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

Carson 2013.

Methods Randomised clinical trial
Participants Participants with acute myocardial infarction or undergoing cardiac catheterisation with Hg less than 10 g/dL
  • Liberal group: n = 55; mean (SD) age = 67.3 (13.6) years

  • Restrictive group: n = 55; mean (SD) age = 74.3 (11.1) years

Interventions
  • The liberal group received 1 unit of red blood cells following randomisation and enough blood to maintain haemoglobin above 10 g/dL.

  • The restrictive group received transfusion if participants developed symptoms of anaemia or if Hg fell below 8 g/dL.

Outcomes Primary outcomes were death, myocardial infarction, and unscheduled revascularisation.
Secondary outcomes were 30‐day and 6‐month mortality, long‐term mortality, myocardial infarction, congestive heart failure, stroke, thromboembolism, and pneumonia.
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk A computer programme generated allocation sequence.
Allocation concealment (selection bias) Low risk The trial used central telephone randomisation.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Participants and physicians were not blinded, but this was unlikely to impact the trial.
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk All primary and most secondary outcomes were assessed blindly.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Only 1 of 110 participants was lost to follow‐up.
Selective reporting (reporting bias) Low risk All outcomes were reported.
Other bias Low risk No other biases identified.