The 'effects of transfusion thresholds on neurocognitive outcome of extremely low birth-weight infants (ETTNO)' study: Background, aims, and study protocol

Axel R. Franz, Rolf F. Maier, Ulrich H. Thome, Mario Rüdiger, Martina Kron, Dirk Bassler, Christian F. Poets, Ingeborg Krägeloh-Mann, Mark Schoberer, Sonja Trepels-Kottek, Gernot Buheitel, Wilfried Schenk, Christoph Bührer, Florian Guthmann, Lars Garten, Dieter Hüseman, Christoph Czernik, Rainer Rossi, Thomas Kühn, Elisabeth EilersNorbert Teig, Almut Weitkämper, Jes Reinholdt, Gitte Veiergang, Claudia Roll, Wolfgang Pielemeier, Violeta Ojinaga, Nicole Braun, Hans Jörg Bittrich, Kathrin Roefke, Michael Schroth, Hans Georg Topf, Anja Stein, Matthias Keller, Britta Maria Hüning, Doris Fischer, Horst Buxmann, Matthias Heckmann, Dirk Faas, Axel Von Der Wense, Peter Gudowius, Sarah Kabisch, Georg Hillebrand, Bettina Bohnhorst, Corinna Peter, Florian Urlichs, Marc Hoppenz, Thomas Pabst, Angela Kribs, Ruth Maria Klein, Christoph Hünseler, Bernhard Roth, Anne Vierzig, Frank Eifinger, André Oberthür, Kathrin Mehler, Corinna Gebauer, Matthias Knüpfer, Michael Zemlin, Larissa Mähnhardt, Claudia Franziska Nußbaum, Alexandra Schwepcke, Georg Rellensmann, Esther Rieger-Fackeldey, Jan Holger Schiffmann, Jens Grombach, Stefan Schäfer, Hugo Segerer, Annette Keller-Wackerbauer, Rainer Burghard, Mechthild Hubert, Matthias Vochem, Ulrich Pohlmann, Patrick Neuberger, Martin Wagner, Hans Fuchs, Manuel Schmid, Reinhard Hopfner, Hans Ulrich Bucher, Heike Rabe, Josef Högel, Corinna Engel, Joachim Riethmüller

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41 Scopus citations

Abstract

Background: Infants with extremely low birth weight uniformly develop anemia of prematurity and frequently require red blood cell transfusions (RBCTs). Although RBCT is widely practiced, the indications remain controversial in the absence of conclusive data on the long-term effects of RBCT. Objectives: To summarize the current equipoise and to outline the study protocol of the 'Effects of Transfusion Thresholds on Neurocognitive Outcome of extremely low birth-weight infants (ETTNO)' study. Methods: Review of the literature and design of a large pragmatic randomized controlled trial of restrictive versus liberal RBCT guidelines enrolling 920 infants with birth weights of 400-999 g with long-term neurodevelopmental follow-up. Results and Conclusions: The results of ETTNO will provide definite data about the efficacy and safety of restrictive versus liberal RBCT guidelines in very preterm infants.

Original languageEnglish
Pages (from-to)301-305
Number of pages5
JournalNeonatology
Volume101
Issue number4
DOIs
StatePublished - Jun 2012

Keywords

  • Anemia of prematurity, treatment
  • Infant, preterm
  • Randomized controlled trial
  • Transfusion

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