Inter-unit variability and rapid depletion of 2,3-diphosphoglycerate in stored red blood cells: implications for transfusion practice in neurocritical care
This study demonstrates that 2,3-DPG levels in stored red blood cells exhibit significant inter-unit variability and rapid depletion well before the 42-day expiration, suggesting that using storage duration as a proxy for metabolic state misclassifies the actual oxygen-unloading capacity of transfused units.