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

Fisher 1956.

Methods Randomised controlled trial
Participants 22 trauma participants were randomly allocated to 1 of 2 groups:
  • Liberal group: n = 10

  • Restrictive group: n = 12


NB: no demographic data were reported.
Interventions
  • In the liberal group, the aim was to achieve 100% or more of the RBC volume at the end of resuscitation.

  • In the restrictive group, an attempt was made to leave the RBC volume at the end of resuscitation at 70% to 80% of normal.

Outcomes Blood usage (units), blood loss, wound healing, elevated temperature, number of participants transfused, Hb levels
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The use of random sequence generation was not described.
Allocation concealment (selection bias) Unclear risk The trial used sealed envelopes. When the participant was considered eligible for the trial, they were placed in a severity grade and an envelope was opened to decide which transfusion schedule was to be used.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Blinding of participants and personnel was not addressed.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Blinding of outcome assessment was not addressed.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk The data set appeared to be complete.
Selective reporting (reporting bias) Low risk No reporting bias was apparent.
Other bias Low risk No other biases were apparent.