Skip to main content
. 2016 Oct 12;2016(10):CD002042. doi: 10.1002/14651858.CD002042.pub4

Blair 1986.

Methods Randomised controlled trial
Participants 50 consecutive participants with severe upper gastrointestinal haemorrhage were randomized to 1 of 2 groups:
  • Liberal group: n = 24; mean (SD) age = 64 (17.6) years

  • Restrictive group: n = 26; mean (SD) age = 60 (17.8) years

Interventions
  • The liberal group received at least 2 units of red blood cells immediately at admission and during their first 24 hours in hospital.

  • The restrictive group were not transfused red blood cells unless the Hb was less than 8.0 g/dL or shock persisted after initial resuscitation with Haemaccel.

Outcomes Blood usage (units), rebleeding, mortality, clotting times, Hct on admission/discharge, kaolin cephalin clotting time after 24 hours, impedance clotting time after 24 hours
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The trial reported no information regarding this domain.
Allocation concealment (selection bias) Unclear risk The trial reported no information regarding this domain.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk The trial reported no information regarding this domain.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk The trial reported no information regarding this domain.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk There were no missing data.
Selective reporting (reporting bias) Low risk No reporting bias was apparent.
Other bias Low risk No other biases identified.