Evidence map›Paper›PMID 42338752›Full record

ArticleBlood. Red cells & iron2026

Isovolemic hemodilution red cell exchange and blood use in children and young adults with sickle cell disease.

Aleksandra S Dain, Julia Mewha, Victoria Lazariu, Janet L Kwiatkowski, David F Friedman, Stella T Chou

Abstract read
In one paragraph

Article in Blood. Red cells & iron, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Aleksandra S DainDivision of Hematology, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.ORCID 0000-0003-3003-890X
Julia MewhaDivision of Hematology, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Victoria LazariuBiostatistics and Data Management Core, Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA.ORCID 0000-0003-3926-6351
Janet L KwiatkowskiDivision of Hematology, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.ORCID 0000-0001-7103-3406
David F FriedmanDivision of Hematology, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.ORCID 0000-0001-7422-6676
Stella T ChouDivision of Hematology, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.ORCID 0000-0003-4333-6965

Funding

RED CELL HEMOGLOBIN RESEARCH TRAINING PROGRAMT32HL007150 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI STELLA T CHOU, Mortimer Poncz · 1985 to 2026
$7.4M
RH genotype matched red cell transfusions for patients with sickle cell diseaseR01HL147879 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI CHOU, STELLA T · 2019 to 2022
$3.4M
A precision therapy approach to red cell transfusion for sickle cell diseaseR01HL169401 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI STELLA T CHOU · 2024 to 2026
$2.4M
NHLBI NIH HHS R01 HL147879NHLBI NIH HHS R01 HL169401NHLBI NIH HHS T32 HL007150
6 · The paper itself

Abstract

Chronic red blood cell (RBC) transfusions are essential for sickle cell disease (SCD) management, but the cumulative demand for donor RBCs strains blood supplies and increases risks of iron overload and alloimmunization. Isovolemic hemodilution red cell exchange (IHD-RCE) is a 2-step procedure designed to reduce RBC requirements, but its effectiveness remains unclear, particularly in pediatric patients. We conducted a retrospective cohort study of 45 children and young adults with SCD, each receiving standard RCE followed by IHD-RCE, comparing within-patient RBC use between RCE types. Inclusion required ≥6 consecutive standard RCEs and ≥6 consecutive IHD-RCEs within a year of each other. Across 2667 RCE procedures, paired analyses demonstrated both standard and IHD-RCE required a median of 1.2 RBC units per liter of total blood volume (TBV;

Identifiers

PMID42338752
PMCPMC13286249

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.