Evidence map›Paper›PMID 41477270›Full record

SynthesisFrontiers in pediatrics2025

The impact of red blood cell storage duration on clinical outcomes in pediatric cardiac surgery: a systematic review and meta-analysis.

Xing Jin, Qingyu Zhang, Ye Sun, Zhiting Dong, Wenzhe Jin

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Xing JinDepartment of Pain, Yanbian University Hospital, Yanji, Jilin, China.
Qingyu ZhangDepartment of Pain, Yanbian University Hospital, Yanji, Jilin, China.
Ye SunDepartment of Anatomy, School of Medicine, Yanbian University, Yanji, Jilin, China.
Zhiting DongDepartment of General Surgery II, Affiliated Hospital of Beihua University, Jilin City, Jilin, China.
Wenzhe JinDepartment of Pain, Yanbian University Hospital, Yanji, Jilin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The impact of red blood cell (RBC) storage duration during cardiopulmonary bypass (CPB) priming in pediatric cardiac surgery remains unclear. Objective: To evaluate whether RBC storage time affects perioperative outcomes in children undergoing cardiac surgery. Methods: We performed a systematic review and meta-analysis of studies comparing fresh vs. longer-stored RBCs for CPB priming in pediatric patients. Databases searched included PubMed, EMBASE, Cochrane Library, and Web of Science (through May 2025). Primary outcomes were mortality, infection/sepsis, respiratory complications, and multiple organ dysfunction syndrome (MODS); secondary outcomes included mechanical ventilation duration, ICU stay, and intraoperative lactate levels. Results: Ten studies (including one randomized controlled trial) were included. No significant differences were found between groups in any primary or secondary outcomes, except for a slightly shorter ICU stay in the fresh RBC group (mean difference = -1.08 days), with high heterogeneity. Conclusions: RBCs stored within standard durations appear safe for CPB priming in pediatric cardiac surgery. These findings support current transfusion practices and underscore the need for further high-quality randomized trials. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=1015198, PROSPERO CRD420251015198.

Indexed as

blood transfusioncardiopulmonary bypassmeta-analysispediatric cardiac surgeryperioperative outcomesred blood cell storage lesion

Identifiers

PMID41477270
PMCPMC12748228

What Socratic holds

Textmetadata
LicenceCC BY
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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.