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. 2017 Apr 13;25:39. doi: 10.1186/s13049-017-0378-9

Table 4.

Study characteristics Author and year, number of patients allocated to control or intervention group and the type of patients and/or procedures performed during the study

Reference (Author and year) Control/intervention (n) Type of patients/procedures
Shore-Lesserson 1999 [33] 52/53 Cardiac surgery
Moderate to high risk of microvascular bleeding (single/multiple valve replacement, combined CAB + valvular procedure, cardiac reoperation, thoracic aortic replacement). CPB performed with moderate hypothermia.
Nuttall 2001 [31] 51/41 Cardiac surgery
All types of elective cardiac surgery developing abnormal bleeding after CPB.
Royston 2001 [32] 30/30 Cardiac surgery
10% in each group had heart transplantation, 50% in each group had revascularization (multiple grafts with an estimated CPB-time >100 min), 40% in each group Ross procedure, multiple valve or valve and revascularization surgery.
Avidan 2004 [29] 51/51 Cardiac surgery
Routine elective first time coronary artery surgery with CPB. Cooled to 32 °C.
Ak 2009 [28] 110/114 Cardiac surgery
Elective first time coronary artery bypass graft (CABG) with CPB.
Westbrook 2009 [35] 37/32 Cardiac surgery
Presenting for cardiac surgery except lung transplantations.
Girdauskas 2010 [30] 29/27 Aortic surgery
Patients undergoing aortic surgery with hypothermic circulatory arrest. 25 patients with acute type A dissection.
Wang 2010 [37] 14/14 Orthotopic liver transplantation
Paniagua 2011 [36] 9/13 Cardiac surgery
Patients scheduled for cardiac surgery with extracorporeal circulation with major post-operative bleeding (>300 mL).
Schaden 2012 [38] 16/14 Surgical excision of burn wounds
Surgical intervention performed on 3rd day after trauma.
Weber 2012 [34] 50/50 Cardiac surgery
Patients scheduled for elective, complex cardiothoracic surgery (combined coronary artery bypass, graft and valve surgery, double/triple valve procedures, aortic surgery or redo surgery) with CPB.
Barinov 2015 [41] 29/90 Postpartum obstetric haemorrhage
Gonzalez 2015 [22] 55/56 Trauma patients
Meeting criteria for massive transfusion protocol (MTP) activation on arrival to ED: systolic blood pressure <70 mmHg or SBP 70 – 90 mmHg with heart rate 108 beats/min, in addition to any of the following injury patterns: penetrating torso wound, unstable pelvic fracture, or abdominal ultrasound suspicious of bleeding in more than one region.
De Pietri 2015 [39] 30/30 Hepatic surgery
Patients with cirrhosis + significant coagulopathy (defined as INR >1,8 and/or platelet count <50 × 109/L) undergoing invasive procedure.
Cao 2016 [40] 28/32 Scoliosis surgery
Patients with an expected surgical bleeding > 1000 ml and the American Society of Anesthesiologists rating I-II in addition to a body mass index (BMI) 18 to 24 kg/m2

CAB coronary arterial bypass, CABG coronary artery bypass graft, CPB cardio pulmonary bypass, MTP massive transfusion protocol, ED emergency department, SBP systolic blood pressure, INR international normalised ratio