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

Hébert 1995.

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:
  • Liberal group: n = 36; M/F = 19/17; mean (SD) age = 59 (21) years

  • Restrictive group: n = 33; M/F = 14/19; mean (SD) age = 58 (15) years

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.