Evidence map›Paper›PMID 39806922›Full record

ArticleTransfusion2025

Freeze-dried plasma: Hemostasis and biophysical analyses for damage control resuscitation.

Aron A Shoara, Kanwal Singh, Henry T Peng, Katy Moes, Jeong-Ah Yoo, Sahar Sohrabipour, Sanewal Singh, Rex Huang, Peter Andrisani, Chengliang Wu and 7 more

Abstract read
In one paragraph

Article in Transfusion, 2025. 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
–field-weighted citation impact
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.

  1. The role of freeze-dried plasma in a world of whole blood: a Canadian prehospital and transport perspective.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
    Article
  2. Article
  3. Article
  4. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Article
  5. Dried plasma for trauma resuscitation: from Canadian Armed Forces to civilian prehospital and rural settings.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Article
  6. Article
  7. Review
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

17 authors.

Aron A ShoaraDepartment of Surgery, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-5580-1273
Kanwal SinghKeenan Research Centre for Biomedical Science, Li Ka Shing Knowledge Institute, Trauma and Acute Care Surgery, St. Michael's Hospital, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0003-3303-5966
Henry T PengDefence Research and Development Canada, Toronto Research Centre, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-5276-9573
Katy MoesDefence Research and Development Canada, Toronto Research Centre, Toronto, Ontario, Canada.
Jeong-Ah YooThrombosis and Atherosclerosis Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
Sahar SohrabipourDepartment of Surgery, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0003-2368-5594
Sanewal SinghSchool of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.ORCID https://orcid.org/0009-0005-6537-004X
Rex HuangThrombosis and Atherosclerosis Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
Peter AndrisaniThrombosis and Atherosclerosis Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
Chengliang WuThrombosis and Atherosclerosis Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.ORCID https://orcid.org/0009-0009-9626-8098
Katerina PavenskiDepartment of Surgery, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-6700-5197
Paul Y KimThrombosis and Atherosclerosis Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0002-0504-3064
Bernardo TrigattiThrombosis and Atherosclerosis Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0002-4556-119X
Colin A KretzThrombosis and Atherosclerosis Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0001-7979-7603
Ori D RotsteinDepartment of Surgery, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Shawn G RhindDefence Research and Development Canada, Toronto Research Centre, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0003-2300-0620
Andrew N BeckettDepartment of Surgery, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-4943-9415

Funding

The Molecular Genetics of Von Willebrand Factor SecretionR01HL172780 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Karl C Desch · 2024 to 2026
$1.8M
Canadian Blood Services Postdoctoral Fellowship ProgramCanadian Forces Surgeon General's Health Research ProgramCanadian Institutes of Health Research (CIHR) PJT-162272Canadian Institutes of Health Research (CIHR) PJT-178225Defence Research and Development CanadaHeart and Stroke Foundation of Canada G-23-0035111McMaster University Department of Medicine Mid-Career AwardNational Institutes of Health (NIH), USA R01-HL172780NHLBI NIH HHS R01 HL172780
6 · The paper itself

Abstract

backgroundEffective hemorrhage protocols prioritize immediate hemostatic resuscitation to manage hemorrhagic shock. Prehospital resuscitation using blood products, such as whole blood or alternatively dried plasma in its absence, has the potential to improve outcomes in hemorrhagic shock patients. However, integrating blood products into prehospital care poses substantial logistical challenges due to issues with storage, transport, and administration in field environments. STUDY DESIGN AND

methodsWe utilized hemostatic assays and advanced biophysical techniques, such as calorimetry, infrared spectoscopy, dynamic light scattering, and biolayer interferometry, to compare the functional and structural properties of freeze-dried plasma (FDP; OctaplasLG Powder, Octapharma AB) with those of fresh plasma controls.

resultsHemostatic characterization of FDP revealed that clot formation properties and coagulation parameters were largely comparable to fresh plasma controls, with some variations observed in Von Willebrand factor-ADAMTS13 axis and fibrinolysis. No change to moisture content of FDP (~1% water content) was observed after 6-month storage at ambient conditions. Biophysical analyses of FDP during transfusion demonstrated spontaneous exothermic mixing of FDP in plasma, a dilution effect from saline, as well as comparable stability to plasma controls. Quantification of ligand-binding affinities of platelet receptors activated GPIIbIIIa and GPIbα showed comparable binding properties to plasma controls.

conclusionOur results show that FDP exhibits hemostatic functionality and protein stability on par with fresh plasma, as assessed by novel, highly sensitive techniques. FDP therefore represents a viable alternative to conventional plasma in damage control resuscitation, offering significant logistical and storage advantages for prehospital and remote applications, especially in scenarios where whole blood is unavailable.

Indexed as

HemostasisPlasmaResuscitationShock, HemorrhagicBlood PreservationFreeze DryingHumansblood productscoagulopathydamage control resuscitationfreeze‐dried plasmahemorrhagemicrocalorimetrytrauma

Identifiers

PMID39806922
PMCPMC12035980

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.