Serum Ferritin Levels in Preterm Infants after Multiple Blood Transfusions

ABSTRACT We have examined the effect on iron stores of blood transfusions given to premature neonates during hospitalization in the neonatal intensive care unit as reflected by serum ferritin levels measured for 6 months after discharge. Premature infants who were transfused with more than 100 ml pa...

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Veröffentlicht in:American journal of perinatology 1988-01, Vol.5 (1), p.40-43
Hauptverfasser: Arad, Ilan, Konijn, Avraham M., Linder, Nechama, Goldstein, Mara, Kaufmann, Nathan A.
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container_end_page 43
container_issue 1
container_start_page 40
container_title American journal of perinatology
container_volume 5
creator Arad, Ilan
Konijn, Avraham M.
Linder, Nechama
Goldstein, Mara
Kaufmann, Nathan A.
description ABSTRACT We have examined the effect on iron stores of blood transfusions given to premature neonates during hospitalization in the neonatal intensive care unit as reflected by serum ferritin levels measured for 6 months after discharge. Premature infants who were transfused with more than 100 ml packed cells (group D; n = 11) had higher ferritin levels for a longer period than premature infants who were transfused with smaller volumes (group c; n = 9) or premature and mature infants who were not transfused at all (group B; n = 24 and group A; n = 21, respectively). At 4-5 months the serum ferritin levels in group D (489.8 ± 132.1 μg/L; mean ± SEM) were significantly higher (P < 0.001) than those of the other groups. The level of group A term infants (77.5 ±12.5 μg/L) was higher than those of group B premature infants who did not receive a blood transfusion (33.0 ± 7.1 μg/L) or group C who received less than 100 ml (36.5 ± 8.8 μg/L packed red blood cells. However, these differences were not statistically significant. Our data demonstrate that very-low-birthweight infants who receive a large volume of packed cells during hospitalization may accumulate iron stores sufficient for red cell production during the first 6 months of life. Administration of large amounts of supplemental iron, in such cases, may be curtailed.
doi_str_mv 10.1055/s-2007-999651
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Premature infants who were transfused with more than 100 ml packed cells (group D; n = 11) had higher ferritin levels for a longer period than premature infants who were transfused with smaller volumes (group c; n = 9) or premature and mature infants who were not transfused at all (group B; n = 24 and group A; n = 21, respectively). At 4-5 months the serum ferritin levels in group D (489.8 ± 132.1 μg/L; mean ± SEM) were significantly higher (P &lt; 0.001) than those of the other groups. The level of group A term infants (77.5 ±12.5 μg/L) was higher than those of group B premature infants who did not receive a blood transfusion (33.0 ± 7.1 μg/L) or group C who received less than 100 ml (36.5 ± 8.8 μg/L packed red blood cells. However, these differences were not statistically significant. Our data demonstrate that very-low-birthweight infants who receive a large volume of packed cells during hospitalization may accumulate iron stores sufficient for red cell production during the first 6 months of life. Administration of large amounts of supplemental iron, in such cases, may be curtailed.</description><identifier>ISSN: 0735-1631</identifier><identifier>EISSN: 1098-8785</identifier><identifier>DOI: 10.1055/s-2007-999651</identifier><identifier>PMID: 3337757</identifier><identifier>CODEN: AJPEEK</identifier><language>eng</language><publisher>New York, NY: Thieme</publisher><subject>Anemia, Hypochromic - prevention &amp; control ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Blood Transfusion ; Emergency and intensive care: neonates and children. Prematurity. 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Premature infants who were transfused with more than 100 ml packed cells (group D; n = 11) had higher ferritin levels for a longer period than premature infants who were transfused with smaller volumes (group c; n = 9) or premature and mature infants who were not transfused at all (group B; n = 24 and group A; n = 21, respectively). At 4-5 months the serum ferritin levels in group D (489.8 ± 132.1 μg/L; mean ± SEM) were significantly higher (P &lt; 0.001) than those of the other groups. The level of group A term infants (77.5 ±12.5 μg/L) was higher than those of group B premature infants who did not receive a blood transfusion (33.0 ± 7.1 μg/L) or group C who received less than 100 ml (36.5 ± 8.8 μg/L packed red blood cells. However, these differences were not statistically significant. Our data demonstrate that very-low-birthweight infants who receive a large volume of packed cells during hospitalization may accumulate iron stores sufficient for red cell production during the first 6 months of life. Administration of large amounts of supplemental iron, in such cases, may be curtailed.</description><subject>Anemia, Hypochromic - prevention &amp; control</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Blood Transfusion</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>Ferritins - blood</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant Food</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Premature - blood</subject><subject>Intensive care medicine</subject><subject>Medical sciences</subject><subject>ORIGINAL ARTICLE</subject><issn>0735-1631</issn><issn>1098-8785</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1LxDAQhoMo67p69Cj0IJ6sJk3TpEddXF1ZUXA9hzSdYKUfa6YV_Pdm2bI3TzPD-zDDPIScM3rDqBC3GCeUyjjP80ywAzJlNFexkkockimVXMQs4-yYnCB-UcoSRdWETDjnUgo5Jc_v4IcmWoD3VV-10Qp-oMYodG8eevBNtGydaXuMjAtj9DLUfbWpIbqvu66M1t606AasuhZPyZEzNcLZWGfkY_Gwnj_Fq9fH5fxuFVsu0j42BaQ5zzIAzq2zwFPBGE-zUpVUloWypeWsFCorqKN56GWRuYTyUhpQTBk-I1e7vRvffQ-AvW4qtFDXpoVuQC3Di2mWigDGO9D6DtGD0xtfNcb_akb11p1GvXWnd-4CfzEuHooGyj09ygr55ZgbtKZ24Xdb4R6TlLNEpAG73mH9ZwUN6K9u8G0Q8s_VP2QxhDw</recordid><startdate>198801</startdate><enddate>198801</enddate><creator>Arad, Ilan</creator><creator>Konijn, Avraham M.</creator><creator>Linder, Nechama</creator><creator>Goldstein, Mara</creator><creator>Kaufmann, Nathan A.</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198801</creationdate><title>Serum Ferritin Levels in Preterm Infants after Multiple Blood Transfusions</title><author>Arad, Ilan ; Konijn, Avraham M. ; Linder, Nechama ; Goldstein, Mara ; Kaufmann, Nathan A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-abe49366ee33cfce34511346d8d07db8cdc31d586b0f09c317b6f203d7ae818a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Anemia, Hypochromic - prevention &amp; control</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Blood Transfusion</topic><topic>Emergency and intensive care: neonates and children. Prematurity. Sudden death</topic><topic>Ferritins - blood</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant Food</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Infant, Premature - blood</topic><topic>Intensive care medicine</topic><topic>Medical sciences</topic><topic>ORIGINAL ARTICLE</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arad, Ilan</creatorcontrib><creatorcontrib>Konijn, Avraham M.</creatorcontrib><creatorcontrib>Linder, Nechama</creatorcontrib><creatorcontrib>Goldstein, Mara</creatorcontrib><creatorcontrib>Kaufmann, Nathan A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arad, Ilan</au><au>Konijn, Avraham M.</au><au>Linder, Nechama</au><au>Goldstein, Mara</au><au>Kaufmann, Nathan A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serum Ferritin Levels in Preterm Infants after Multiple Blood Transfusions</atitle><jtitle>American journal of perinatology</jtitle><addtitle>Amer J Perinatol</addtitle><date>1988-01</date><risdate>1988</risdate><volume>5</volume><issue>1</issue><spage>40</spage><epage>43</epage><pages>40-43</pages><issn>0735-1631</issn><eissn>1098-8785</eissn><coden>AJPEEK</coden><abstract>ABSTRACT We have examined the effect on iron stores of blood transfusions given to premature neonates during hospitalization in the neonatal intensive care unit as reflected by serum ferritin levels measured for 6 months after discharge. Premature infants who were transfused with more than 100 ml packed cells (group D; n = 11) had higher ferritin levels for a longer period than premature infants who were transfused with smaller volumes (group c; n = 9) or premature and mature infants who were not transfused at all (group B; n = 24 and group A; n = 21, respectively). At 4-5 months the serum ferritin levels in group D (489.8 ± 132.1 μg/L; mean ± SEM) were significantly higher (P &lt; 0.001) than those of the other groups. The level of group A term infants (77.5 ±12.5 μg/L) was higher than those of group B premature infants who did not receive a blood transfusion (33.0 ± 7.1 μg/L) or group C who received less than 100 ml (36.5 ± 8.8 μg/L packed red blood cells. However, these differences were not statistically significant. Our data demonstrate that very-low-birthweight infants who receive a large volume of packed cells during hospitalization may accumulate iron stores sufficient for red cell production during the first 6 months of life. Administration of large amounts of supplemental iron, in such cases, may be curtailed.</abstract><cop>New York, NY</cop><pub>Thieme</pub><pmid>3337757</pmid><doi>10.1055/s-2007-999651</doi><tpages>4</tpages></addata></record>
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subjects Anemia, Hypochromic - prevention & control
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood Transfusion
Emergency and intensive care: neonates and children. Prematurity. Sudden death
Ferritins - blood
Follow-Up Studies
Humans
Infant
Infant Food
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature - blood
Intensive care medicine
Medical sciences
ORIGINAL ARTICLE
title Serum Ferritin Levels in Preterm Infants after Multiple Blood Transfusions
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