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

Lacroix 2007.

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:
  • Liberal group: n = 317; M/F = 191/126; mean (SD) age = 39.6 (51.9) months

  • The restrictive group: n = 320; M/F = 190/130; mean (SD) age = 35.8 (46.2) months

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.