Enhanced O2 availability in platelet concentrates stored for neonatal transfusion is independent of agitation: Evidence from direct oximetry and Fickian diffusion modelling
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· 2025
· Open Access
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· DOI: https://doi.org/10.1111/vox.70101
Background and Objectives Platelet transfusions are essential for mitigating the bleeding risk of neonatal patients with thrombocytopenia. As neonatal patients have a small blood volume, adult therapeutic dose platelet units are split into reduced‐volume storage containers to maximize the use of the donated product and reduce donor exposure. The shelf‐life of platelets stored in reduced‐volume containers, however, is limited to 5 days. Agitation in platelet concentrate (PC) storage is thought to promote gaseous exchange by maintaining a gradient of O 2 across the bag film; however, recent studies have shown that agitation‐induced shear promotes the progressive decline of platelet quality over storage. Materials and Methods Electron paramagnetic resonance oximetry and Fickian diffusion modelling of O 2 were used to investigate the differences in O 2 availability, by assessing the O 2 concentration, oxygen consumption rate (OCR), influx of O 2 , total PC OCR and O 2 distribution in PCs stored under routine conditions in neonatal (Macopharma, VQE605B) versus adult (Haemonetics, ATSBC1ESE) PC storage containers. The influence of agitation on neonatal PC storage was evaluated. Results Results indicate neonatal PCs experience significantly higher O 2 availability compared to adult PCs and can withstand greater insult to their ambient O 2 concentration. Adjusting the agitation frequency of neonatal PCs stored from 20 to 400 rpm had no detrimental effect on O 2 availability, compared to storage at 60 rpm. Conclusion Neonatal PCs can maintain higher O 2 availability and tolerate reduced agitation without compromising oxygenation; therefore, reduced agitation strategies may be a feasible option to minimize shear during storage without compromising O 2 availability.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/vox.70101
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/vox.70101
- OA Status
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- References
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- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W4413791449Canonical identifier for this work in OpenAlex
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https://doi.org/10.1111/vox.70101Digital Object Identifier
- Title
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Enhanced
O2 availability in platelet concentrates stored for neonatal transfusion is independent of agitation: Evidence from direct oximetry and Fickian diffusion modellingWork title - Type
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articleOpenAlex work type
- Language
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enPrimary language
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2025Year of publication
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2025-08-28Full publication date if available
- Authors
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Dean Pym, Oleg Y. Grinberg, Amanda Davies, Jessica O. Williams, Christine Saunders, Chloë George, Philip E. JamesList of authors in order
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https://doi.org/10.1111/vox.70101Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/vox.70101Direct link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/vox.70101Direct OA link when available
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Platelet, Medicine, Platelet transfusion, Diffusion, Blood transfusion, Chemistry, Anesthesia, Surgery, Internal medicine, Thermodynamics, PhysicsTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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29Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| publication_date | 2025-08-28 |
| publication_year | 2025 |
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