Investigating the impact of platelet transfusions on adverse outcomes in patients with thrombotic thrombocytopenic purpura: A systematic review of published studies
•Whether platelet transfusions are harmful to TTP patients is currently unclear.•To address this gap, we carried out a systematic review, retrieving 11 eligible studies.•We found that the all-cause mortality of transfused patients was significantly higher compared to non-transfused patients.•There w...
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| Vydáno v: | Thrombosis research Ročník 253; s. 109413 |
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| Hlavní autoři: | , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
Elsevier Ltd
01.09.2025
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| ISSN: | 0049-3848, 1879-2472, 1879-2472 |
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| Abstract | •Whether platelet transfusions are harmful to TTP patients is currently unclear.•To address this gap, we carried out a systematic review, retrieving 11 eligible studies.•We found that the all-cause mortality of transfused patients was significantly higher compared to non-transfused patients.•There were no significant differences in the rates of other target organ complications.•Our results could signify harm of platelet transfusions or a greater disease severity of transfused TTP patients. |
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| AbstractList | Highlights•Whether platelet transfusions are harmful to TTP patients is currently unclear. •To address this gap, we carried out a systematic review, retrieving 11 eligible studies. •We found that the all-cause mortality of transfused patients was significantly higher compared to non-transfused patients. •There were no significant differences in the rates of other target organ complications. •Our results could signify harm of platelet transfusions or a greater disease severity of transfused TTP patients. •Whether platelet transfusions are harmful to TTP patients is currently unclear.•To address this gap, we carried out a systematic review, retrieving 11 eligible studies.•We found that the all-cause mortality of transfused patients was significantly higher compared to non-transfused patients.•There were no significant differences in the rates of other target organ complications.•Our results could signify harm of platelet transfusions or a greater disease severity of transfused TTP patients. |
| ArticleNumber | 109413 |
| Author | Tarasconi, Elisa Birocchi, Simone Podda, Gian Marco Pisetta, Chiara Clerici, Bianca Benedetto, Chiara |
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| Cites_doi | 10.1002/ajh.23997 10.1055/s-2007-1005063 10.1007/s00467-013-2414-y 10.1055/s-2007-1005066 10.1182/blood-2014-10-605493 10.1111/bjh.19026 10.1001/jama.1981.03320170043028 10.1111/j.1537-2995.2008.02082.x 10.1111/j.1537-2995.2008.01822.x |
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| References | Hopkins, Goldfinger (bb0040) 2008; 48 Byrnes (bb0020) 1981; 7 Goel, Ness, Takemoto, Krishnamurti, King, Tobian (bb0025) 2015; 125 Benhamou, Baudel, Wynckel (bb0030) 2015; 90 Gottschall, Pisciotta, Darin, Hussey, Aster (bb0010) 1981; 7 Scully, Rayment, Clark (bb0005) 2023; 203 Balestracci, Martin, Toledo, Alvarado, Wainsztein (bb0045) 2013; 28 Harkness, Byrnes, Lian, Williams, Hensley (bb0015) 1981; 246 Swisher, Terrell, Vesely, Kremer Hovinga, Lämmle, George (bb0035) 2009; 49 Hopkins (10.1016/j.thromres.2025.109413_bb0040) 2008; 48 Balestracci (10.1016/j.thromres.2025.109413_bb0045) 2013; 28 Goel (10.1016/j.thromres.2025.109413_bb0025) 2015; 125 Benhamou (10.1016/j.thromres.2025.109413_bb0030) 2015; 90 Scully (10.1016/j.thromres.2025.109413_bb0005) 2023; 203 Gottschall (10.1016/j.thromres.2025.109413_bb0010) 1981; 7 Swisher (10.1016/j.thromres.2025.109413_bb0035) 2009; 49 Byrnes (10.1016/j.thromres.2025.109413_bb0020) 1981; 7 Harkness (10.1016/j.thromres.2025.109413_bb0015) 1981; 246 |
| References_xml | – volume: 90 start-page: E127 year: 2015 end-page: E129 ident: bb0030 article-title: Are platelet transfusions harmful in acquired thrombotic thrombocytopenic purpura at the acute phase? Experience of the French thrombotic microangiopathies reference center publication-title: Am. J. Hematol. – volume: 28 start-page: 919 year: 2013 end-page: 925 ident: bb0045 article-title: Impact of platelet transfusions in children with post-diarrheal hemolytic uremic syndrome publication-title: Pediatr. Nephrol. – volume: 203 start-page: 546 year: 2023 end-page: 563 ident: bb0005 article-title: A British Society for Haematology Guideline: diagnosis and management of thrombotic thrombocytopenic purpura and thrombotic microangiopathies publication-title: Br. J. Haematol. – volume: 125 start-page: 1470 year: 2015 end-page: 1476 ident: bb0025 article-title: Platelet transfusions in platelet consumptive disorders are associated with arterial thrombosis and in-hospital mortality publication-title: Blood – volume: 7 start-page: 9 year: 1981 end-page: 14 ident: bb0020 article-title: Plasma infusion in the treatment of thrombotic thrombocytopenic purpura publication-title: Semin. Thromb. Hemost. – volume: 48 start-page: 2128 year: 2008 end-page: 2132 ident: bb0040 article-title: Platelet transfusions in heparin-induced thrombocytopenia: a report of four cases and review of the literature publication-title: Transfusion – volume: 246 start-page: 1931 year: 1981 end-page: 1933 ident: bb0015 article-title: Hazard of platelet transfusion in thrombotic thrombocytopenic purpura publication-title: JAMA – volume: 7 start-page: 25 year: 1981 end-page: 32 ident: bb0010 article-title: Thrombotic thrombocytopenic purpura: experience with whole blood exchange transfusion publication-title: Semin. Thromb. Hemost. – volume: 49 start-page: 873 year: 2009 end-page: 887 ident: bb0035 article-title: Clinical outcomes after platelet transfusions in patients with thrombotic thrombocytopenic purpura publication-title: Transfusion – volume: 90 start-page: E127 issue: 6 year: 2015 ident: 10.1016/j.thromres.2025.109413_bb0030 article-title: Are platelet transfusions harmful in acquired thrombotic thrombocytopenic purpura at the acute phase? Experience of the French thrombotic microangiopathies reference center publication-title: Am. J. Hematol. doi: 10.1002/ajh.23997 – volume: 7 start-page: 9 issue: 1 year: 1981 ident: 10.1016/j.thromres.2025.109413_bb0020 article-title: Plasma infusion in the treatment of thrombotic thrombocytopenic purpura publication-title: Semin. Thromb. Hemost. doi: 10.1055/s-2007-1005063 – volume: 28 start-page: 919 issue: 6 year: 2013 ident: 10.1016/j.thromres.2025.109413_bb0045 article-title: Impact of platelet transfusions in children with post-diarrheal hemolytic uremic syndrome publication-title: Pediatr. Nephrol. doi: 10.1007/s00467-013-2414-y – volume: 7 start-page: 25 issue: 1 year: 1981 ident: 10.1016/j.thromres.2025.109413_bb0010 article-title: Thrombotic thrombocytopenic purpura: experience with whole blood exchange transfusion publication-title: Semin. Thromb. Hemost. doi: 10.1055/s-2007-1005066 – volume: 125 start-page: 1470 issue: 9 year: 2015 ident: 10.1016/j.thromres.2025.109413_bb0025 article-title: Platelet transfusions in platelet consumptive disorders are associated with arterial thrombosis and in-hospital mortality publication-title: Blood doi: 10.1182/blood-2014-10-605493 – volume: 203 start-page: 546 issue: 4 year: 2023 ident: 10.1016/j.thromres.2025.109413_bb0005 article-title: A British Society for Haematology Guideline: diagnosis and management of thrombotic thrombocytopenic purpura and thrombotic microangiopathies publication-title: Br. J. Haematol. doi: 10.1111/bjh.19026 – volume: 246 start-page: 1931 issue: 17 year: 1981 ident: 10.1016/j.thromres.2025.109413_bb0015 article-title: Hazard of platelet transfusion in thrombotic thrombocytopenic purpura publication-title: JAMA doi: 10.1001/jama.1981.03320170043028 – volume: 49 start-page: 873 issue: 5 year: 2009 ident: 10.1016/j.thromres.2025.109413_bb0035 article-title: Clinical outcomes after platelet transfusions in patients with thrombotic thrombocytopenic purpura publication-title: Transfusion doi: 10.1111/j.1537-2995.2008.02082.x – volume: 48 start-page: 2128 issue: 10 year: 2008 ident: 10.1016/j.thromres.2025.109413_bb0040 article-title: Platelet transfusions in heparin-induced thrombocytopenia: a report of four cases and review of the literature publication-title: Transfusion doi: 10.1111/j.1537-2995.2008.01822.x |
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| Snippet | •Whether platelet transfusions are harmful to TTP patients is currently unclear.•To address this gap, we carried out a systematic review, retrieving 11... Highlights•Whether platelet transfusions are harmful to TTP patients is currently unclear. •To address this gap, we carried out a systematic review, retrieving... |
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| SubjectTerms | Hematology, Oncology, and Palliative Medicine Platelet transfusion Purpura, Thrombotic thrombocytopenic Systematic review |
| Title | Investigating the impact of platelet transfusions on adverse outcomes in patients with thrombotic thrombocytopenic purpura: A systematic review of published studies |
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