Table 1.
Characteristics of included studies
Study | N | Age | Strategy of blood transfusion | Units of RBC transfusion or transfusion rate | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Restrictive | Control | Setting | Restrictive | Control | Restrictive | Control | ||||
Triggered Hb | Observed Hb | Triggered Hb | Observed Hb | |||||||
Bracey et al.1999 [12] | 428 | 61 ± 11 | 62 ± 11 | Elective CABG | Hb < 8 g/dl | 9.1 g/dl | Hb < 9 g/dl | 9.7 g/dl | 0.9 ± 1.5 | 1.4 ± 1.8 |
Murphy et al. 2007 [16] | 321 | NS | NS | Elective or urgent cardiac surgery | Hb < 7 g/dl | NS | Hb < 8 g/dl | NS | NS | NS |
Hajjar et al. 2010 [13] | 502 | 58.6 ± 12.5 | 60.7 ± 12.5 | Elective cardiac surgery | Hct < 24% | 9.6 g/dl | Hct < 30% | 10.7 g/dl | 0 (0–2) | 2 (1–3) |
Shehata et al. 2012 [15] | 50 | 67.2 ± 11.2 | 68.8 ± 9.2 | Cardiac surgery with CARE score of 3 or 4 | Hb < 7.5 g/dl | 9.1 g/dl | Hb < 10 g/dl | 10.7 g/dl | 11 (44) | 17 (68) |
Murphy et al. 2015 [14] | 2003 | 69.9(63.1 –76.0) | 70.8(64.1–76.7) | Elective or urgent cardiac surgery | Hb < 7.5 g/dl | 9.0 g/dl | Hb < 9 g/dl | 9.8 g/dl | 1 (0–2) | 2 (1–3) |
Koch et al. 2017 [10] | 717 | 59 ± 15 | 60 ± 13 | Elective CABG or HVR | Hct < 24% | 28% | Hct < 28% | 30% | 195 (54) | 265 (75) |
Mazer et al. 2017 [9] | 4860 | 72 ± 10 | 72 ± 10 | Cardiac surgery with a EuroSCORE I of 6 or more | Hb < 7.5 g/dl | Hb < 8.5 g/dl | Hb < 9.5 g/dl | 10.5 g/dl? | 2 (1–4) | 3 (2–5) |
CABG coronary artery bypass grafting, Hb hemoglobin, Hct hemotocrit, HVR heart valve replacement, NS normal saline