{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T19:45:11Z","timestamp":1749152711720,"version":"3.40.5"},"reference-count":34,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T00:00:00Z","timestamp":1612224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vox Sanguinis"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Transfusion\u2010associated circulatory overload (TACO) is an adverse reaction associated with a high risk of mortality. The actual incidence of TACO and hypertension associated with transfusion in Japan is unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A multicentre retrospective observational study was conducted across 23 institutions during the 1\u2010year period of 2016. Patients were included if they developed TACO or their blood pressure (either systolic or diastolic) increased by at least 30\u00a0mmHg during the transfusion. TACO was confirmed by the primary physicians and transfusion medicine teams and recorded in the data on passive surveillance, and additional data were extracted from electronic medical records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In our patient cohort of 31\u00a0384 patients who underwent transfusion, the incidence of TACO and hypertension was 0\u00b703% and 0\u00b72%, respectively. However, 43% of the participating institutions didn't report any cases. When comparing risk factors between the TACO and hypertension groups, there were significant differences in comorbidities, such as abnormal findings on chest x\u2010ray. Significant differences between the two groups were observed post\u2010transfusion pulse rate, body temperature and oxygen saturation (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00\u00b701). In the group of patients with hypertension, the level of BNP increased significantly after transfusion in 45% (5\/11) of the patients. We identified 4 patients in the hypertension group who met the new ISBT\u2019s TACO criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study suggests that more attention should be given to TACO in Japan, particularly in terms of improving surveillance systems. For the early diagnosis of TACO, it is crucial to carefully monitor vital signs including blood pressure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vox.13063","type":"journal-article","created":{"date-parts":[[2021,2,6]],"date-time":"2021-02-06T03:29:30Z","timestamp":1612582170000},"page":"785-792","source":"Crossref","is-referenced-by-count":3,"title":["Transfusion\u2010associated circulatory overload and high blood pressure: A multicentre retrospective study in Japan"],"prefix":"10.1111","volume":"116","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6950-8457","authenticated-orcid":false,"given":"Asashi","family":"Tanaka","sequence":"first","affiliation":[{"name":"Department of Clinical Laboratory Medicine and Department of Transfusion Medicine Tokyo Medical University Hachioji Medical Center Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8514-086X","authenticated-orcid":false,"given":"Akihiko","family":"Yokohama","sequence":"additional","affiliation":[{"name":"Division of Blood Transfusion Service Gunma University Hospital Gunma Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4523-2994","authenticated-orcid":false,"given":"Shin\u2010ichiro","family":"Fujiwara","sequence":"additional","affiliation":[{"name":"Division of Cell Transplantation and Transfusion Jichi Medical University Hospital Tochigi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiko","family":"Fujii","sequence":"additional","affiliation":[{"name":"Department of Transfusion Medicine Yamaguchi University Hospital Yamaguchi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Division of Cell Transplantation and Transfusion University of Yamanashi Hospital Yamanashi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasunori","family":"Ueda","sequence":"additional","affiliation":[{"name":"Department of Hematology and Oncology Kurashiki Central Hospital Okayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Hematology Niigata City General Hospital Niigata Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoko","family":"Kato","sequence":"additional","affiliation":[{"name":"Division of Transfusion and Cell Therapy The Jikei University Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichi","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Department of Transfusion Medicine University of Tsukuba Hospital Ibaraki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiko","family":"Ikeda","sequence":"additional","affiliation":[{"name":"Department of Blood Transfusion and Transplantation Immunology Fukushima Medical University School of Medicine Fukushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keizo","family":"Fujino","sequence":"additional","affiliation":[{"name":"Department of Transfusion Medicine Osaka City University Hospital Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayumi","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Nursing Shinko Hospital Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeyoshi","family":"Makino","sequence":"additional","affiliation":[{"name":"Department of Transfusion Medicine Toranomon Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9425-6805","authenticated-orcid":false,"given":"Shuichi","family":"Kino","sequence":"additional","affiliation":[{"name":"Hokkaido Block Blood Center Japanese Red Cross Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7504-6677","authenticated-orcid":false,"given":"Akihiro","family":"Takeshita","sequence":"additional","affiliation":[{"name":"Transfusion and Cell Therapy Hamamatsu University School of Medicine Shizuokoa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuo","family":"Muroi","sequence":"additional","affiliation":[{"name":"Division of Cell Transplantation and Transfusion Jichi Medical University Hospital Tochigi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,2]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Fatalities reported to FDA following blood collection and transfusion. 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