Les TRALI au CHU de Nancy : une incidence reconsidérée après l'application stricte des critères de Toronto TRALI in the University Hospital of Nancy: A reevaluation of the incidence after applying strict criteria of Toronto

Abstract “Transfusion-related acute lung injury” (TRALI) is a post-transfusion lesional pulmonary edema, potentially severe, better defined since theconference of Toronto in 2004. The incidence of TRALI reported in France remains low in part because of its ignorance by physicians. Theobjective of our study was to evaluate retrospectively transfusion accidents with respiratory complications that occurred in Nancy UniversityHospital and reported to the haemovigilance between 1996 and 2006, from the software “Traceline” listing all the blood transfusion complicationsfrom signs observed. The analysis of the files has been performed by applying rigorously diagnostic criteria of Toronto. Forty-one cases ofrespiratory complications were found in 34,573 blood products. Ten cases of TRALI were diagnosed while only one case had been reported to ∗ Auteur correspondant. Adresse e-mail : m.bernasinski@orange.fr (M. Bernasinski).1246-7820/$ – see front matter © 2013 Elsevier Masson SAS. Tous droits reserves.http://dx.doi.org/10.1016/j.tracli.2013.02.028