Methods |
Randomised controlled trial |
Participants |
637 stable critically ill children with Hb concentrations below 9.5 g/dL within 7 days after admission to an ICU were randomly allocated to 1 of 2 groups:
|
Interventions |
The liberal group were transfused RBC when the Hb concentration fell below 9.5 g/dL, with a target range of 11.0 g/dL to 12.0 g/dL.
The restrictive group were transfused RBC if the Hb concentration dropped below 7.0 g/dL, with a target range of 8.5 g/dL to 9.5 g/dL.
|
Outcomes |
28‐day mortality, sepsis, transfusion reactions, infections, length of stay |
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) |
Low risk |
Allocation was internet‐based and central. |
Blinding of participants and personnel (performance bias)
All outcomes |
Unclear risk |
Clinical staff and parents of the participants were aware of the assignments to study groups. |
Blinding of outcome assessment (detection bias)
All outcomes |
Low risk |
Mortality was the primary outcome. |
Incomplete outcome data (attrition bias)
All outcomes |
Low risk |
There were very few dropouts. |
Selective reporting (reporting bias) |
Low risk |
No reporting bias was apparent. |
Other bias |
Low risk |
No other biases were apparent. |