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  1. Article ; Online: Selected Topics From the State of the Science in Transfusion Medicine: Key Insights on Current Progress and Future Directions.

    Roubinian, Nareg H / Custer, Brian

    Transfusion medicine reviews

    2023  Volume 37, Issue 4, Page(s) 150781

    MeSH term(s) Humans ; Transfusion Medicine
    Language English
    Publishing date 2023-11-01
    Publishing country United States
    Document type Editorial ; Introductory Journal Article
    ZDB-ID 639107-2
    ISSN 1532-9496 ; 0887-7963
    ISSN (online) 1532-9496
    ISSN 0887-7963
    DOI 10.1016/j.tmrv.2023.150781
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  2. Article ; Online: Acute myocardial infarction and blood transfusion: lessons learned from animal models and clinical studies.

    Roubinian, Nareg H / Carson, Jeffrey L

    Blood transfusion = Trasfusione del sangue

    2023  Volume 21, Issue 3, Page(s) 185–188

    MeSH term(s) Animals ; Humans ; Blood Transfusion ; Myocardial Infarction/therapy ; Models, Animal
    Language English
    Publishing date 2023-05-04
    Publishing country Italy
    Document type Editorial ; Comment
    ZDB-ID 2135732-8
    ISSN 2385-2070 ; 0041-1787 ; 1723-2007
    ISSN (online) 2385-2070
    ISSN 0041-1787 ; 1723-2007
    DOI 10.2450/BloodTransfus.427
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  3. Article ; Online: Review of Pulmonary Embolism.

    Vinson, David R / Sperling, Jeffrey D / Roubinian, Nareg H

    JAMA

    2023  Volume 329, Issue 7, Page(s) 593

    MeSH term(s) Humans ; Pulmonary Embolism
    Language English
    Publishing date 2023-02-21
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2022.22238
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  4. Article ; Online: Disentangling the causes of RBC loss and anemia in ECMO patients: Some questions answered?

    Goel, Ruchika / Roubinian, Nareg H / Bembea, Melania M

    Transfusion

    2023  Volume 63, Issue 5, Page(s) 899–902

    MeSH term(s) Humans ; Extracorporeal Membrane Oxygenation/adverse effects ; Anemia/etiology ; Anemia/therapy ; Causality
    Language English
    Publishing date 2023-04-10
    Publishing country United States
    Document type Editorial
    ZDB-ID 208417-x
    ISSN 1537-2995 ; 0041-1132
    ISSN (online) 1537-2995
    ISSN 0041-1132
    DOI 10.1111/trf.17347
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  5. Article ; Online: Letter to the editor: "Clinical controversies in the management of acute pulmonary embolism".

    Casey, Scott D / Rouleau, Samuel G / Vinson, David R / Roubinian, Nareg H

    Expert review of respiratory medicine

    2023  Volume 17, Issue 6, Page(s) 425–426

    MeSH term(s) Humans ; Pulmonary Embolism/diagnosis ; Pulmonary Embolism/therapy ; Acute Disease
    Language English
    Publishing date 2023-05-18
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 2479146-5
    ISSN 1747-6356 ; 1747-6348
    ISSN (online) 1747-6356
    ISSN 1747-6348
    DOI 10.1080/17476348.2023.2214733
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  6. Article ; Online: Blood donor component-recipient linkages: is there fire where there is smoke?

    Roubinian, Nareg H / Kanias, Tamir

    Transfusion

    2019  Volume 59, Issue 8, Page(s) 2485–2488

    MeSH term(s) Blood Donors ; Erythrocytes ; Humans ; Pilot Projects ; Smoke ; Smokers
    Chemical Substances Smoke
    Language English
    Publishing date 2019-08-01
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 208417-x
    ISSN 1537-2995 ; 0041-1132
    ISSN (online) 1537-2995
    ISSN 0041-1132
    DOI 10.1111/trf.15450
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  7. Article ; Online: Transfusion-Associated Circulatory Overload and Transfusion-Related Acute Lung Injury: Etiology and Prevention.

    Roubinian, Nareg H / Triulzi, Darrell J

    Hematology/oncology clinics of North America

    2019  Volume 33, Issue 5, Page(s) 767–779

    Abstract: Transfusion-related acute lung injury and transfusion-associated circulatory overload are characterized by acute pulmonary edema within 6 hours of blood transfusion. Despite recognition as the leading causes of transfusion-related mortality, they remain ... ...

    Abstract Transfusion-related acute lung injury and transfusion-associated circulatory overload are characterized by acute pulmonary edema within 6 hours of blood transfusion. Despite recognition as the leading causes of transfusion-related mortality, they remain difficult to study due to underrecognition and nonspecific diagnostic criteria. Recent study has shown that inflammatory cytokines and cardiopulmonary biomarker may be useful in differentiating pulmonary transfusion reactions and furthering our understanding of their pathogenesis. It is clear that donor / component mitigation and patient blood management strategies have decreased the incidence of pulmonary transfusion reactions. Additional clinical and translational research focused on identifying at-risk transfusion recipients is needed to further prevent these frequently severe cardiopulmonary events.
    MeSH term(s) Biomarkers ; Cytokines/metabolism ; Diagnosis, Differential ; Disease Management ; Disease Susceptibility ; Humans ; Incidence ; Inflammation Mediators/metabolism ; Risk Factors ; Symptom Assessment ; Transfusion Reaction/blood ; Transfusion Reaction/diagnosis ; Transfusion Reaction/etiology ; Transfusion Reaction/prevention & control ; Transfusion-Related Acute Lung Injury/diagnosis ; Transfusion-Related Acute Lung Injury/epidemiology ; Transfusion-Related Acute Lung Injury/etiology ; Transfusion-Related Acute Lung Injury/prevention & control
    Chemical Substances Biomarkers ; Cytokines ; Inflammation Mediators
    Language English
    Publishing date 2019-07-30
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 93115-9
    ISSN 1558-1977 ; 0889-8588
    ISSN (online) 1558-1977
    ISSN 0889-8588
    DOI 10.1016/j.hoc.2019.05.003
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  8. Article ; Online: Blood donor, component, and recipient-specific factors associated with venous thromboembolism in transfused hospitalized adult patients: Data from the recipient epidemiology and donor evaluation Study-III (REDS-III).

    Goel, Ruchika / Plimier, Colleen / Lee, Catherine / Tobian, Aaron A R / Josephson, Cassandra D / Hod, Eldad A / Roubinian, Nareg H

    Transfusion

    2023  Volume 63, Issue 5, Page(s) 925–932

    Abstract: Objective: Growing evidence suggests multiple pathophysiological mechanisms linking red blood cells (RBC) transfusions to thrombosis. This study examined blood donor, component, and recipient factors which may be associated with thromboembolic outcomes ... ...

    Abstract Objective: Growing evidence suggests multiple pathophysiological mechanisms linking red blood cells (RBC) transfusions to thrombosis. This study examined blood donor, component, and recipient factors which may be associated with thromboembolic outcomes following RBC transfusion.
    Methods: We utilized the Recipient Epidemiology Donor Evaluation Study-III (REDS-III) database on patients transfused in 12 hospitals between 2013-2016. Stratified Cox proportional hazards regression models with time-dependent exposures were used to examine associations of donor and component modification characteristics on venous thromboembolism (VTE) in patients transfused RBC units.
    Results: 59,603 patients were transfused 229,500 RBC units during 79,298 hospitalizations with post-transfusion VTE occurring in 1869 (2.4%) of patients. In adjusted regression analyses, a per RBC-unit risk of VTE was present for gamma irradiation (HR = 1.03; 95% CI: 1.02-1.03), female donor sex (HR = 1.01; 95% CI: 1.00-1.01), storage duration greater than 5 weeks (HR = 1.01; 95% CI: 1.01-1.02), AS-1 storage solution (HR = 1.01; 95% CI: 1.00-1.01), and apheresis-derived collections (HR = 1.01; 95% CI: 1.01-1.02). Among recipient factors, male sex (HR = 1.03; 95% CI: 1.02-1.04), pre-transfusion hemoglobin level (HR = 0.94; 95% CI: 0.94-0.94), body mass index strata (HR = 1.11; 95% CI: 1.08-1.14), and principal diagnoses including malignancy (HR = 1.13; 95% CI: 1.10-1.16), cardiac arrest (HR = 1.38; 95% CI:1.07-1.77) and hip fracture (HR = 1.59; 95% CI:1.53-1.66) were associated with VTE in adjusted analyses.
    Discussion: We identified several donor, component, and recipient-specific factors associated with VTE in transfused hospitalized adult patients. In adjusted models, the dose-dependent associations of donor and component-specific factors with VTE were modest and unlikely to be clinically significant in the majority of transfused patients. Additional mechanistic and clinical studies linking blood donor and component factors with thrombotic outcomes are needed.
    MeSH term(s) Humans ; Adult ; Male ; Female ; Blood Donors ; Venous Thromboembolism/epidemiology ; Venous Thromboembolism/etiology ; Proportional Hazards Models ; Erythrocyte Transfusion/adverse effects ; Regression Analysis
    Language English
    Publishing date 2023-02-25
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 208417-x
    ISSN 1537-2995 ; 0041-1132
    ISSN (online) 1537-2995
    ISSN 0041-1132
    DOI 10.1111/trf.17292
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  9. Article ; Online: Risk of VTE in Nonrespiratory and Respiratory Presentations of COVID-19 in Critically Ill Patients.

    Roubinian, Nareg H / Vinson, David R / Pai, Ashok P / Myers, Laura C / Skarbinski, Jacek / Lee, Catherine / Mark, Dustin G / Liu, Vincent X

    Chest

    2023  Volume 164, Issue 1, Page(s) 215–218

    MeSH term(s) Humans ; COVID-19 ; Venous Thromboembolism/epidemiology ; Venous Thromboembolism/etiology ; Critical Illness ; Heparin ; Anticoagulants ; Risk Factors ; Retrospective Studies
    Chemical Substances Heparin (9005-49-6) ; Anticoagulants
    Language English
    Publishing date 2023-02-12
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2023.02.008
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  10. Article ; Online: Early Post-Hospitalization Hemoglobin Recovery and Clinical Outcomes in Survivors of Critical Illness: A Population-Based Cohort Study.

    Warner, Matthew A / Hanson, Andrew C / Schulte, Phillip J / Roubinian, Nareg H / Storlie, Curt / Demuth, Gabriel / Gajic, Ognjen / Kor, Daryl J

    Journal of intensive care medicine

    2022  Volume 37, Issue 8, Page(s) 1067–1074

    Abstract: Anemia is common during critical illness, is associated with adverse clinical outcomes, and often persists after hospitalization. The goal of this investigation is to assess the relationships between post-hospitalization hemoglobin recovery and clinical ... ...

    Abstract Anemia is common during critical illness, is associated with adverse clinical outcomes, and often persists after hospitalization. The goal of this investigation is to assess the relationships between post-hospitalization hemoglobin recovery and clinical outcomes after survival of critical illness. This is a population-based observational study of adults (≥18 years) surviving hospitalization for critical illness between January 1, 2010 and December 31, 2016 in Olmsted County, Minnesota, United States with hemoglobin concentrations and clinical outcomes assessed through one-year post-hospitalization. Multi-state proportional hazards models were utilized to assess the relationships between 1-month post-hospitalization hemoglobin recovery and hospital readmission or death through one-year after discharge. Among 6460 patients that survived hospitalization for critical illness during the study period, 2736 (42%) were alive, not hospitalized, and had available hemoglobin concentrations assessed at 1-month post-index hospitalization. Median (interquartile range) age was 69 (56, 80) years with 54% of male gender. Overall, 86% of patients had anemia at the time of hospital discharge, with median discharge hemoglobin concentrations of 10.2 (9.1, 11.6) g/dL. In adjusted analyses, each 1 g/dL increase in 1-month hemoglobin recovery was associated with decreased instantaneous hazard for hospital readmission (HR 0.87 [95% CI 0.84-0.90]; p < 0.001) and lower mortality (HR 0.82 [95% CI 0.75-0.89]; p < 0.001) through one-year post-hospitalization. The results were consistent in multiple pre-defined sensitivity analyses. Impaired early post-hospitalization hemoglobin recovery is associated with inferior clinical outcomes in the first year of survival after critical illness. Additional investigations are warranted to evaluate these relationships.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Anemia/therapy ; Cohort Studies ; Critical Illness/therapy ; Female ; Hemoglobins ; Hospitalization ; Humans ; Male ; Middle Aged ; Survivors ; United States/epidemiology
    Chemical Substances Hemoglobins
    Language English
    Publishing date 2022-02-01
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 632828-3
    ISSN 1525-1489 ; 0885-0666
    ISSN (online) 1525-1489
    ISSN 0885-0666
    DOI 10.1177/08850666211069098
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