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- Mark Stafford-Smith, Evelyn Lockhart, Nicholas Bandarenko, and Ian Welsby.
- Duke University Medical Center, Box 3094 DUMC, Durham, NC 27710, USA. staff002@mc.duke.edu
- Expert Rev Hematol. 2010 Oct 1;3(5):551-8.
AbstractTransfusion-related acute lung injury (TRALI) has been identified as the most common cause of transfusion-related death. Although extensive literature supports restrictions on female-donor plasma to reduce antibody-mediated TRALI, only a few outcome studies have assessed for effects of this change, and some, but not all, have endorsed the policy. A recent report even suggests poorer outcomes in cardiac surgery patients with a shift to male-donor-only plasma, raising concerns that TRALI alone, whether catastrophic or more survivable, is insufficient compared with broader measures, such as short-term mortality or long-term survival, as an end point to assess for overall improvements in patient care.
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