Clinical Usefulness of Haptoglobin Levels to Evaluate Hemolysis in Recently Transfused Patients

Introduction. Haptoglobin binds the globin portion of free hemoglobin. Serum haptoglobin measurement is used as a laboratory marker for the diagnosis of hemolytic anemia. Since stored blood contains free hemoglobin, transfusion may affect haptoglobin levels. Study Objectives. The aim of the study wa...

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Main Authors: Shilpi Gupta, Kathleen Ahern, Fadi Nakhl, Frank Forte
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Advances in Hematology
Online Access:http://dx.doi.org/10.1155/2011/389854
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author Shilpi Gupta
Kathleen Ahern
Fadi Nakhl
Frank Forte
author_facet Shilpi Gupta
Kathleen Ahern
Fadi Nakhl
Frank Forte
author_sort Shilpi Gupta
collection DOAJ
description Introduction. Haptoglobin binds the globin portion of free hemoglobin. Serum haptoglobin measurement is used as a laboratory marker for the diagnosis of hemolytic anemia. Since stored blood contains free hemoglobin, transfusion may affect haptoglobin levels. Study Objectives. The aim of the study was to evaluate whether serum haptoglobin could be measured to assess hemolysis in recently transfused patients. Patients and Methods. Twenty-one patients, receiving more than one unit of packed red blood cells (PRBCs) for presumed nonhemolytic indications, were enrolled. Serum haptoglobin levels were recorded before, immediately after, and 24 and 48 hours after transfusion. Observations and Results. Analysis of variance with a repeated measures was used to examine the serum haptoglobin levels at different time periods and no significant difference was found (P=.28). Conclusion. The results suggest that serum haptoglobin can be used in the diagnosis of hemolysis in patients receiving multiple units of PRBC.
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spelling doaj-art-b4b7290799df4734a41a9f32a58536192025-02-03T01:06:21ZengWileyAdvances in Hematology1687-91041687-91122011-01-01201110.1155/2011/389854389854Clinical Usefulness of Haptoglobin Levels to Evaluate Hemolysis in Recently Transfused PatientsShilpi Gupta0Kathleen Ahern1Fadi Nakhl2Frank Forte3Department of Hematology and Oncology, Sanford R Nalitt Institute for Cancer and Blood Related Diseases, Staten Island University Hospital, 256 C, Mason Avenue, Staten Island, New York-10305, USADepartment of Hematology and Oncology, Sanford R Nalitt Institute for Cancer and Blood Related Diseases, Staten Island University Hospital, 256 C, Mason Avenue, Staten Island, New York-10305, USADepartment of Hematology and Oncology, Sanford R Nalitt Institute for Cancer and Blood Related Diseases, Staten Island University Hospital, 256 C, Mason Avenue, Staten Island, New York-10305, USADepartment of Hematology and Oncology, Sanford R Nalitt Institute for Cancer and Blood Related Diseases, Staten Island University Hospital, 256 C, Mason Avenue, Staten Island, New York-10305, USAIntroduction. Haptoglobin binds the globin portion of free hemoglobin. Serum haptoglobin measurement is used as a laboratory marker for the diagnosis of hemolytic anemia. Since stored blood contains free hemoglobin, transfusion may affect haptoglobin levels. Study Objectives. The aim of the study was to evaluate whether serum haptoglobin could be measured to assess hemolysis in recently transfused patients. Patients and Methods. Twenty-one patients, receiving more than one unit of packed red blood cells (PRBCs) for presumed nonhemolytic indications, were enrolled. Serum haptoglobin levels were recorded before, immediately after, and 24 and 48 hours after transfusion. Observations and Results. Analysis of variance with a repeated measures was used to examine the serum haptoglobin levels at different time periods and no significant difference was found (P=.28). Conclusion. The results suggest that serum haptoglobin can be used in the diagnosis of hemolysis in patients receiving multiple units of PRBC.http://dx.doi.org/10.1155/2011/389854
spellingShingle Shilpi Gupta
Kathleen Ahern
Fadi Nakhl
Frank Forte
Clinical Usefulness of Haptoglobin Levels to Evaluate Hemolysis in Recently Transfused Patients
Advances in Hematology
title Clinical Usefulness of Haptoglobin Levels to Evaluate Hemolysis in Recently Transfused Patients
title_full Clinical Usefulness of Haptoglobin Levels to Evaluate Hemolysis in Recently Transfused Patients
title_fullStr Clinical Usefulness of Haptoglobin Levels to Evaluate Hemolysis in Recently Transfused Patients
title_full_unstemmed Clinical Usefulness of Haptoglobin Levels to Evaluate Hemolysis in Recently Transfused Patients
title_short Clinical Usefulness of Haptoglobin Levels to Evaluate Hemolysis in Recently Transfused Patients
title_sort clinical usefulness of haptoglobin levels to evaluate hemolysis in recently transfused patients
url http://dx.doi.org/10.1155/2011/389854
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