Abstract | BACKGROUND: Autologous hematopoietic stem cell transplantation (auto-HSCT) has become an effective treatment for a wide range of hematologic and non- hematologic diseases. Patients undergoing HSCT might require multiple platelets and red blood cell (RBC) transfusions during aplasia phase until engraftment, which could profoundly affect patients' conditions. Identification of risk factors associated with blood product requirements could help in decreasing transfusion-related complications. We evaluated the association of disease type, pre-transplant hemoglobin level, and pre-transplant platelet count with RBC/ platelet transfusion requirement after auto-HSCT. METHODS: RESULTS: Our study results illustrated that the higher pre-transplant hemoglobin level significantly decreased the post-HSCT requirement for packed cell ( IRR=0.81, [CI: 9.73-0.90], P=0.0001), while the pre-transplant platelet showed no significant relationship with platelet requirement after HSCT. HD was associated with increment in packed cell ( IRR=2.04, [CI: 1.35-3.08], P=0.001) and single donor platelet ( IRR=1.39, [CI: 1.09-1.78], P=0.008) requirement after transplant. The trends showed that a higher platelet level led to a lower need for platelet transfusion. CONCLUSION: Pre-transplant hemoglobin level could be valuable markers for predicting post-HSCT RBC requirements and might be beneficial for better management of transfusion requirements to minimize the transfusion-related complications. Patients with HD seem to be more prone to blood product requirements post-transplant.
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Authors | Shabnam Tabasi, Sayeh Parkhideh, Elham Roshandel, Samira Karami, Anahita Saeedi, Ali Jabbari, Abbas Hajifathali |
Journal | Caspian journal of internal medicine
(Caspian J Intern Med)
Vol. 12
Issue 4
Pg. 544-550
( 2021)
ISSN: 2008-6164 [Print] Iran |
PMID | 34820061
(Publication Type: Journal Article)
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