AI Article Synopsis

  • The study aimed to evaluate how red cell transfusions affect cognitive outcomes in preterm infants who received either erythropoiesis stimulating agents (ESAs) or a placebo.
  • Results showed that higher transfusion volumes were linked to lower cognitive scores at 18-22 months, but those receiving ESAs had better scores despite transfusions compared to the placebo group.
  • By 3.5-4 years, transfusions did not correlate with cognitive scores, indicating that ESAs may offer protective benefits for cognitive development in transfused infants.

Article Abstract

Objective: Preterm infants frequently receive red cell transfusions; however, the effect of transfusions on cognition is unclear. We evaluated the relationship between transfusions and cognitive outcomes in preterm infants enrolled in a randomized trial of erythropoiesis stimulating agents (ESAs).

Study Design: Preterm infants were randomized to ESAs or placebo during initial hospitalization, and transfusions recorded. Children were evaluated using standard developmental tests of cognition at 18-22 months (56 ESA, 24 placebo) and 3.5-4 years (39 ESA, 14 placebo).

Results: Cognitive scores at 18-22 months were inversely correlated with transfusion volume (p = 0.02). Among those receiving ≥1 transfusion, cognitive scores were significantly higher in the ESA-treated group (p = 0.003). At 3.5-4 years, transfusions were not correlated with cognitive scores.

Conclusions: In the placebo group, transfused children had lower cognitive scores than did non-transfused children at 18-22 months. In the ESA group, cognitive scores did not differ by transfusion status, suggesting ESAs might provide neuroprotection.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8238787PMC
http://dx.doi.org/10.1038/s41372-021-00997-9DOI Listing

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