Female donors and transfusion-related acute lung injury

BACKGROUND: Although quantitative evidence is lacking, it is generally believed that the majority of cases of transfusion‐related acute lung injury (TRALI) are caused by female blood donors. We aimed to examine the relation between female donors and the occurrence of TRALI. STUDY DESIGN AND METHODS:...

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Veröffentlicht in:Transfusion (Philadelphia, Pa.) Pa.), 2010-11, Vol.50 (11), p.2447-2454
Hauptverfasser: Middelburg, Rutger A., Van Stein, Daniëlle, Zupanska, Barbara, Uhrynowska, Małgorzata, Gajic, Ognjen, Muñiz-Diaz, Eduardo, Galvez, Nuria Nogués, Silliman, Christopher C., Krusius, Tom, Wallis, Jonathan P., Vandenbroucke, Jan P., Briët, Ernest, Van Der Bom, Johanna G.
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container_end_page 2454
container_issue 11
container_start_page 2447
container_title Transfusion (Philadelphia, Pa.)
container_volume 50
creator Middelburg, Rutger A.
Van Stein, Daniëlle
Zupanska, Barbara
Uhrynowska, Małgorzata
Gajic, Ognjen
Muñiz-Diaz, Eduardo
Galvez, Nuria Nogués
Silliman, Christopher C.
Krusius, Tom
Wallis, Jonathan P.
Vandenbroucke, Jan P.
Briët, Ernest
Van Der Bom, Johanna G.
description BACKGROUND: Although quantitative evidence is lacking, it is generally believed that the majority of cases of transfusion‐related acute lung injury (TRALI) are caused by female blood donors. We aimed to examine the relation between female donors and the occurrence of TRALI. STUDY DESIGN AND METHODS: We performed an international, multicenter case‐referent study. TRALI patients who were diagnosed clinically, independent of serology or donor sex, and had received transfusions either only from male donors or only from female donors (unisex cases) were selected. The observed sex distribution among the donors of these TRALI patients was compared to the expected sex distribution, based on the relevant donor populations. RESULTS: Eighty‐three clinical TRALI cases were included; 67 cases received only red blood cells (RBCs), 13 only plasma‐rich products, and three both. Among RBC recipients the relative risk (RR) of TRALI after a transfusion from a female donor was 1.2 (95% confidence interval [CI], 0.69‐2.1) and among plasma‐rich product recipients the RR was 19 (95% CI, 1.9‐191). The p value for the difference between RBCs and plasma was 0.023. CONCLUSION: Our data support the notion that plasma from female donors is associated with an increased risk of TRALI, while RBCs from female donors are not.
doi_str_mv 10.1111/j.1537-2995.2010.02715.x
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We aimed to examine the relation between female donors and the occurrence of TRALI. STUDY DESIGN AND METHODS: We performed an international, multicenter case‐referent study. TRALI patients who were diagnosed clinically, independent of serology or donor sex, and had received transfusions either only from male donors or only from female donors (unisex cases) were selected. The observed sex distribution among the donors of these TRALI patients was compared to the expected sex distribution, based on the relevant donor populations. RESULTS: Eighty‐three clinical TRALI cases were included; 67 cases received only red blood cells (RBCs), 13 only plasma‐rich products, and three both. Among RBC recipients the relative risk (RR) of TRALI after a transfusion from a female donor was 1.2 (95% confidence interval [CI], 0.69‐2.1) and among plasma‐rich product recipients the RR was 19 (95% CI, 1.9‐191). The p value for the difference between RBCs and plasma was 0.023. 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We aimed to examine the relation between female donors and the occurrence of TRALI. STUDY DESIGN AND METHODS: We performed an international, multicenter case‐referent study. TRALI patients who were diagnosed clinically, independent of serology or donor sex, and had received transfusions either only from male donors or only from female donors (unisex cases) were selected. The observed sex distribution among the donors of these TRALI patients was compared to the expected sex distribution, based on the relevant donor populations. RESULTS: Eighty‐three clinical TRALI cases were included; 67 cases received only red blood cells (RBCs), 13 only plasma‐rich products, and three both. Among RBC recipients the relative risk (RR) of TRALI after a transfusion from a female donor was 1.2 (95% confidence interval [CI], 0.69‐2.1) and among plasma‐rich product recipients the RR was 19 (95% CI, 1.9‐191). The p value for the difference between RBCs and plasma was 0.023. 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subjects blood donors
Females
Injuries
Lung
title Female donors and transfusion-related acute lung injury
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