Evidence map›Paper›PMID 37206261›Full record

ArticleEJHaem2023

Red blood cell alloantibodies in paediatric transfusion in sub-Saharan Africa: A new cohort and literature review.

Macoura Gadji, Guéda Cobar, Alioune Thiongane, Alioune Badara Senghor, Rose Seck, Blaise Félix Faye, Moussa Seck, Youssou Bamar Guéye, Diariétou Sy, Abibatou Sall and 3 more

Open access · diamondAbstract read
In one paragraph

Article in EJHaem, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
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  3. 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

13 authors at 3 institutions in 2 countries.

Macoura GadjiService of Haematology and Oncology-Haematology (HBOH) Department of Biology and Applied Pharmaceutical Sciences Faculty of Medicine Pharmacy and Odonto-Stomatology (FMPOS) University Cheikh Anta Diop of Dakar (UCAD) Dakar Senegal.ORCID https://orcid.org/0000-0003-0252-3772
Guéda CobarService of Haematology and Oncology-Haematology (HBOH) Department of Biology and Applied Pharmaceutical Sciences Faculty of Medicine Pharmacy and Odonto-Stomatology (FMPOS) University Cheikh Anta Diop of Dakar (UCAD) Dakar Senegal.
Alioune ThionganeService of Paediatrics Department of Medicine, Hospital Albert Royer of Fann Faculty of Medicine Pharmacy and Odonto-Stomatology (FMPOS) University Cheikh Anta Diop of Dakar (UCAD) Dakar Senegal.
Alioune Badara SenghorNational Centre of Blood Transfusion (CNTS) Dakar Senegal.
Rose SeckNational Centre of Blood Transfusion (CNTS) Dakar Senegal.
Blaise Félix FayeNational Centre of Blood Transfusion (CNTS) Dakar Senegal.
Moussa SeckNational Centre of Blood Transfusion (CNTS) Dakar Senegal.ORCID https://orcid.org/0000-0002-0561-6707
Youssou Bamar GuéyeNational Centre of Blood Transfusion (CNTS) Dakar Senegal.
Diariétou SyNational Centre of Blood Transfusion (CNTS) Dakar Senegal.
Abibatou SallService of Haematology Department of Medicine, Faculty of Medicine Pharmacy and Odonto-Stomatology (FMPOS) University Cheikh Anta Diop of Dakar (UCAD) Dakar Senegal.
Awa Oumar ToureService of Biology Hospital Aristide le Dantec Dakar Senegal.
Tandakha Ndiaye DiéyeNational Centre of Blood Transfusion (CNTS) Dakar Senegal.
Saliou DiopNational Centre of Blood Transfusion (CNTS) Dakar Senegal.
National Blood Transfusion Service · NGCheikh Anta Diop University · SNHôpital Aristide Le Dantec · SN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blood transfusion support predisposes transfused children to the risk of erythrocyte alloimmunization in Sub-Saharan Africa. A cohort of 100 children receiving one to five blood transfusions were recruited for screening and identification of irregular antibodies using gel filtration technique. The mean age was 8 years and the sex-ratio at 1.2. The retrieved pathologies were: major sickle cell anaemia (46%), severe malaria (20%), haemolytic anaemia (4%), severe acute malnutrition (6%), acute gastroenteritis (5%), chronic infectious syndrome (12%) and congenital heart disease (7%). The children presented with haemoglobin levels ≤6 g/dl, and 16% of them presented positive irregular antibodies directed against the Rhesus (30.76%) and Kell (69.24%) blood group systems. A literature review shows that irregular antibody screenings vary from 17% to 30% of transfused paediatric patients in Sub-Saharan Africa. These alloantibodies are in particular directed against the Rhesus, Kell, Duffy, Kidd and MNS blood group and generally found in sickle cell disease and malaria. This study highlights the urgent need of extended red blood cell phenotyping including typing for C/c, E/e, K/k, and Fya/Fyb, and if possible Jka/Jkb, M/N, and S/s for children before transfusion in Sub-Saharan Africa.

Indexed as

alloimmunizationblood transfusionirregular antibodiespaediatricsred blood cells

Identifiers

PMID37206261
PMCPMC10188460
OpenAlexW4319787215

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.