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Evaluation of the Association of Platelet Count, Mean Platelet Volume, and Platelet Transfusion With Intraventricular Hemorrhage and Death Among Preterm Infants

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Key Points Question What are the associations of platelet transfusion, platelet count (PC), and mean platelet volume (MPV) with intraventricular hemorrhage (IVH) and mortality in preterm infants? Findings In this… Click to show full abstract

Key Points Question What are the associations of platelet transfusion, platelet count (PC), and mean platelet volume (MPV) with intraventricular hemorrhage (IVH) and mortality in preterm infants? Findings In this cohort study of 1221 preterm infants who received ventilation, platelet transfusion was associated with an increased risk of mortality, while decreased PC was associated with increased risks of IVH and mortality. The platelet transfusion–associated risks of IVH and mortality varied according to PC and MPV levels at the time of transfusion. Meaning These findings suggest that a lower platelet transfusion threshold is preferred, while the risk of a low PC should not be neglected.

Keywords: count mean; platelet transfusion; preterm infants; platelet; transfusion; platelet count

Journal Title: JAMA Network Open
Year Published: 2022

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