IBW was performed. Another analysis of the correlation between the decrease in hemoglobin levels and the harvested volume per ABW or IBW was performed.</div></div><div><h3>Results</h3><div>No significant differences were observed in the correlations between total nucleated cell counts and the harvested volume per ABW or IBW, between CD34+ HSCs and the harvested volume per ABW or IBW, and between the decrease in hemoglobin levels and the harvested volume per ABW or IBW in all donors and obese donors.</div></div><div><h3>Conclusions</h3><div>These results showed no significant differences between IBW and ABW as indicators for estimating the required HSC yield. Additionally, the results showed that harvesting per ABW was not excessive.</div></div>","PeriodicalId":49422,"journal":{"name":"Transfusion and Apheresis Science","volume":"64 5","pages":"Article 104238"},"PeriodicalIF":1.2,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Editorial Note on the contribution from the Spanish Apheresis Group (GEA) 关于西班牙Apheresis集团（GEA）贡献的编辑说明

IF 1.2 4区医学

Transfusion and Apheresis Science Pub Date : 2025-07-29 DOI: 10.1016/j.transci.2025.104223

Gail Rock

引用次数: 0

Plant-based diets for CKD patients, green- based Mediterranean diet: A green nephrology view CKD患者的植物性饮食，绿色地中海饮食：绿色肾病学观点

IF 1.2 4区医学

Transfusion and Apheresis Science Pub Date : 2025-07-29 DOI: 10.1016/j.transci.2025.104231

Dora Oikonomaki

引用次数: 0

Biography of the guest editor for this issue's theme papers on "Green" methodology in blood purification techniques 本刊关于血液净化技术中的“绿色”方法论主题论文的客座编辑简介

IF 1.2 4区医学

Transfusion and Apheresis Science Pub Date : 2025-07-28 DOI: 10.1016/j.transci.2025.104225

Ioannis Griveas

引用次数: 0

A place for plasmapheresis 血浆置换的地方

IF 1.2 4区医学

Transfusion and Apheresis Science Pub Date : 2025-07-28 DOI: 10.1016/j.transci.2025.104234

Lise Sofie H. Nissen-Meyer

引用次数: 0

Citrate, a green alternative to heparin 柠檬酸盐，肝素的绿色替代品

IF 1.2 4区医学

Transfusion and Apheresis Science Pub Date : 2025-07-28 DOI: 10.1016/j.transci.2025.104229

Ioannis Griveas

引用次数: 0

"Green" methodology: An overview and basic principles “绿色”方法论：概述和基本原则

IF 1.2 4区医学

Transfusion and Apheresis Science Pub Date : 2025-07-28 DOI: 10.1016/j.transci.2025.104226

Ioannis Griveas

引用次数: 0