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. 2016 Oct 12;2016(10):CD002042. doi: 10.1002/14651858.CD002042.pub4

Bush 1997.

Methods Randomised controlled trial
Participants 99 participants undergoing elective aortic or infrainguinal arterial reconstruction were randomized to 1 of 2 groups:
  • Liberal group: n = 49; M/F = 41/8; mean (SD) age = 64 (11) years

  • Restrictive group: n = 50; M/F = 32/18; mean (SD) age = 66 (10) years

Interventions
  • The liberal group had their Hb concentrations maintained at or above 10.0 g/dL.

  • The restrictive group were transfused only when their Hb concentration fell below 9.0 g/dL.

Outcomes Primary endpoints were myocardial ischaemia, myocardial infarction, and death.
Secondary endpoints were length of intensive care unit stay, hospital stay, and graft patency.
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) High risk Sealed envelopes were chosen at random for participant assignment.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Both surgeons and anaesthesiologists were informed of the group of randomisation.
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 The outcome data appeared to be complete.
Selective reporting (reporting bias) Low risk No reporting bias was apparent.
Other bias Low risk No other biases identified.