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

Parker 2013.

Methods Randomised clinical trial
Participants Participants 60 years of age or older with hip fracture and whose postoperative haemoglobin level on postoperative days 1 or 2 was between 8.0 g/dL to 9.5 g/dL
  • Liberal: n = 100; mean age (range) = 84.4 (60 to 104) years

  • Symptomatic: n = 100; mean age (range) = 84.2 (60 to 97) years

Interventions Liberal transfusion maintained haemoglobin > 10.0 g/dL, or the symptomatic group received transfusion for symptoms of anaemia. These included recurrent vaso‐vagal episodes on mobilisation, chest pain of cardiac origin, congestive cardiac failure, unexplained tachycardia, hypotension or dyspnoea that was felt to be due to anaemia, decreased urine output that is unresponsive to fluid replacement, or symptoms felt appropriate by the medical staff.
Outcomes Mobility, mental agility, physical status using the American Society of Anesthesiologists grade
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The random sequence generation was not documented.
Allocation concealment (selection bias) Low risk The trial used opaque numbered envelopes.
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 Unclear risk The mobility score was missing for 94 of 200 participants.
Selective reporting (reporting bias) Low risk No reporting bias was apparent.
Other bias Low risk No other biases were apparent.