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. 2021 Dec 21;2021(12):CD002042. doi: 10.1002/14651858.CD002042.pub5

Comparison 6. Blood transfusions.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
6.1 Participants exposed to blood transfusion (all trials) 42 20057 Risk Ratio (M‐H, Random, 95% CI) 0.59 [0.53, 0.66]
6.2 Participants exposed to blood transfusion by clinical specialties 41 19977 Risk Ratio (M‐H, Random, 95% CI) 0.59 [0.53, 0.66]
6.2.1 Cardiac surgery 7 8598 Risk Ratio (M‐H, Random, 95% CI) 0.69 [0.66, 0.73]
6.2.2 Orthopaedic surgery 11 3969 Risk Ratio (M‐H, Random, 95% CI) 0.49 [0.38, 0.65]
6.2.3 Vascular surgery 2 157 Risk Ratio (M‐H, Random, 95% CI) 0.79 [0.57, 1.08]
6.2.4 Acute blood loss/trauma 5 2416 Risk Ratio (M‐H, Random, 95% CI) 0.39 [0.23, 0.67]
6.2.5 Critical care 9 3529 Risk Ratio (M‐H, Random, 95% CI) 0.66 [0.57, 0.77]
6.2.6 Acute myocardial infarction 3 821 Risk Ratio (M‐H, Random, 95% CI) 0.38 [0.28, 0.53]
6.2.7 Haematological malignancies 4 487 Risk Ratio (M‐H, Random, 95% CI) 0.88 [0.61, 1.26]
6.3 Participants exposed to blood transfusion (by transfusion threshold) 33   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
6.3.1 Difference between liberal and restrictive haemoglobin thresholds ≥ 2.0 g/dL 27 15072 Risk Ratio (M‐H, Random, 95% CI) 0.57 [0.50, 0.64]
6.3.2 Difference between liberal and restrictive haemoglobin thresholds < 2.0 g/dL 6 2966 Risk Ratio (M‐H, Random, 95% CI) 0.80 [0.63, 1.02]
6.4 Participants exposed to blood transfusion by transfusion threshold 36 17954 Risk Ratio (M‐H, Random, 95% CI) 0.57 [0.51, 0.64]
6.4.1 Restrictive 7.0 g/dL to 7.5 g/dL 17 11919 Risk Ratio (M‐H, Random, 95% CI) 0.55 [0.48, 0.64]
6.4.2 Restrictive < 8.0 g/dL to 9.0 g/dL 19 6035 Risk Ratio (M‐H, Random, 95% CI) 0.59 [0.48, 0.72]
6.5 Units of blood transfused 17 6253 Mean Difference (IV, Random, 95% CI) ‐1.21 [‐1.67, ‐0.75]