Pathogen-Reduced Platelets for the Prevention of Bleeding in People of Any Age

JAMA Oncol. 2018 Apr 1;4(4):571-572. doi: 10.1001/jamaoncol.2017.5049.

Abstract

Clinical question: Are pathogen-reduced platelets as effective as standard platelets for the prevention of bleeding in people of any age requiring platelet transfusions?

Bottom line: In people with cancer who have a low platelet count due to their disease or its treatment, pathogen-reduced platelet transfusions increase risk of platelet refractoriness and platelet transfusion requirement (high-quality evidence) but probably do not effect all-cause mortality, risk of clinically significant or severe bleeding, or risk of a serious adverse event (moderate-quality evidence). There was insufficient evidence for people with other diagnoses.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Blood Safety / methods
  • Blood Safety / standards
  • Child
  • Child, Preschool
  • Disease Transmission, Infectious / prevention & control*
  • Disinfection / methods
  • Hemorrhage / epidemiology
  • Hemorrhage / prevention & control*
  • Humans
  • Middle Aged
  • Neoplasms / complications
  • Neoplasms / epidemiology
  • Neoplasms / therapy*
  • Platelet Transfusion / methods*
  • Platelet Transfusion / statistics & numerical data
  • Thrombocytopenia / complications
  • Thrombocytopenia / epidemiology
  • Thrombocytopenia / therapy*
  • Young Adult