Platelet quality after washing: the effect of storage time before washing

Nahreen Tynngård1, Marie Trinks, Gösta Berlin

  • 1Department of Clinical Immunology & Transfusion Medicine, Linköping University Hospital, Sweden.

Transfusion
|June 26, 2010
PubMed

Insights

Washing platelet concentrates (PCs) on Day 1 or Day 7 of storage similarly affects platelet quality, but washing on Day 7 results in a greater loss of platelets.

Area of Science:

  • Transfusion Medicine
  • Hematology
  • Platelet Biology

Background:

  • Washed platelet concentrates (PCs) are used for patients with anaphylactic transfusion reactions.
  • Plasma is substituted with platelet additive solution in washed PCs.

Purpose of the Study:

  • To compare the in vitro quality of PCs washed on Day 1 versus Day 7 of storage.
  • To evaluate the impact of washing timing on platelet surface markers and coagulation properties.

Main Methods:

  • Platelets were prepared using the buffy coat procedure and pooled.
  • Identical pairs of PCs were washed with T-Sol on Day 1 or Day 7.
  • Analyzed swirling, blood gases, metabolic variables, CD62P expression, and coagulation using free oscillation rheometry (FOR).

Main Results:

  • pH remained acceptable in all PCs.
  • Washing on both Day 1 and Day 7 increased CD62P surface expression.
  • Clotting time and clot retraction were unaffected by washing timing.
  • A greater decrease in platelet count occurred when washing on Day 7 compared to Day 1.

Conclusions:

  • Washing platelet concentrates on Day 1 or Day 7 impacts them similarly regarding quality parameters.
  • A significantly larger loss of platelets is observed when washing occurs on Day 7 of storage.
Abstract