Skip to main content
. 2021 Dec 21;2021(12):CD002042. doi: 10.1002/14651858.CD002042.pub5

Blair 1986.

Study characteristics
Methods Design: RCT, parallel 2‐arm, single‐site trial
Setting: tertiary (university teaching hospital), London, UK
Recruitment: not specified; pre‐1987
Maximum follow‐up: in‐hospital stay
Participants 50 consecutive participants with severe upper GI haemorrhage were randomised to 1 of 2 groups:
  • Liberal group: n = 24; mean (SD) age = 64 (17.6) years

  • Restrictive group: n = 26; mean (SD) age = 60 (17.8) years

Interventions
  • Liberal group: received at least 2 units of RBCs immediately at admission and during their first 24 hours in hospital

  • Restrictive group: no transfused RBCs unless Hb was < 8.0 g/dL or shock persisted after initial resuscitation with Haemaccel

Outcomes Blood usage (units), rebleeding, mortality, clotting times, Hct on admission/discharge, kaolin cephalin clotting time after 24 hours, impedance clotting time after 24 hours
Notes Trial registration: not confirmed
Trial funding: Crawley and Jersey Research Fund (UK)
COI statement by investigators: none provided
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Investigators reported no information regarding this domain
Allocation concealment (selection bias) Unclear risk Investigators reported no information regarding this domain
Blinding of participants and personnel (performance bias)
Objective outcomes Low risk Blinding of personnel for this intervention is not feasible, but in our view, for objective outcomes such as mortality (the primary outcome used within this review), we graded risk of bias as 'low'
Blinding of outcome assessment (detection bias)
Objective measures Low risk Blinding of mortality (the primary outcome used within this review) is not relevant, and we grade risk of bias as 'low'
Blinding of outcome assessment (detection bias)
Subjective measures Low risk No data from subjective outcomes (e.g. function) 
Incomplete outcome data (attrition bias)
All outcomes Low risk There were no missing data (all data were collected during hospital stay)
Selective reporting (reporting bias) Unclear risk No reporting bias was apparent, but in the absence of prospective registration or a trial protocol, assessment must remain 'unclear' 
Other bias Low risk No other biases identified