@article {4338,
	title = {Transfusion-related acute lung injury: incidence and risk factors.},
	journal = {Blood//Blood},
	volume = {119},
	year = {2012},
	note = {Comment in: Blood. 2012 Feb 16;119(7):1620-1; PMID: 22343662},
	month = {2012},
	pages = {1757 - 67},
	publisher = {Toy,Pearl. Department of Laboratory Medicine, Box 0451, University of California-San Francisco, San Francisco, CA 94143-0451, USA. pearl.toy@ucsf.edu},
	address = {United States},
	abstract = {Transfusion-related acute lung injury (TRALI) is the leading cause of transfusion-related mortality. To determine TRALI incidence by prospective, active surveillance and to identify risk factors by a case-control study, 2 academic medical centers enrolled 89 cases and 164 transfused controls. Recipient risk factors identified by multivariate analysis were higher IL-8 levels, liver surgery, chronic alcohol abuse, shock, higher peak airway pressure while being mechanically ventilated, current smoking, and positive fluid balance. Transfusion risk factors were receipt of plasma or whole blood from female donors (odds ratio = 4.5, 95\% confidence interval [CI], 1.85-11.2, P = .001), volume of HLA class II antibody with normalized background ratio more than 27.5 (OR = 1.92/100 mL, 95\% CI, 1.08-3.4, P = .03), and volume of anti-human neutrophil antigen positive by granulocyte immunofluoresence test (OR = 1.71/100 mL, 95\% CI, 1.18-2.5, P = .004). Little or no risk was associated with older red blood cell units, noncognate or weak cognate class II antibody, or class I antibody. Reduced transfusion of plasma from female donors was concurrent with reduced TRALI incidence: 2.57 (95\% CI, 1.72-3.86) in 2006 versus 0.81 (95\% CI, 0.44-1.49) in 2009 per 10 000 transfused units (P = .002). The identified risk factors provide potential targets for reducing residual TRALI.},
	keywords = {*Acute Lung Injury/ep [Epidemiology], *Acute Lung Injury/et [Etiology], *Blood Transfusion/ae [Adverse Effects], Academic Medical Centers/sn [Statistics \& Numerical Data], Adult, Aged, Blood Transfusion/sn [Statistics \& Numerical Data], Case-Control Studies, Female, Humans, Incidence, Male, Middle Aged, Population Surveillance, Retrospective Studies, Risk Factors, Young Adult},
	isbn = {1528-0020},
	author = {Toy, Pearl and Gajic, Ognjen and Bacchetti, Peter and Looney, Mark R and Gropper, Michael A and Hubmayr, Rolf and Lowell, Clifford A and Norris, Philip J and Murphy, Edward L and Weiskopf, Richard B and Wilson, Gregory and Koenigsberg, Monique and Lee, Deanna and Schuller, Randy and Wu, Ping and Grimes, Barbara and Gandhi, Manish J and Winters, Jeffrey L and Mair, David and Hirschler, Nora and Sanchez Rosen, Rosa and Matthay, Michael A and TRALI Study Group}
}
