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. 2015 Jul 14;2015(7):CD007614. doi: 10.1002/14651858.CD007614.pub2

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
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
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)
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
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)