Volume 51, Issue s1 pp. 15S-24S

Evaluation of overnight hold of whole blood at room temperature before component processing: effect of red blood cell (RBC) additive solutions on in vitro RBC measures

Pieter F. van der Meer

Pieter F. van der Meer

From the Sanquin Blood Bank North West Region, Amsterdam, the Netherlands; the Hoxworth Blood Center, Cincinnati, Ohio; the National Health Service Blood & Transplant, Brentwood, UK; the Canadian Blood Services, Vancouver, British Columbia, Canada; the Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden; the Research Unit, Australian Red Cross Blood Service, Melbourne, Victoria, Australia; the American Red Cross, Philadelphia, Pennsylvania; the Sanquin Blood Bank North East Region, Groningen, the Netherlands, Haema AG, Berlin, Germany; and the University of Maryland, Blood Bank, Baltimore, Maryland.

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Jose A. Cancelas

Jose A. Cancelas

From the Sanquin Blood Bank North West Region, Amsterdam, the Netherlands; the Hoxworth Blood Center, Cincinnati, Ohio; the National Health Service Blood & Transplant, Brentwood, UK; the Canadian Blood Services, Vancouver, British Columbia, Canada; the Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden; the Research Unit, Australian Red Cross Blood Service, Melbourne, Victoria, Australia; the American Red Cross, Philadelphia, Pennsylvania; the Sanquin Blood Bank North East Region, Groningen, the Netherlands, Haema AG, Berlin, Germany; and the University of Maryland, Blood Bank, Baltimore, Maryland.

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Rebecca Cardigan

Rebecca Cardigan

From the Sanquin Blood Bank North West Region, Amsterdam, the Netherlands; the Hoxworth Blood Center, Cincinnati, Ohio; the National Health Service Blood & Transplant, Brentwood, UK; the Canadian Blood Services, Vancouver, British Columbia, Canada; the Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden; the Research Unit, Australian Red Cross Blood Service, Melbourne, Victoria, Australia; the American Red Cross, Philadelphia, Pennsylvania; the Sanquin Blood Bank North East Region, Groningen, the Netherlands, Haema AG, Berlin, Germany; and the University of Maryland, Blood Bank, Baltimore, Maryland.

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Dana V. Devine

Dana V. Devine

From the Sanquin Blood Bank North West Region, Amsterdam, the Netherlands; the Hoxworth Blood Center, Cincinnati, Ohio; the National Health Service Blood & Transplant, Brentwood, UK; the Canadian Blood Services, Vancouver, British Columbia, Canada; the Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden; the Research Unit, Australian Red Cross Blood Service, Melbourne, Victoria, Australia; the American Red Cross, Philadelphia, Pennsylvania; the Sanquin Blood Bank North East Region, Groningen, the Netherlands, Haema AG, Berlin, Germany; and the University of Maryland, Blood Bank, Baltimore, Maryland.

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Hans Gulliksson

Hans Gulliksson

From the Sanquin Blood Bank North West Region, Amsterdam, the Netherlands; the Hoxworth Blood Center, Cincinnati, Ohio; the National Health Service Blood & Transplant, Brentwood, UK; the Canadian Blood Services, Vancouver, British Columbia, Canada; the Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden; the Research Unit, Australian Red Cross Blood Service, Melbourne, Victoria, Australia; the American Red Cross, Philadelphia, Pennsylvania; the Sanquin Blood Bank North East Region, Groningen, the Netherlands, Haema AG, Berlin, Germany; and the University of Maryland, Blood Bank, Baltimore, Maryland.

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Rosemary L. Sparrow

Rosemary L. Sparrow

From the Sanquin Blood Bank North West Region, Amsterdam, the Netherlands; the Hoxworth Blood Center, Cincinnati, Ohio; the National Health Service Blood & Transplant, Brentwood, UK; the Canadian Blood Services, Vancouver, British Columbia, Canada; the Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden; the Research Unit, Australian Red Cross Blood Service, Melbourne, Victoria, Australia; the American Red Cross, Philadelphia, Pennsylvania; the Sanquin Blood Bank North East Region, Groningen, the Netherlands, Haema AG, Berlin, Germany; and the University of Maryland, Blood Bank, Baltimore, Maryland.

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Ralph R. Vassallo

Ralph R. Vassallo

From the Sanquin Blood Bank North West Region, Amsterdam, the Netherlands; the Hoxworth Blood Center, Cincinnati, Ohio; the National Health Service Blood & Transplant, Brentwood, UK; the Canadian Blood Services, Vancouver, British Columbia, Canada; the Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden; the Research Unit, Australian Red Cross Blood Service, Melbourne, Victoria, Australia; the American Red Cross, Philadelphia, Pennsylvania; the Sanquin Blood Bank North East Region, Groningen, the Netherlands, Haema AG, Berlin, Germany; and the University of Maryland, Blood Bank, Baltimore, Maryland.

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Janny de Wildt-Eggen

Janny de Wildt-Eggen

From the Sanquin Blood Bank North West Region, Amsterdam, the Netherlands; the Hoxworth Blood Center, Cincinnati, Ohio; the National Health Service Blood & Transplant, Brentwood, UK; the Canadian Blood Services, Vancouver, British Columbia, Canada; the Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden; the Research Unit, Australian Red Cross Blood Service, Melbourne, Victoria, Australia; the American Red Cross, Philadelphia, Pennsylvania; the Sanquin Blood Bank North East Region, Groningen, the Netherlands, Haema AG, Berlin, Germany; and the University of Maryland, Blood Bank, Baltimore, Maryland.

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Bärbel Baumann-Baretti

Bärbel Baumann-Baretti

From the Sanquin Blood Bank North West Region, Amsterdam, the Netherlands; the Hoxworth Blood Center, Cincinnati, Ohio; the National Health Service Blood & Transplant, Brentwood, UK; the Canadian Blood Services, Vancouver, British Columbia, Canada; the Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden; the Research Unit, Australian Red Cross Blood Service, Melbourne, Victoria, Australia; the American Red Cross, Philadelphia, Pennsylvania; the Sanquin Blood Bank North East Region, Groningen, the Netherlands, Haema AG, Berlin, Germany; and the University of Maryland, Blood Bank, Baltimore, Maryland.

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John R. Hess

John R. Hess

From the Sanquin Blood Bank North West Region, Amsterdam, the Netherlands; the Hoxworth Blood Center, Cincinnati, Ohio; the National Health Service Blood & Transplant, Brentwood, UK; the Canadian Blood Services, Vancouver, British Columbia, Canada; the Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden; the Research Unit, Australian Red Cross Blood Service, Melbourne, Victoria, Australia; the American Red Cross, Philadelphia, Pennsylvania; the Sanquin Blood Bank North East Region, Groningen, the Netherlands, Haema AG, Berlin, Germany; and the University of Maryland, Blood Bank, Baltimore, Maryland.

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for the BEST Collaborative

for the BEST Collaborative

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First published: 11 January 2011
Citations: 33
Pieter F. van der Meer, PhD, Department of Product and Process Development, Sanquin Blood Bank, Plesmanlaan 125, 1066 CX Amsterdam, P.O. Box 9137, 1006 AC Amsterdam, the Netherlands; e-mail: [email protected].

Abstract

BACKGROUND: Whole blood (WB) can be held at room temperature (18-25°C) up to 8 hours after collection; thereafter the unit must be refrigerated, rendering it unsuitable for platelet (PLT) production. Overnight hold at room temperature before processing has logistic advantages, and we evaluated this process in an international multicenter study for both buffy coat (BC)- and PLT-rich plasma (PRP)-based blood components and compared three red blood cell (RBC) additive solutions (ASs) for their ability to offset effects of overnight hold.

STUDY DESIGN AND METHODS: Nine centers participated; seven used the BC method, and two used the PRP method. Four WB units were pooled and split; 1 unit was processed less than 8 hours from collection (Group A), and the other three (Groups B, C, and D) were held at room temperature and processed after 24 to 26 hours. RBCs in Groups A and B were resuspended in saline-adenine-glucose-mannitol, Group C in phosphate-adenine-guanosine-glucose-saline-mannitol, and Group D in ErythroSol-4 RBCs were stored at 2 to 6°C for 49 days.

RESULTS: RBCs from overnight-held WB had lower 2,3-diphosphoglycerate (2,3-DPG) and higher adenosine triphosphate (ATP). At the end of storage there were no differences between groups, apart from a slightly higher hemolysis in Group B. ErythroSol-4 showed a slightly higher initial ATP and 2,3-DPG content, but at the end of storage no differences were found.

CONCLUSION: Overnight hold of WB before processing has no lasting deleterious effects on in vitro quality of subsequently prepared components. The use of different RBC ASs did not appear to offer significant advantages in terms of RBC quality at the end, regardless of the processing method.

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