How to calculate the quantity of CD34+ cells infused? A single center cohort study based on actual, ideal or adjusted ideal body weight

Transfus Apher Sci. 2007 Jun;36(3):275-80. doi: 10.1016/j.transci.2007.03.007. Epub 2007 Jun 13.

Abstract

Transplant physicians are generally using the recipient's actual body weight (ABW) for the calculation of the content of CD34+ cells in the harvest material in hematopoietic stem cell transplantation (HSCT). As a reference center performing both the stem cell collection and HSCTs, we aimed to evaluate whether there were any differences for neutrophil recovery by calculating the CD34+ cell content in the graft according to actual, ideal (IBW) or adjusted IBW (AIBW) of the recipients in both autologous (n=148) and allogeneic stem cell collection setting (n=234). We observed a negative correlation between the neutrophil recovery and the cell doses infused as to each of these BWs in the allo-HSCT group, but not in the auto-HSCT group. This negative correlation was stronger for IBW and AIBW rather than for ABW in allo-HSCT group. In addition, calculations for both IBW and AIBW in autologous and allogeneic transplants revealed a significant difference in comparison to ABW for different cut-off values of infused CD34+ cells. Consequently, we suggested that both IBW and AIBW based calculations of CD34+ cells infused are better predictors of neutrophil recovery in comparison to ABW in allo-HSCT. We were not able to show this impact in autologous transplants.

MeSH terms

  • Adolescent
  • Adult
  • Antigens, CD34*
  • Body Weight*
  • Cell Count / methods*
  • Cohort Studies
  • Female
  • Hematopoietic Stem Cell Transplantation / standards*
  • Hematopoietic Stem Cells / cytology*
  • Humans
  • Male
  • Middle Aged
  • Neutrophils / cytology
  • Transplantation, Autologous
  • Transplantation, Homologous
  • Young Adult

Substances

  • Antigens, CD34