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This retrospective observational study suggests an association between transfusion of red blood cells or fresh frozen plasma (but not platelets) and postoperative infections in liver transplant recipients. There is a dose-effect relationship, with cut-off points of 2.5 and 7.5 units for red blood cells and fresh frozen plasma, respectively. However, the study suffers from major limitations including a small sample size and lack of adjustment for confounders.

– Yves Ozier