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Journal Transfusion

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ABO maternal-child discordance: Evidence of variable allelic expression and considerations for investigation.

Tristan F P McKnight, Jonathan E Strain, Sunitha Vege, Christina Lam, Eustratia M Hubbard, Patricia M Kopko, Connie M Westhoff, Elizabeth S Allen,

<h4>Background</h4>We report a case of apparent mother-child ABO group noninheritance. A Caucasian mother initially typed as group O and her infant group AB. Investigation ruled out preanalytical causes such as mislabeled samples and in vitro fertilization.<h4>Materials and methods</h4>Red blood cells were characterized by routine serologic testing. Genomic data were analyzed ... Read more >>

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[2021, :]

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A monthly roundup of key articles in other journals.

Caitlin McOmish,

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[2021, :]

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A multicenter report on the safety and efficacy of plerixafor based stem cell mobilization in children with malignant disorders.

Nabanita Bhunia, Rolla Abu-Arja, Joseph R Stanek, Peter J Shaw, Hyoung Jin Kang, Jerry Stein, Tracey A O'Brien, Catherine H Roberts, Anselm Chi-Wai Lee, David M Loeb, Mehmet F Ozkaynak, Jignesh D Dalal, Caron Strahlendorf, Rakesh K Goyal, Shalini S Shenoy, Hemalatha G Rangarajan,

<h4>Background</h4>Pleraxifor for peripheral blood stem cell (PBSC) mobilization in children with malignancies is often given following failure of standard mobilization (SM) rather than as a primary mobilizing agent.<h4>Study design and methods</h4>In this retrospective multicenter study, we report the safety of plerixafor-based PBSC mobilization in children with malignancies and compare outcomes ... Read more >>

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[2021, :]

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Turn it up to 11.

Richard Kaufman,

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[2021, :]

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Bacterial contamination of blood products in Africa.

Yembur Ahmad, Anne-Sophie Heroes, Heather A Hume, Mohammed Farouk, Alex Owusu-Ofori, Eric A Gehrie, Ruchika Goel, Paul M Ness, Aaron A R Tobian, Evan M Bloch,

<h4>Background</h4>Bacterial contamination of blood components (notably platelets) remains a leading infectious risk to the blood supply. There has been extensive research in high-income countries to characterize the risk of bacterial contamination along with adoption of strategies to mitigate that risk. By contrast, related data in Africa are lacking.<h4>Study design and ... Read more >>

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[2021, :]

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Covid-19 Convalescent Plasma Donor Characteristics, Product Disposition and Comparison With Standard Apheresis Donors.

Baia Lasky, Erin Goodhue Meyer, Whitney R Steele, Lauren A Crowder, Pampee P Young,

<h4>Background</h4>With COVID-19 convalescent plasma (CCP) offering an early treatment option for COVID-19, blood collectors needed to quickly overcome obstacles to recruiting and qualifying eligible donors. We provide attributes of CCP donors and products and compare to standard donors and products.<h4>Study design and methods</h4>Information on CCP donors was gathered from the ... Read more >>

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[2021, :]

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Adaptations of transfusion systems to the COVID-19 pandemic in British Columbia, Canada: Early experiences of a large tertiary care center and survey of provincial activities.

Eric McGinnis, Robert J Guo, Krista M Marcon, Brian Berry, Robert Coupland, Victor Meneghetti, Douglas Morrison, Rodrigo Onell, Lisa Steele, Jacqueline Trudeau, Michelle Wong, Andrew W Shih,

<h4>Background</h4>In March 2020, a state of emergency was declared to facilitate organized responses to the coronavirus disease 2019 (COVID-19) pandemic in British Columbia, Canada. Emergency blood management committees (EBMCs) were formed regionally and provincially to coordinate transfusion service activities and responses to possible national blood shortages.<h4>Study design and methods</h4>We describe ... Read more >>

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[2021, :]

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How do I create a partnership between a blood bank and a milk bank to provide safe, pasteurized human milk to infants?

Janice O'Rourke, Sarah Long, Nichole L LePage, Dan A Waxman,

The now 5-year collaboration between the Indiana Blood Center, now Versiti Blood Center of Indiana, and The Milk Bank has increased the number of human milk donors, improved the collection and processing of donor milk, and improved awareness of this lifesaving resource. The Indiana Blood Center provides greater visibility for ... Read more >>

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[2021, :]

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Neutralizing Activity to SARS-CoV-2 of Convalescent and Control Plasma Used in a Randomized Controlled Trial.

Alex T Freedenberg, Chun-Hao Pan, William E Diehl, Jamie L Romeiser, Ga-Ram Hwang, Cindy V Leiton, Frauke Muecksch, Kenneth R Shroyer, Elliott Bennett-Guerrero,

<h4>Background</h4>There are limited data on the neutralizing activity of convalescent plasma (CP) administered in randomized controlled trials (RCT) of COVID-19 infection.<h4>Study design and methods</h4>As part of an RCT, CP was collected per FDA guidelines from individuals recovered from COVID-19 infection. CP donors had to have ≥145 optical density (OD) units ... Read more >>

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[2021, :]

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Hemolytic disease and reticulocytopenia of the newborn attributable to maternal immunoglobulin G anti-M reacting optimally at cold temperatures.

Lezlie H Andersen, Eapen K Jacob, Sheila S McThenia, Craig D Tauscher, Emily R Patterson, Jennifer L Oliveira, Vilmarie Rodriguez,

<h4>Background</h4>Hemolytic disease of the fetus and newborn (HDFN) attributable to anti-M is rare, although case reports implicate anti-M in varying severities of HDFN, including fetal hydrops and intrauterine death.<h4>Case description</h4>We describe the case of a newborn with HDFN associated with an atypical immunoglobulin (Ig) G anti-M that reacted best at ... Read more >>

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[2021, :]

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A prospective observational study of the incidence, natural history, and risk factors for intravenous immunoglobulin-mediated hemolysis.

Jacob Pendergrast, Chantal Armali, Jeannie Callum, Christine Cserti-Gazdewich, Aziz Jiwajee, Lani Lieberman, Wendy Lau, Yulia Lin, Nagina Parmar, Katerina Pavenski, Lorna Sampson Riden, Nadine Shehata, Kezia Willie-Ramharack, George Tomlinson, Tik Nga Tong, Beth Binnington, Donald R Branch, ,

<h4>Background</h4>Intravenous Immune Globulin (IVIG) is used to treat numerous immune-mediated and inflammatory conditions. There is growing awareness of hemolysis, occasionally severe, as a side-effect of this therapy. While most cases are associated with anti-A and/or anti-B isoagglutinins, the frequency and mechanism of hemolysis remain poorly characterized.<h4>Study design and methods</h4>A prospective ... Read more >>

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[2021, :]

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Presence and short-term persistence of SARS-CoV-2 neutralizing antibodies in COVID-19 convalescent plasma donors.

Kyle Annen, Thomas E Morrison, Melkon G DomBourian, Mary K McCarthy, Leah Huey, Patricia A Merkel, Gillian Andersen, Eileen Schwartz, Vijaya Knight,

<h4>Background</h4>In March 2020, the Food and Drug Administration (FDA) approved use of COVID-19 convalescent plasma (CCP) as an investigational new drug for treatment of COVID-19. Since then, collection of CCP from COVID-19-recovered patients has been implemented in donor centers nationwide. Children's Hospital Colorado rapidly put into practice a CCP collection ... Read more >>

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[2021, :]

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Electronic clinical decision support: Evidence that default settings influence end-user behavior.

Ryan A Metcalf, Jason Goodfellow, Kelly Cail, Robert Blaylock, Kensaku Kawamoto, Toby Enniss, Charles Galaviz, Ming Lim, Santosh Reddy, Vikas Sharma, Nathan Wanner,

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[2021, :]

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A prospective multi-faceted interventional study of blood bank technologist screening of red blood cell transfusion orders: The START study.

Amie T Kron, Allison Collins, Christine Cserti-Gazdewich, Jacob Pendergrast, Kathryn Webert, Lani Lieberman, Michelle P Zeller, Sheila R Harding, Susan Nahirniak, Oksana Prokopchuk-Gauk, Yulia Lin, Brent Mendez, Chantal Armali, Christina Lee, Danielle Watson, Dena Arnott, Fengju Xun, Heather Blain, Heather Panchuk, Hertha Hughes, Kathy Chorneyko, Michael Angers, Nicole Pilutti, Ryan Lett, Shauna Dowsley, Theodora Ruijs, Tracy Cupido, Tracy Kichinko, Troy Thompson, Zohreh Afshar-Ghotli, Jeannie Callum, ,

<h4>Background</h4>Transfusion of red blood cells (RBC) is a common procedure, which when prescribed inappropriately can result in adverse patient outcomes. This study sought to determine the impact of a multi-faceted intervention on unnecessary RBC transfusions at hospitals with a baseline appropriateness below 90%.<h4>Study design and methods</h4>A prospective medical chart audit ... Read more >>

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[2021, :]

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Hematologic evaluation of intraoperative autologous blood collection and allogeneic transfusion in cardiac surgery.

Reney A Henderson, Miranda Judd, Erik R Strauss, James S Gammie, Michael A Mazzeffi, Bradley S Taylor, Kenichi A Tanaka,

<h4>Background</h4>Acute normovolemic hemodilution is recommended as a technique to reduce allogeneic red blood cell (RBC) transfusions in cardiac surgery, but its efficacy to reduce non-RBC transfusion has not been consistently demonstrated. We hypothesized that intraoperative large-volume autologous whole blood (AWB) collection and reinfusion improves viscoelastic coagulation parameters.<h4>Study design and methods</h4>Prospective ... Read more >>

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[2021, :]

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Defining core competencies in transfusion medicine for resident physicians: A multi-specialty Delphi consensus study.

Leena Suleiman, Sara Bakhtary, Solmaz P Manuel,

<h4>Background</h4>Although resident physicians across disciplines are responsible for ordering blood products and managing sequelae of blood product transfusion, no designated set of competencies in transfusion medicine has been established for postgraduate trainees. The primary goal of this study was to determine core transfusion-related competencies that such residents should possess.<h4>Study design ... Read more >>

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[2021, :]

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The impact of the sample time of secondary bacterial culture on the risk of exposure to contaminated platelet components: A mathematical analysis.

Ryleigh A Moore, Robert L Schmidt, Ryan A Metcalf,

<h4>Background</h4>The US Food and Drug Administration (FDA) issued a guidance for bacterial risk control strategies for platelet components in September 2019 that includes strategies using secondary bacterial culture (SBC). While an SBC likely increases safety, the optimal timing of the SBC is unknown. Our aim was to develop a model ... Read more >>

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[2021, :]

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Red blood cell transfusion in patients with anti-Yta.

Shu Min Wong, Tanya Cawthorne, Peta M Dennington, Frank S Hong,

<h4>Background</h4>Yt<sup>a</sup> is a high frequency red blood cell (RBC) antigen, present in 99.7% of studied populations. It is extremely immunogenic, and when anti-Yt<sup>a</sup> is present, provision of Yt(a-) blood is often challenging. The objectives of our study were to assess the incidence and severity of acute hemolytic transfusion reactions to ... Read more >>

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[2021, :]

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RHCE*01 (c.499A>G, p.Met167Val) allele: Weak RhE expression which does not require the E-specific proline 226.

Elisabeth Durieux-Roussel, Laurine Laget, Lugdivine Filosa, Caroline Izard, Pascal Bailly, Jacques Chiaroni,

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[2021, :]

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Metabolic rejuvenation upgrades circulatory functions of red blood cells stored under blood bank conditions.

Mickaël Marin, Camille Roussel, Michael Dussiot, Papa A Ndour, Olivier Hermine, Yves Colin, Alan Gray, Matt Landrigan, Caroline Le Van Kim, Pierre A Buffet, Pascal Amireault,

<h4>Background</h4>Red blood cells (RBC) change upon hypothermic conservation, and storage for 6 weeks is associated with the short-term clearance of 15% to 20% of transfused RBCs. Metabolic rejuvenation applied to RBCs before transfusion replenishes energetic sources and reverses most storage-related alterations, but how it impacts RBC circulatory functions has not been ... Read more >>

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[2020, :]

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Post-transfusion hemoglobin response in patients with cirrhosis: Can we expect a 1 g/dL rise per unit transfused?

Nicholas Noverati, Elizabeth Federici, Thomas R Riley,

<h4>Background</h4>A patient's hemoglobin is typically expected to rise by 1 g/dL/unit transfused PRBCs. However, it has been theorized that mechanisms such as hyperbilirubinemia and splenomegaly might lead to either a direct lysis or sequestration of red blood cells that could decrease this proportionate response.<h4>Study design and methods</h4>Patients with resolved GI ... Read more >>

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[2020, :]

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Whole blood donor behavior and availability after deferral: Consequences of a new ferritin monitoring policy.

Marloes L C Spekman, Steven Ramondt, Maike G Sweegers,

<h4>Background</h4>To prevent (negative consequences of) temporary deferral due to low hemoglobin, the Dutch national blood service Sanquin introduced a ferritin monitoring policy in 2017. Ferritin is measured after the donation (as opposed to before donation for hemoglobin), and low ferritin levels lead to deferral of 6 (ferritin 15-30 ng/mL) or 12 months ... Read more >>

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[2020, :]

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Randomized controlled trial of 7, 28, vs 42 day stored red blood cell transfusion on oxygen delivery (VO2 max) and exercise duration.

Elliott Bennett-Guerrero, Sabeen Rizwan, Russell Rozensky, Jamie L Romeiser, John Brittelli, Rany Makaryus, Jun Lin, Dennis K Galanakis, Darrell J Triulzi, Richard E Moon,

<h4>Background</h4>Few studies have rigorously assessed the impact of red blood cell (RBC) transfusion on oxygen delivery. Several large trials demonstrated no clinical outcome differences between transfusion of shorter-storage vs prolonged-storage RBCs. These trials did not directly assess functional measures of oxygen delivery. Therefore, it is not clear if 42-day stored ... Read more >>

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[2020, :]

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A WHO tool for risk-based decision making on blood safety interventions.

Mart P Janssen, C Micha Nuebling, François-Xavier Lery, Yuyun S Maryuningsih, Jay S Epstein,

<h4>Background</h4>Risk-based decision making is increasingly recognized as key to support national blood policy makers and blood operators concerning the implementation of safety interventions, especially to address emerging infectious threats and new technology opportunities. There is an urgent need for practical decision support tools, especially for low- and middle-income countries that ... Read more >>

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[2020, :]

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Defining postoperative transfusion thresholds in liver transplant recipients: A novel retrospective approach.

Joseph P Connor, David Aufhauser, Bridget M Welch, Glen Leverson, David Al-Adra,

<h4>Background</h4>The optimal transfusion threshold for most patient populations has been defined as hematocrit (HCT) <21%. However, some specific patient populations are known to benefit from higher transfusion thresholds. To date, the optimal postoperative transfusion threshold for patients undergoing liver transplant has not been determined. To define the ideal transfusion threshold ... Read more >>

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[2020, :]

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