Q4-9: Post-Infusion Critical Illness

Questions 4-5: Did the recipient experience a complication of infusion requiring a transfer to an intensive care unit?

Report whether the recipient required a transfer to the intensive care unit due to a complication directly related to the infusion. If “yes” report the date of transfer to the intensive care unit in question 5. Otherwise, report “no” and continue to question 6.

Question 6: Did the patient develop sepsis requiring pressor support?

Report whether the patient developed sepsis and required pressor support. If “yes” report the date pressor support started in question 7. Otherwise, report “no” and continue to question 8.

Question 7: Date pressor support required:

Indicate date pressor support was required.

Question 8: Did the recipient die as a result of organ failure?

If the recipient died as a result of organ failure, select “yes” and submit the form.

If the recipient did not die as a result of organ failure, select “no” and submit the form.

Section Updates:

Question Number	Date of Change	Add/Remove/Modify	Description	Reasoning (If applicable)
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CIBMTR®(Center for International Blood and Marrow Transplant Research®) is a research collaboration between the National Marrow Donor Program®/Be The Match® and the Medical College of Wisconsin