Trimble 1964.
Study characteristics | ||
Methods |
Type of study: single‐centre, parallel‐group randomised controlled trial. Full‐text paper Country: United Kingdom Dates of trial (start and end): not reported Follow‐up until: 24 hours postoperatively |
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Participants |
Inclusions: 1. Adults (15 years or more) and children (under 15 years of age) undergoing cardiac surgery with CPB (analysed as separate groups) Exclusions: Not reported Age: Not reported Ethnicity: Not reported Gender: Not reported Operations: Not reported. Mix of elective and emergency patients not reported |
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Interventions |
Adults Intervention arm: Postoperative transfusion of 2 units (500 ml) FFP after CPB and heparin neutralisation (n = 15) Comparator arm: Standard care (no comparator agent) (n = 25) Children Intervention arm: Postoperative transfusion of 1 unit (250 ml) FFP after CPB and heparin neutralisation (n = 6) Comparator arm: Standard care (no comparator agent) (n = 7) |
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Outcomes |
Adults Primary: Postoperative blood loss 24 and 48 hours postoperatively Other outcomes: Not reported Children Primary: Postoperative blood loss 24 hours postoperatively Other outcomes: Return to theatre in study period |
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Notes | Adults and children were analysed separately | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "The patients were divided into two groups by reference to a series of random numbers" |
Allocation concealment (selection bias) | Unclear risk | Insufficient information about allocation concealment to permit judgement |
Blinding of participants | Unclear risk | Insufficient information about blinding of participants to permit judgement |
Blinding of personnel | Unclear risk | Personnel transfused FFP postoperatively to those randomised to the FFP group and, consequently, they will not have been blinded to the intervention |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Insufficient information about blinding of analysts to permit judgement |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Results as presented do not state how many patients completed study but no patients are described as not completing the study |
Selective reporting (reporting bias) | Low risk | All pre‐reported outcomes analysed |
Equal use of co‐interventions in each arm | Unclear risk | Insufficient information about co‐interventions to permit judgement. In adults the mean perfusion time was lower in the group receiving FFP (87 minutes) than controls (131 minutes) |
Balance of baseline factors | Unclear risk | Insufficient information about balance of baseline factors to permit judgement. In children the mean age was lower in the group receiving FFP (5.5 years) than controls (8.5 years) |