• 中国科学论文统计源期刊
  • 中国科技核心期刊
  • 美国化学文摘(CA)来源期刊
  • 日本科学技术振兴机构数据库(JST)

JOURNAL OF CLINICAL TRANSFUSION AND LABORATORY MEDICINE ›› 2018, Vol. 20 ›› Issue (5): 470-475.DOI: 10.3969/j.issn.1671-2587.2018.05.006

• Original Articles • Previous Articles     Next Articles

A Meta Analysis of Platelet Transfusion Thresholds in China

LU Xin-tong   

  1. Department of Laboratory,Dandong Infectious Disease Hospital,Dandong Liaoning,118002
  • Received:2018-01-20 Online:2018-10-20 Published:2018-09-27

Abstract: Objective To analyze the research of platelet transfusion cut-off value by meta-analysis in China. Methods Non-randomized concurrent control trials of different platelet transfusion thresholds published in China were searched and retrieved from Cnki.net,SinoMed,VIP and WANFANG DATA by November of 2016. Platelet transfusion threshold of 10×109/L and 20×109/L were designated to A group and B group,respectively. RevMan5. 3 software was applied to the meta-analysis for platelet transfusion effectiveness,bleeding incidence,times and doses of platelet transfusion and adverse reactions in patients of the two groups.Results Nine studies were selected for meta-analysis,covering a total of 1520 patients.Platelet transfusion efficiency was [RR=1.08,95%CI (1.00,1.18),P= 0.06]; total bleeding incident rate was [RR=1.18,95%CI (0.95,1.47),P=0.14]; platelet transfusion dose was [SMD=-0.79,95%CI(-1.59,0.02),P=0.06]; frequency of platelet transfusion was [SMD=-1.21,95%CI (-2.12,-0.31),P=0.009]; and the total adverse reaction rate was [RR=0.55,95%CI(0.38,0.79),P=0.001]. Conclusion It is relatively safe for the patients with hematologic diseases,in stable conditions and with no obvious risk factors,to take 10×109/L as a prophylactic platelet transfusion threshold.

Key words: Platelet transfusion, Threshold, Effective rate, Adverse reaction, Meta-analysis

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