Plateletpheresis - Expected Platelet Increase After Transfusion

Expected Platelet Increase After Transfusion

Platelet count increase as well as platelet survival after transfusion is related to the dose of platelets infused and to the patient's body surface area (BSA). Usually these values are less than what would be expected.

  • Corrected platelet count increment (CCI) = platelet increment at one hr x BSA (m2) / # platelets infused x 1011
  • Expected platelet increase (per μL) = platelets infused x CCI / BSA (m2)

The theoretical value of the CCI is 20,000/μL but clinically, the value is closer to 10,000/μL. If the CCI is less than 5,000/μL, patients are said to have "refractoriness" to platelet transfusion.

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