title: Posttransfusion platelet increments after different platelet products in neonates: a retrospective cohort study.
abstract: BACKGROUND
  In the Netherlands different platelet (PLT) products are used for neonatal transfusions: volume-reduced PLTs, PLT additive solution (PAS) II PLTs, and plasma PLTs. These are standard products at three different neonatal intensive care units where local transfusion guidelines apply. Here we assess the posttransfusion count increments with these products.
  
  
  METHODS
  We performed a retrospective cohort study of neonates who received, in the first month after birth, between January 1, 2007, and December 31, 2008, at least one PLT transfusion. Seventy-four neonates who received 197 volume-reduced PLTs transfusions, 68 neonates who received 105 PASII PLT transfusions, and eight neonates who received eight plasma PLT transfusions were analyzed. Early (within 8 hr after transfusion) and follow-up count increments (16-24 hr after transfusion) were evaluated for 191 and 81 volume-reduced PLTs, 77 and 56 PASII PLTs, and six and five plasma PLT transfusions, respectively, using a random-effects model.
  
  
  RESULTS
  Volume-reduced PLTs were transfused at twice the dose in one-fifth the volume of PASII and plasma PLTs. The early posttransfusion count increment was higher for volume-reduced PLTs at 111 × 10(9)/L (95% confidence interval [CI], 86-135) compared to PASII PLTs at 62 × 10(9)/L (95% CI, 40-84; p = 0.000) and plasma PLTs at 47 × 10(9)/L (95% CI, 14-79). The follow-up count increment was also higher for volume-reduced PLTs at 60 × 10(9)/L (95% CI, 19-100) compared to PASII PLTs at 38 × 10(9)/L (95% CI, -0.2 to 77; p = 0.082) and plasma PLTs at 4 × 10(9)/L (95% CI, -38 to 46).
  
  
  CONCLUSIONS
  Neonates who received twice the PLT dose by volume-reduced PLTs had twice as high early and follow-up count increment showing similar efficacy of products.
authors: Sanquin-LUMC Jon J. van Rood Center for Clinical Transfusion Research, Leiden, the Netherlands; Sanquin Blood Supply Foundation, Amsterdam, the Netherlands; Department of Pediatrics, Division of Neonatology, Beatrix Children's Hospital, University Medical Center, Groningen, the Netherlands; Department of Pediatrics, Division of Neonatology, Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands; Department of Pediatrics, Division of Neonatology, Sophia Children's Hospital, Erasmus Medical Center, Rotterdam, the Netherlands.
authors: Aine
authors: A
authors: Honohan
authors: Ella
authors: E
authors: van't Ende
authors: Christian
authors: C
authors: Hulzebos
authors: Enrico
authors: E
authors: Lopriore
authors: Ellen
authors: E
authors: van't Verlaat
authors: Paul
authors: P
authors: Govaert
authors: Anneke
authors: A
authors: Brand
authors: Johanna
authors: J
authors: van der Bom
mesh_terms: D001792:Blood Platelets / Q000502:physiology*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009426:Netherlands; D017713:Platelet Transfusion; D012189:Retrospective Studies