Methods |
Randomised controlled trial |
Participants |
69 normovolaemic critically ill participants admitted to 1 of 5 tertiary level intensive care units with Hb values < 9.0 g/dL within 72 hours of admission were randomly assigned to 1 of 2 groups:
|
Interventions |
The liberal group were transfused RBC if the Hb level fell to between 10.0 g/dL to 10.5 g/dL. A Hb level was maintained at between 10.0 g/dL to 12.0 g/dL.
The restrictive group were transfused RBC if the Hb level fell to between 7.0 g/dL to 7.5 g/dL. A Hb level was maintained at between 7.0 g/dL to 9.0 g/dL.
|
Outcomes |
Mortality, length of hospital stay, length of ICU stay, blood usage (units), complications, Hb levels |
Notes |
‐ |
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Random sequence generation (selection bias) |
Unclear risk |
Participants were assigned to 1 of 2 groups by consecutive allocation from a random listing stratified by centre and disease severity. |
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 |
Blinding of treatment allocation was not feasible, but it was unlikely to have been important. |
Blinding of outcome assessment (detection bias)
All outcomes |
Unclear risk |
Blinding of outcome assessment was not specified. |
Incomplete outcome data (attrition bias)
All outcomes |
Low risk |
No attrition bias was apparent. |
Selective reporting (reporting bias) |
Low risk |
No reporting bias was apparent. |
Other bias |
Low risk |
No other biases were apparent. |