1. Reduction in adverse transfusion reactions with increased use of washed platelet concentrates in Japan-A retrospective multicenter study
- Author
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Hidefumi Kato, Shinichi Ohtani, Shun-ya Momose, Takayuki Nakayama, Isao Hamaguchi, Rikizo Taira, Kuro Toyota, Shuichi Kino, Emi Ikebe, Hitoshi Okazaki, Asashi Tanaka, Yuji Yonemura, Akimichi Ohsaka, Yasuhiko Fujii, Sahoko Matsuoka, Junichi Kitazawa, and Izumi Miwa
- Subjects
Blood Platelets ,business.industry ,Incidence (epidemiology) ,Transfusion Reaction ,Hematology ,030204 cardiovascular system & hematology ,humanities ,03 medical and health sciences ,0302 clinical medicine ,Multicenter study ,Japan ,Blood product ,Anesthesia ,Medicine ,Humans ,Platelet ,Blood Transfusion ,Female ,Washed platelet ,business ,030215 immunology ,Retrospective Studies - Abstract
Plasma removal by washing platelet concentrates (PCs) is effective in preventing adverse reactions to PC transfusions. The Japanese Red Cross Society (JRCS) started releasing washed PCs (WPCs) as a commercially approved blood product in September 2016. This retrospective multicenter study investigated the change in the number of transfused WPCs and the impact on the incidence of adverse reactions to PCs before and after the release. The numbers and types of transfused PCs and the adverse reactions to the PCs for a year before the start of the WPC release and for a year after the release were reported by 27 medical institutes in Japan. Transfusion information for approximately 8% of the amount of PCs supplied in Japan was analyzed during the study period. After the start of WPC release by the JRCS, the number of transfused WPCs doubled. The rate of adverse reactions to PCs decreased significantly (p = 0.0223), from 4.30% before the release to 4.05% after the release. The rates of adverse reactions to unwashed and WPCs were 4.13% and 0.84%, respectively. Allergic adverse reactions were significantly decreased after the release (3.60% before versus 3.37% after). No severe allergic reactions to WPCs were reported. The release of WPCs by the JRCS significantly reduced transfusion-related adverse reactions to PCs in Japan.
- Published
- 2018