Matot 2002.
Methods | Randomised clinical trial. | |
Participants | Country: Israel.
Number randomised: 78.
Post‐randomisation drop‐outs: not stated.
Mean age: 56.5 years.
Females: 47 (60.3%).
Major liver resections: 78 (100%).
Cirrhotic livers: not stated Inclusion criteria:
Exclusion criteria: Severe liver dysfunction. |
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Interventions | Participants were randomly assigned to two groups. Group 1: haemodilution (n = 39). Group 2: control (n = 39). Further details of intervention: haemodilution by withdrawing blood and replacing it with colloids to a target hematocrit of 24%. Other details: Vascular occlusion: not stated. Method of parenchymal transection: not stated. Management of raw surface: not stated. Other co‐interventions to decrease blood loss: none reported. |
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Outcomes | The outcome measures were transfusion requirements, peri‐operative morbidity, operating time, blood loss, and liver function tests. | |
Notes | Attempts to contact the authors in November 2008 were unsuccessful. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "On admission to the operating room, patients who met inclusion criteria were randomly assigned (random numbers) to one of two groups..." |
Allocation concealment (selection bias) | Unclear risk | Comment: This information was not available. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Quote: "The anaesthesiologist making decisions regarding transfusion was not blinded to patient group assignment." |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Quote: "The anaesthesiologist making decisions regarding transfusion was not blinded to patient group assignment." |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Comment: This information was not available. |
Selective reporting (reporting bias) | High risk | Comment: Important outcomes such as liver failure were not reported. |
Free of vested interest bias? | Unclear risk | Comment: This information was not available. |