Exposure to ABO‐nonidentical blood associated with increased in‐hospital mortality in patients with group A blood

@article{Pai2016ExposureTA,
  title={Exposure to ABO‐nonidentical blood associated with increased in‐hospital mortality in patients with group A blood},
  author={Menaka Pai and Richard J. Cook and Rebecca Barty and John William Eikelboom and Ker-Ai Lee and Nancy M. Heddle},
  journal={Transfusion},
  year={2016},
  volume={56}
}
Transfusing ABO‐compatible blood avoids most acute hemolytic reactions, but donor units that are ABO compatible are not necessarily ABO identical. Emerging data have raised concerns that ABO‐nonidentical blood products lead to adverse outcomes. 
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There has been an international decline in the demand for red blood cell (RBC) units. In Australia, there has been a 21% reduction in demand between 2012 and 2015. In contrast, the demand for the…
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TLDR
It is proposed that the presence of a PNH clone is 1 possible cause of unexplained anemia for recipients of ABO-mismatched product and suggests that other acquired or inherited defects of decay-accelerating factor and membrane inhibitor of reactive lysis could be responsible for infrequent but clinically important hemolysis after A BO- mismatched transfusions.
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