Pre-procedural platelet transfusion thresholds in hospitalised children — Protocol for a scoping review

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Background: Thrombocytopenia is a common condition in hospitalised critically ill children and most platelet transfusions are given as prophylaxis to non-bleeding children prior to invasive procedures such as central venous catheterisation and lumbar puncture. Platelet transfusion may reduce bleeding complications but have also been associated with potential adverse effects and variation in clinical practice exist. To direct future research, we aim to assess the current evidence regarding prophylactic platelet transfusion prior to procedures in hospitalised thrombocytopenic children. Methods: We will conduct a scoping review of all study designs in accordance with the Preferred Reporting Items for Systematic and Meta-Analyses (PRISMA) statement. We will include studies on hospitalised children undergoing invasive procedures where the prevalence of thrombocytopenia and the predefined outcome measures, including bleeding, transfusion-related adverse events and use of blood products and life support are reported. We will provide descriptive analyses of the included studies/trials and the quality of evidence will be assessed according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Conclusion: The outlined scoping review will provide an overview on the benefits and harms of prophylactic platelet transfusion prior to invasive procedures in thrombocytopenic hospitalised children.

Original languageEnglish
JournalActa Anaesthesiologica Scandinavica
Volume65
Issue number4
Pages (from-to)558-561
Number of pages4
ISSN0001-5172
DOIs
Publication statusPublished - 2021

Bibliographical note

Publisher Copyright:
© 2020 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd

    Research areas

  • Blood platelets, Blood products, paediatrics and child health/adolescent medicine, Platelet transfusion, Thrombocytes, Transfusion Medicine

ID: 301036203