Evidence map›Paper›PMID 32187389›Full record

ArticleArtificial organs2020

The impact of circulation in a heart-lung machine on function and survival characteristics of red blood cells.

Joames Freitas Leal, Harry Vermeer, Dan Lazari, Leen van Garsse, Roland Brock, Merel Adjobo-Hermans, Giel Bosman

Open access · hybridAbstract read
In one paragraph

Article in Artificial organs, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Observational
  5. Review
  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Joames Freitas LealDepartment of Biochemistry, Radboudumc, Nijmegen, The Netherlands.
Harry VermeerDepartment of Cardiothoracic Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Dan LazariDepartment of Biochemistry, Radboudumc, Nijmegen, The Netherlands.
Leen van GarsseDepartment of Cardiothoracic Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Roland BrockDepartment of Biochemistry, Radboudumc, Nijmegen, The Netherlands.
Merel Adjobo-HermansDepartment of Biochemistry, Radboudumc, Nijmegen, The Netherlands.
Giel BosmanDepartment of Biochemistry, Radboudumc, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0003-4657-2875
Radboud University Nijmegen · NL

Funding

National Council for Scientific and Technological Development-CNPq-Brazil
6 · The paper itself

Abstract

Extracorporeal circulation is accompanied by changes in red blood cell morphology and structural integrity that affect cell function and survival, and thereby may contribute to the various side effects of heart-lung machine-assisted surgery. Our main objectives were to determine the effect of circulation of red blood cells in a stand-alone extracorporeal circuit on several parameters that are known to be affected by, as well as contribute to red blood cell aging. As a source of RBCs, we employed blood bank storage units of different ages. In order to assess the relevance of our in vitro observations for the characterization of extracorporal circulation technology, we compared these changes in those of patients undergoing extracorporeal circulation-assisted cardiac surgery. Our results show that circulation in a heart-lung machine is accompanied by changes in red blood cell volume, an increase in osmotic fragility, changes in deformability and aggregation behavior, and alterations in the exposure of phosphatidylserine and in microvesicle generation. RBCs from 1-week-old concentrates showed the highest similarities with the in vivo situation. These changes in key characteristics of the red blood cell aging process likely increase the susceptibility of red blood cells to the various mechanical, osmotic, and immunological stress conditions encountered during and after surgery in the patient's circulation, and thereby contribute to the side effects of surgery. Thus, aging-related parameters in red blood cell structure and function provide a foundation for the validation and improvement of extracorporeal circulation technology.

Indexed as

AgedCardiac Surgical ProceduresErythrocyte AggregationErythrocyte DeformabilityErythrocytesErythrocyte VolumeFemaleHeart-Lung MachineHemolysisHumansMaleagingextracorporeal circulationheart-lung machinered blood cell

Identifiers

PMID32187389
PMCPMC7496153
OpenAlexW3012388436

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.