Evaluation of the effectiveness of platelet crossmatching by the solid-phase red cell adherence assay in adult patients of a tertiary care hospital in Thailand: A retrospective study
Issued Date
2022-09-01
Resource Type
eISSN
23988835
DOI
Scopus ID
2-s2.0-85138736939
Journal Title
Health Science Reports
Volume
5
Issue
5
Rights Holder(s)
SCOPUS
Bibliographic Citation
Health Science Reports Vol.5 No.5 (2022)
Suggested Citation
Sinwatcharaphirom T., Apisawes K., Kittivorapart J. Evaluation of the effectiveness of platelet crossmatching by the solid-phase red cell adherence assay in adult patients of a tertiary care hospital in Thailand: A retrospective study. Health Science Reports Vol.5 No.5 (2022). doi:10.1002/hsr2.769 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/85546
Title
Evaluation of the effectiveness of platelet crossmatching by the solid-phase red cell adherence assay in adult patients of a tertiary care hospital in Thailand: A retrospective study
Author(s)
Author's Affiliation
Other Contributor(s)
Abstract
Background and Aims: Platelet transfusion refractoriness is well aware to be associated with poor clinical outcomes. Patients with the alloantibody causing refractoriness required cross-matched compatible products to improve the platelet number. This study aims to evaluate the effectiveness and availability of platelet crossmatching provided by the solid-phase red cell adherence (SPRCA) technique in the context of a tertiary university hospital. Methods: A retrospective chart review was performed of the records of 214 patients with platelet refractoriness in Siriraj Hospital, a tertiary university hospital in Thailand, between January 1, 2017, and December 31, 2020. Results: The SPRCA technique successfully provided cross-matched compatible platelets to 114 patients (69.7%). Platelet crossmatching significantly improved the platelet counts, as shown by the increased 1- and 24-h corrected-count increments (p< 0.0001). No acute transfusion reactions were observed in these patients. Of the 114 patients who received cross-matched platelets, 82 patients (71.9%) survived at 30-day posttransfusion; whereas, 16 patients (14.0%) died within 7-day posttransfusion. Conclusion: The SPRCA method can provide a high availability rate of cross-matched platelets, which is effective at stopping and preventing clinical bleeding conditions. This method is appropriate to apply for platelet crossmatching in the context of a hospital blood bank.