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. Author manuscript; available in PMC: 2014 Sep 15.
Published in final edited form as: Cochrane Database Syst Rev. 2010 Apr 14;(4):CD001888. doi: 10.1002/14651858.CD001888.pub4
Methods Randomised controlled trial was conducted to evaluate the advantages and disadvantages of post-operative autotranfusion in patients undergoing first-time coronary artery bypass grafting (CABG). Method of randomisation and allocation concealment were not described
Participants 40 patient undergoing first-time coronary artery bypass graft sugery were randomly divided into one of two groups. The two groups were further subdivided according to whether the patients received aspirin preoperatively or not:
  • Group 1 (Autotransfusion group - aspirin): n=10

  • Group 2 (Autotransfusion group - no aspirin): n=11

  • Group 3 (Control group - aspirin): n=12

  • Group 4 (Control group - no aspirin): n=9

NB: Demographic data were not reported.
Interventions
  • Group 1: Autotransfusion group (aspirin) patients were autotransfused using an IMED 960 Volumetric Infusion Pump but donor blood was also available if needed. Patients from this group received 75mg of aspirin daily pre-operatively.

  • Group 2: Autotransfusion group (no aspirin) patients were autotransfused using an IMED 960 Volumetric Infusion Pump but donor blood was also available if needed. Patients from this group did not receive 75mg of aspirin daily pre-operatively.

  • Group 3: Control group (aspirin) patients were transfused post-operatively with allogeneic blood. Patients from this group received 75mg of aspirin daily preoperatively. Autotransfusion was not used.

  • Group 4: Control group (no aspirin) patients were transfused post-operatively with allogeneic blood. Patients from this group did not receive 75mg of aspirin daily pre-operatively. Autotransfusion was not used.

Outcomes Outcomes reported: amount of allogeneic blood transfused, number of patients transfused allogeneic blood, adverse events, re-operation for bleeding, blood loss
Notes Transfusion threshold: the indication for allogeneic blood transfusion was the maintenance of a haematocrit (Hct) level of 30% to 35%
Risk of bias
Bias Authors’ judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method used to generate allocation sequences was not described
Allocation concealment (selection bias) Unclear risk Method used to conceal treatment allocation was unclear.
Blinding (performance bias and detection bias)
All outcomes
High risk