The red blood cell storage lesion: a method to the madness

Whether transfusion of “older” blood is as beneficial as transfusion of “fresher” blood is a topic of active debate. Considering the sheer volume of recent publications including some excellent reviews and a meta-analysis on the issue, one may wonder why there is a need for yet another editorial addressing one more observational study on the subject. Distinctively, this editorial strives to 1) examine how a well-conducted observational study can intelligently inform a scientific debate, 2) demonstrate the benefit of evaluating an issue from a variety of angles using different study methods, and 3) illustrate how research in transfusion medicine can impact and promote scientific knowledge in other fields.

[1]  J. Hess,et al.  Current issues relating to the transfusion of stored red blood cells , 2009, Vox sanguinis.

[2]  W. Dzik Fresh blood for everyone? Balancing availability and quality of stored RBCs , 2008, Transfusion medicine.

[3]  J. Vincent,et al.  Association between duration of storage of transfused red blood cells and morbidity and mortality in adult patients: myth or reality? , 2009, Transfusion.

[4]  J. Adamson New blood, old blood, or no blood? , 2008, New England Journal of Medicine.

[5]  N. Rescher Discourse on a Method , 1968 .

[6]  H. Ullum,et al.  Duration of red blood cell storage and survival of transfused patients (CME) , 2010, Transfusion.

[7]  Robert M Califf,et al.  Evolution of adverse changes in stored RBCs , 2007, Proceedings of the National Academy of Sciences.

[8]  D. Gerber Duration of red blood cell storage and survival of transfused patients , 2011 .

[9]  E. Vamvakas BLOOD COMPONENTS: Meta‐analysis of clinical studies of the purported deleterious effects of “old” (versus “fresh”) red blood cells: are we at equipoise? , 2009, Transfusion.

[10]  S. Yedgar,et al.  Alteration of red cell aggregability and shape during blood storage , 1999, Transfusion.

[11]  T. Mihaljevic,et al.  Duration of red-cell storage and complications after cardiac surgery. , 2008, The New England journal of medicine.

[12]  L. Kovacs,et al.  The age of red blood cells in premature infants (ARIPI) randomized controlled trial: study design. , 2009, Transfusion medicine reviews.

[13]  M. Steiner,et al.  Does red blood cell storage affect clinical outcome? When in doubt, do the experiment , 2009, Transfusion.