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. 2023 Sep 8;2023(9):CD001888. doi: 10.1002/14651858.CD001888.pub5

Comparison 13. Orthopaedic (hip) (subgroup: transfusion threshold).

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
13.1 Transfusions 14 1641 Risk Ratio (M‐H, Random, 95% CI) 0.52 [0.38, 0.72]
13.1.1 Restrictive (Hb ≦ 80 g/L) 6 900 Risk Ratio (M‐H, Random, 95% CI) 0.38 [0.28, 0.51]
13.1.2 Liberal (Hb > 80 g/L) 4 156 Risk Ratio (M‐H, Random, 95% CI) 0.50 [0.28, 0.90]
13.1.3 No threshold/protocol reported 4 585 Risk Ratio (M‐H, Random, 95% CI) 0.76 [0.37, 1.57]
13.2 Volume of transfusion (units) (PPR) 5 433 Mean Difference (IV, Random, 95% CI) ‐0.61 [‐1.04, ‐0.19]
13.2.1 Restrictive (Hb ≦ 80 g/L) 2 304 Mean Difference (IV, Random, 95% CI) ‐0.09 [‐0.20, 0.02]
13.2.2 Liberal (Hb > 80 g/L) 3 129 Mean Difference (IV, Random, 95% CI) ‐1.29 [‐1.69, ‐0.90]
13.3 Volume of transfusion (units) (PPT) 4 63 Mean Difference (IV, Random, 95% CI) ‐1.74 [‐2.92, ‐0.55]
13.3.1 Restrictive (Hb ≦ 80 g/L) 2 0 Mean Difference (IV, Random, 95% CI) Not estimable
13.3.2 Liberal (Hb > 80 g/L) 2 44 Mean Difference (IV, Random, 95% CI) ‐1.74 [‐2.92, ‐0.55]
13.4 Mortality 4 651 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.46 [0.06, 3.33]
13.4.1 Restrictive (Hb ≦ 80 g/L) 1 118 Peto Odds Ratio (Peto, Fixed, 95% CI) 8.22 [0.16, 416.61]
13.4.2 Liberal (Hb > 80 g/L) 1 216 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.14 [0.00, 7.08]
13.4.3 No threshold/protocol reported 2 317 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.19 [0.01, 3.20]
13.5 Blood loss (mL) 10 1085 Mean Difference (IV, Random, 95% CI) ‐78.13 [‐162.74, 6.48]
13.5.1 Restrictive (Hb ≦ 80 g/L) 4 622 Mean Difference (IV, Random, 95% CI) ‐115.60 [‐240.14, 8.95]
13.5.2 Liberal (Hb > 80 g/L) 5 372 Mean Difference (IV, Random, 95% CI) ‐86.79 [‐354.95, 181.36]
13.5.3 No threshold/protocol reported 1 91 Mean Difference (IV, Random, 95% CI) 3.00 [‐86.67, 92.67]
13.6 Reoperation for bleeding 1   Risk Difference (M‐H, Random, 95% CI) Totals not selected
13.6.1 No threshold/protocol reported 1   Risk Difference (M‐H, Random, 95% CI) Totals not selected
13.7 Infection 4 549 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.72 [0.17, 2.98]
13.7.1 Restrictive (Hb ≦ 80 g/L) 1 0 Peto Odds Ratio (Peto, Fixed, 95% CI) Not estimable
13.7.2 No threshold/protocol reported 3 429 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.72 [0.17, 2.98]
13.8 Wound complication 4 609 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.94 [0.36, 2.45]
13.8.1 Restrictive (Hb ≦ 80 g/L) 2 278 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.80 [0.22, 2.89]
13.8.2 Liberal (Hb > 80 g/L) 1 216 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.53 [0.05, 5.15]
13.8.3 No threshold/protocol reported 1 115 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.94 [0.30, 12.58]
13.9 Prosthetic joint infection (PJI) 5 806 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.31 [0.05, 1.78]
13.9.1 Restrictive (Hb ≦ 80 g/L) 2 322 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.37 [0.05, 2.68]
13.9.2 Liberal (Hb > 80 g/L) 1 216 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.14 [0.00, 7.08]
13.9.3 No threshold/protocol reported 2 0 Peto Odds Ratio (Peto, Fixed, 95% CI) Not estimable
13.10 Thrombosis (VTE) 2 196 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.45 [0.24, 8.72]
13.10.1 Restrictive (Hb ≦ 80 g/L) 1 0 Peto Odds Ratio (Peto, Fixed, 95% CI) Not estimable
13.10.2 No threshold/protocol reported 1 96 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.45 [0.24, 8.72]
13.11 DVT 3 343 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.05 [0.20, 5.60]
13.11.1 Restrictive (Hb ≦ 80 g/L) 2 304 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.14 [0.00, 6.82]
13.11.2 Liberal (Hb > 80 g/L) 1 39 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.66 [0.26, 10.58]
13.12 PE 2 316 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.14 [0.00, 7.08]
13.12.1 Restrictive (Hb ≦ 80 g/L) 1 0 Peto Odds Ratio (Peto, Fixed, 95% CI) Not estimable
13.12.2 Liberal (Hb > 80 g/L) 1 216 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.14 [0.00, 7.08]
13.13 CVA (stroke) 1   Risk Ratio (M‐H, Random, 95% CI) Totals not selected
13.13.1 Liberal (Hb > 80 g/L) 1   Risk Ratio (M‐H, Random, 95% CI) Totals not selected
13.14 Hospital LOS (days) 4 542 Mean Difference (IV, Random, 95% CI) 0.07 [‐0.37, 0.52]
13.14.1 Restrictive (Hb ≦ 80 g/L) 4 542 Mean Difference (IV, Random, 95% CI) 0.07 [‐0.37, 0.52]