342764

Optimizing Platelet Transfusion for Clinical Practice. Do Platelets's Age Matter for Therapeutic Platelets Transfusion?

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Platelet concentrates (PCs) with the imple-mentation of bacterial testing have a storage period of 7 days. It was reported that platelet function decreased gradually in vitro until the 5th or 7th day of storage. Pooled PCs (PPCs) are main-ly used in Europe and Canada and there is the possibility to use many PPCs with 7 days storage for transfusion in case of bleeding or massive transfusion. Aim of Study: The aim of this study is to test in vitro both storage conditions and function of platelet-rich plasma (PRP-PCs) during storage for 7 days to assess the function of the PCs for the possibility to extend the use of stored PCs up to 7 days and its use for therapeutic and massive platelets transfusion. Patients and Methods: In this study 18 PRP-PCs, were evaluated for chemical analysis by measuring pH, LDH pro-duction, and glucose consumption levels and platelet aggre-gation testing using adenosine diphosphate (ADP), collagen (COLL), and ristocetin (RIST) and epinephrine (EPI) on days 1,3,5, and 7 of storage of PCs. Results: The platelets yield was >5.58 x 1010 which indi-cates accurate platelet separation and storage. The metabolic parameters indicated stable storage conditions throughout the 7-day period. The chemical analysis showed that there is stable pH during all days of storage above 6.4. Aggregation respons-es of the PCs decreased gradually and significantly (p<0.001) starting from 1st day when compared with 3rd, 5th and 7th day. On the 7th day the platelets lost their response to EPI and ADP, while still maintaining a normal response to RIST and weak to COLL. Conclusion: There is a loss of some function on the 6-7th day of platelet storage which may indicate that it is suitable for prophylactic more than therapeutic transfusion. In order to pro-vide more clinical benefit to the patients with thrombocytopen-ic bleeding, the platelets should be less than 7 days of storage.

DOI

10.21608/mjcu.2024.342764

Keywords

Platelets transfusion — Platelets concentrate —Platelets function

Authors

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MOHAMMED SHARIF, M.Sc.*; BARAA NOORWALI, M.Sc.*; FOUAD AL ZAHRANI, M.Sc.*;

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AHMED SALAMI, M.Sc.*; TAHANI AL ZAHRANI, M.Sc.*; ZAINAH BUKHARI, M.Sc.*;

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WAFA AL ANAZZI, M.Sc.*; HAWAZEN SULIMAN, M.Sc.*; MAJED ALGARNI, M.Sc.*;

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OSAMA AL ZAHARNI, M.Sc.*; SAMAH MOKHLIS, M.Sc.*; AMANI GUSTI, M.D.

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First Name

SAMY ATTALLAH, M.D.**

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Affiliation

The Departments of Clinical Pathology, Hematology, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia* and Faculty of Medicine, Mansura University**

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Volume

91

Article Issue

12

Related Issue

46126

Issue Date

2023-12-01

Receive Date

2024-02-23

Publish Date

2024-12-01

Page Start

1,601

Page End

1,606

Print ISSN

0045-3803

Online ISSN

2536-9806

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https://mjcu.journals.ekb.eg/article_342764.html

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https://mjcu.journals.ekb.eg/service?article_code=342764

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342,764

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Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Optimizing Platelet Transfusion for Clinical Practice. Do Platelets's Age Matter for Therapeutic Platelets Transfusion?

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Article

Created At

30 Dec 2024