Table 2

Outcomes for each prioritized question

Critical outcomes for decision-making
Q1. • Time to transfusion (delay to treatment) 
• Time to antibody identification 
• Alloimmunization 
• HTR 
• Mortality 
• Morbidity 
Q2. • HTR 
• Alloimmunization rate 
• Alloimmunization prevalence 
• Morbidity 
• Mortality 
Q3. • Alloimmunization 
• HTR 
• ICU admission 
• Mortality 
• Infection 
• Pain 
• Adverse effects (aseptic meningitis, avascular necrosis [AVN]) 
Q4. • Length of stay 
• Morbidity (stroke, renal function) 
• Mortality 
• Infection (meningococcemia, hepatitis B reactivation) 
• Pain 
• Adverse effects (aseptic meningitis, AVN) 
Q5. • Alloimmunization 
• RBC unit use 
• Frequency of visits 
• Iron overload 
• HbS suppression 
• Recurrence or progression of primary indication for chronic transfusion (stroke, acute chest syndrome, pain) 
• Adverse reactions (fever, allergic, procedural such as nausea, citrate toxicity, hypotension, presyncope) 
• Line-related complications 
• Duration of procedure 
Q6. • Length of hospital stay 
• Length of ICU stay 
• Ventilator support (days) 
• Morbidity (during hospital stay) 
• Mortality 
• HbS level 
• Alloimmunization 
• Adverse reactions (fever, allergic, fluid overload, procedural such as nausea, citrate toxicity, thrombocytopenia) 
• Line-related complication 
Q7. • RBC unit use 
• Frequency of procedures 
• Iron overload 
• HbS suppression 
• Recurrence or progression of primary indication for chronic transfusion (stroke, acute chest syndrome, pain) 
• Alloimmunization 
• Adverse reactions 
• Duration of procedure 
Q8. • Alloimmunization 
• Maternal mortality 
• Vaso-occlusive pain episodes 
• Pulmonary complications 
• Pulmonary embolism 
• Pyelonephritis 
• Perinatal mortality 
• Small size for gestational age/low birth weight 
• Neonatal death 
• Preterm birth 
Q9. • Postoperative acute chest syndrome 
• Postoperative pain crisis 
• All other postoperative complications (infection, thrombosis) 
• Mortality 
• Alloimmunization 
• Adverse reactions (allergic, fever) 
• Length of stay 
Q10. • Iron-induced liver disease/failure 
• Iron-induced cardiac disease 
• Iron-induced endocrinopathies (growth failure, delayed puberty, hypothyroidism, diabetes) 
• Mortality 
Critical outcomes for decision-making
Q1. • Time to transfusion (delay to treatment) 
• Time to antibody identification 
• Alloimmunization 
• HTR 
• Mortality 
• Morbidity 
Q2. • HTR 
• Alloimmunization rate 
• Alloimmunization prevalence 
• Morbidity 
• Mortality 
Q3. • Alloimmunization 
• HTR 
• ICU admission 
• Mortality 
• Infection 
• Pain 
• Adverse effects (aseptic meningitis, avascular necrosis [AVN]) 
Q4. • Length of stay 
• Morbidity (stroke, renal function) 
• Mortality 
• Infection (meningococcemia, hepatitis B reactivation) 
• Pain 
• Adverse effects (aseptic meningitis, AVN) 
Q5. • Alloimmunization 
• RBC unit use 
• Frequency of visits 
• Iron overload 
• HbS suppression 
• Recurrence or progression of primary indication for chronic transfusion (stroke, acute chest syndrome, pain) 
• Adverse reactions (fever, allergic, procedural such as nausea, citrate toxicity, hypotension, presyncope) 
• Line-related complications 
• Duration of procedure 
Q6. • Length of hospital stay 
• Length of ICU stay 
• Ventilator support (days) 
• Morbidity (during hospital stay) 
• Mortality 
• HbS level 
• Alloimmunization 
• Adverse reactions (fever, allergic, fluid overload, procedural such as nausea, citrate toxicity, thrombocytopenia) 
• Line-related complication 
Q7. • RBC unit use 
• Frequency of procedures 
• Iron overload 
• HbS suppression 
• Recurrence or progression of primary indication for chronic transfusion (stroke, acute chest syndrome, pain) 
• Alloimmunization 
• Adverse reactions 
• Duration of procedure 
Q8. • Alloimmunization 
• Maternal mortality 
• Vaso-occlusive pain episodes 
• Pulmonary complications 
• Pulmonary embolism 
• Pyelonephritis 
• Perinatal mortality 
• Small size for gestational age/low birth weight 
• Neonatal death 
• Preterm birth 
Q9. • Postoperative acute chest syndrome 
• Postoperative pain crisis 
• All other postoperative complications (infection, thrombosis) 
• Mortality 
• Alloimmunization 
• Adverse reactions (allergic, fever) 
• Length of stay 
Q10. • Iron-induced liver disease/failure 
• Iron-induced cardiac disease 
• Iron-induced endocrinopathies (growth failure, delayed puberty, hypothyroidism, diabetes) 
• Mortality 

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