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      Associations between Red Blood Cell and Platelet Transfusions and Retinopathy of Prematurity

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          Abstract

          Aim

          The aim of this study is to examine possible associations between the transfusion of RBC or platelets (PLTs) and the development of retinopathy of prematurity (ROP) in infants.

          Methods

          This retrospective, national, case-control study included all live births in Switzerland between 2013 and 2018. We investigated preterm infants at a gestational age of <28 weeks, who developed higher stage ROP (≥stage 2, n = 178). Each case infant was matched to another of the same sex who did not develop ROP ( n = 178, control group).

          Results

          When compared with the control group, we observed higher numbers of RBC transfusions per infant and higher percentages of infants receiving PLT transfusions in the case group. An adjusted logistic regression analysis revealed that both RBC (odds ratio [OR] 1.081, 95% confidence interval [CI] 1.020–1.146) and PLT transfusions (OR = 2.502, 95% CI 1.566–3.998) numbers were associated with ROP development.

          Conclusions

          Multiple RBC and PLT transfusions are associated with higher stage ROP development. Prospective studies are required to determine their potential as risk factors.

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          Author and article information

          Journal
          Neonatology
          Neonatology
          NEO
          Neonatology
          S. Karger AG (Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.com )
          1661-7800
          1661-7819
          January 2021
          8 December 2020
          8 December 2020
          : 117
          : 5
          : 562-568
          Affiliations
          [1] aNewborn Research, Department of Neonatology, University Hospital and University of Zurich, Zurich, Switzerland
          [2] bDepartment of Child and Adolescent, University Hospital Geneva, Geneva, Switzerland
          [3] cDepartment of Neonatology, University Hospital Lausanne, Lausanne, Switzerland
          [4] dDepartment of Neonatology, University Hospital Berne, Berne, Switzerland
          [5] eDepartment of Neonatology, University of Basel Children's Hospital, Basel, Switzerland
          [6] fDepartment of Neonatology, Children's Clinic, Cantonal Hospital Aarau, Aarau, Switzerland
          [7] gDepartment of Neonatology, Children's Hospital of Lucerne, Lucerne, Switzerland
          [8] hNeonatal and Paediatric Intensive Care Unit, Children's Hospital of Eastern Switzerland, St. Gallen, Switzerland
          [9] iPaediatric and Neonatal Intensive Care Unit, Department of Paediatrics, Cantonal Hospital Graubuenden, Chur, Switzerland
          Author notes
          *Tobias Hengartner, Department of Neonatology, University Hospital and University of Zurich, Endlikerstrasse 93, CH −8400 Winterthur (Switzerland), tobias.hengartner@ 123456uzh.ch
          Article
          PMC7845415 PMC7845415 7845415 neo-0117-0562
          10.1159/000512020
          7845415
          33291117
          9d6231c0-7e3c-4ea5-9b87-5a9b96d9b9ac
          Copyright © 2020 by S. Karger AG, Basel
          History
          : 30 July 2020
          : 14 September 2020
          : 2020
          Page count
          Tables: 6, References: 25, Pages: 7
          Categories
          Original Paper

          Platelet transfusion,Retinopathy of prematurity,Red blood cell transfusion

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