Table 1. Characteristics of the included studies.
Study | Type of participants | Number of participants | Intervention | Platelet component dose | Duration of study | Type of platelet component | Primary outcome |
---|---|---|---|---|---|---|---|
Diedrich 2005 | All ages undergoing an allogeneic HSCT | 166 | Prophylactic plt transfusion if plt count < 10 × 109/L versus prophylactic plt transfusion if plt count < 30 × 109/L | Average yield (mean ± SD) 4.10 × 1011 ± 0.2 × 1011 (buffy coat) 3.80 × 1011 ± 0.2 × 1011 (apheresis) | Maximum duration of observation was 37 days (7 days pre-HSCT and 30 days post-HSCT). No information available on the number of participants who died or were lost to follow-up | Leucodepleted, ABO-matched, irradiated pooled random-donor platelets (buffy coat) 85% Apheresis 15% | Number of platelet transfusions |
Heckman 1997 | Adults with acute leukaemia | 82 | Prophylactic plt transfusion if plt count ≤ 10 × 109/L versus prophylactic plt transfusion if plt count ≤ 20 × 109/L | 1 apheresis unit. Average yield each study year (number of transfusions) 4.9 × 1011 1991 (n = 502) 4.5 × 1011 1992 (n = 418) 4.7 × 1011 1993 (n = 399) 4.0 × 1011 1994 (n = 400) 4.3 × 1011 1995 (n = 398) |
Median 24 days | Leucodepleted Apheresis | Not reported |
Rebulla 1997 | Adolescents and adults with AML | 276 | Prophylactic plt transfusion if plt count <10 × 109/L versus prophylactic plt transfusion if plt count < 20 × 109/L | Median 2.2 × 1011 (pooled) 2.8 × 1011 (apheresis) | Mean 27.8 to 29.7 days | Apheresis and pooled products | Frequency and severity of haemorrhage |
AML = acute myeloid leukaemia
HSCT = haematopoietic stem cell transplant
plt = platelet
SD = standard deviation