Clinical Study

Efficacy of Oral Acetaminophen and Intravenous Chlorpheniramine Maleate versus Placebo to Prevent Red Cell Transfusion Reactions in Children and Adolescent with Thalassemia: A Prospective, Randomized, Double-Blind Controlled Trial

Table 4

Risk factors for development of febrile reaction post RBC transfusion.

Febrile reactionp-valueCrude OR95%CI
YesNo
N = 12N = 135

Thalassemia
 ß thal/ß thal3(15.8)16(84.2)0.1665.2500.503-54.777
 ß thal/Hb E8(8.1)91(91.9)0.4052.4620.295-20.540
 Other1(3.4)28(96.6)1
RBC products
 LPRC9(9.1)90(90.9)0.5571.5000.387-5.814
 LDPRC3(6.2)45(93.8)1
Age
13.9±3.6311.73±4.860.1411.1160.964-1.291
Gender
 Male7(8.5)75(91.5)1
 Female5(7.7)60(92.3)0.8530.8930.270-2.955
Premedications
 Active drugs5(6.8)68(93.2)0.5650.7040.213-2.328
 Placebo7(9.5)67(90.5)1

Note. Data were shown as number (%), mean±SD, and associated risks between treatment groups were analyzed by binary logistic regression; p<0.05 is statistically significant.
Abbreviations. ß thal/ß thal: homozygous beta thalassemia; ß thal/HbE: beta thalassemia/hemoglobin E; RBC: red blood cell; LPRC: leukocyte poor packed red cell; LDPRC: leukocyte depleted packed red cell