[Anemia of prematurity: risk factors influencing red cell transfusions]

Antonio Alberto Zuppa, Giuseppe Gio Batta Tortorolo, Martina Mazzotta, G Maragliano, P Girlando, Mg Florio

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

To investigate the importance of transfusion practice with packed red cells (PRCs) in premature infants and to identify risk factors significant influencing transfusion practice, we analyzed 75 preterm infants (gestational age: 31 +/- 2 weeks; birth weight: 1459 +/- 402 g) admitted to the neonatal intensive care unit of Catholic University of Rome. Fifty-three (70.7%) of the infants received one or more PRCs transfusions (in total 246 transfusions). The variables associated with an increase in number and frequency of PRCs transfusions were: a) gestational age < or = 30 weeks; b) birth weight < or = 1000 g; c) severe neonatal pathology (ie a respiratory disease requiring ventilatory support and/or a clearly documented or suspected sepsis). Repeated PRCs transfusions during the first week of life significantly (p < 0.01) influenced the need for late transfusions, after 4 weeks of age, for the treatment of the anemia of prematurity. These data indicate that preterm infants with a gestational age < or = 30 weeks, a birth weight < 1000 g and a severe respiratory or infectious disease represent natural candidates for administration of recombinant human erythropoietin to reduce the need for late PRCs transfusions.
Titolo tradotto del contributo[Autom. eng. transl.] [Anemia of prematurity: risk factors influencing red cell transfusions]
Lingua originaleItalian
pagine (da-a)13-18
Numero di pagine6
RivistaMinerva Pediatrica
Volume47
Stato di pubblicazionePubblicato - 1995

Keywords

  • Anemia, Neonatal
  • Birth Weight
  • Erythrocyte Transfusion
  • Gestational Age
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Recombinant Proteins
  • Risk Factors

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