Evidence map›Paper›PMID 37232240›Full record

ArticleJournal of the American Heart Association2023

Red Blood Cell Transfusions Are Not Associated With Incident Complications or Poor Outcomes in Patients With Intracerebral Hemorrhage.

Fernanda Carvalho Poyraz, Amelia Boehme, Azzurra Cottarelli, Lisa Eisler, Mitchell S V Elkind, Shivani Ghoshal, Sachin Agarwal, Soojin Park, Jan Claassen, E Sander Connolly and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Trial
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  4. Article
  5. Article
  6. Perioperative care in infective endocarditis.Indian journal of thoracic and cardiovascular surgery · 2024
    Review
  7. Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Fernanda Carvalho PoyrazDepartment of Neurology, Vagelos College of Physicians and Surgeons Columbia University New York NY USA.ORCID 0000-0003-2488-6849
Amelia BoehmeDepartment of Neurology, Vagelos College of Physicians and Surgeons Columbia University New York NY USA.ORCID 0000-0001-7408-1075
Azzurra CottarelliDepartment of Pathology and Cell Biology, Vagelos College of Physicians and Surgeons Columbia University New York NY USA.ORCID 0000-0003-4525-2028
Lisa EislerDepartment of Anesthesiology, Vagelos College of Physicians and Surgeons Columbia University New York NY USA.ORCID 0000-0001-9726-2354
Mitchell S V ElkindDepartment of Neurology, Vagelos College of Physicians and Surgeons Columbia University New York NY USA.
Shivani GhoshalDepartment of Neurology, Vagelos College of Physicians and Surgeons Columbia University New York NY USA.
Sachin AgarwalDepartment of Neurology, Vagelos College of Physicians and Surgeons Columbia University New York NY USA.
Soojin ParkDepartment of Neurology, Vagelos College of Physicians and Surgeons Columbia University New York NY USA.ORCID 0000-0002-3688-7307
Jan ClaassenDepartment of Neurology, Vagelos College of Physicians and Surgeons Columbia University New York NY USA.
E Sander ConnollyDepartment of Neurological Surgery, Vagelos College of Physicians and Surgeons Columbia University New York NY USA.
Eldad A HodDepartment of Pathology and Cell Biology, Vagelos College of Physicians and Surgeons Columbia University New York NY USA.ORCID 0000-0002-2367-9509
David J RohDepartment of Neurology, Vagelos College of Physicians and Surgeons Columbia University New York NY USA.ORCID 0000-0003-1927-7686
Columbia University · USNeurological Surgery · US

Funding

The Impact of Oxidative Stress on Erythocyte BiologyR01HL148151 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI D'ALESSANDRO, ANGELO, KARAFIN, MATTHEW S · 2019 to 2022
$8.9M
Erythrocyte contribution to coagulopathy and cerebral oxygenation after intracerebral hemorrhageK23HL151901 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ROH, DAVID · 2021 to 2025
$950k
NHLBI NIH HHS K23 HL151901NHLBI NIH HHS R01 HL148151
6 · The paper itself

Abstract

Background Anemia is associated with poor intracerebral hemorrhage (ICH) outcomes, yet the relationship of red blood cell (RBC) transfusions to ICH complications and functional outcomes remains unclear. We investigated the impact of RBC transfusion on hospital thromboembolic and infectious complications and outcomes in patients with ICH. Methods and Results Consecutive patients with spontaneous ICH enrolled in a single-center, prospective cohort study from 2009 to 2018 were assessed. Primary analyses assessed relationships of RBC transfusions on incident thromboembolic and infectious complications occurring after the transfusion. Secondary analyses assessed relationships of RBC transfusions with mortality and poor discharge modified Rankin Scale score 4 to 6. Multivariable logistic regression models adjusted for baseline demographics and medical disease severity (Acute Physiology and Chronic Health Evaluation II), and ICH severity (ICH score).Of 587 patients with ICH analyzed, 88 (15%) received at least one RBC transfusion. Patients receiving RBC transfusions had worse medical and ICH severity. Though patients receiving RBC transfusions had more complications at any point during the hospitalization (64.8% versus 35.9%), we found no association between RBC transfusion and incident complications in our regression models (adjusted odds ratio [aOR], 0.71 [95% CI, 0.42-1.20]). After adjusting for disease severity and other relevant covariates, we found no significant association between RBC transfusion and mortality (aOR, 0.87 [95% CI, 0.45-1.66]) or poor discharge modified Rankin Scale score (aOR, 2.45 [95% CI, 0.80-7.61]). Conclusions In our cohort with ICH, RBC transfusions were expectedly given to patients with higher medical and ICH severity. Taking disease severity and timing of transfusions into account, RBC transfusion was not associated with incident hospital complications or poor clinical ICH outcomes.

Indexed as

AnemiaErythrocyte TransfusionBlood TransfusionCerebral HemorrhageHumansProspective Studiescomplicationsinfectionintracerebral hemorrhageoutcomered blood cell transfusionthromboembolism

Identifiers

PMID37232240
PMCPMC10381991
OpenAlexW4378347879

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.