Table 1 Characteristics of the 9 RCTs included in the final analysis of transfusion strategies and infection risk.
Study, year | Age (years) | Country | Surgery | Transfusion threshold | RCT Size | Infection | No. of Infections | ||||
---|---|---|---|---|---|---|---|---|---|---|---|
R | L | Events(R) | Total(R) | Events(L) | total(L) | ||||||
Carson18 | 82.3 ± 9.5 | US and Scotland | hip fracture repair | Hb < 8.0 g/dL in the absence of symptoms or symptomatic anemia | Hb < 10.0 g/dL | 84 | Pneumonia | 0 | 42 | 2 | 42 |
Grover9 | ≥55 | southeast England | elective lower limb joint replacement | Hb < 8.0 g/dL, maintenance range, 8.0–9.5 g/dL | Hb < 10.0 g/dL, maintenance range, 10.0–12.0 g/dL | 218 | Chest infection | 2 | 109 | 3 | 109 |
Wound infection | 2 | 109 | 2 | 109 | |||||||
Foss19 | ≥65 | Denmark | hip fracture repair | Hb < 8.0 g/dL | Hb < 10.0 g/dL | 120 | pneumonia | 1 | 60 | 2 | 60 |
Wound infection | 0 | 60 | 3 | 60 | |||||||
all infections | 6 | 60 | 11 | 60 | |||||||
So-Osman12 | ≥18 | Dutch | hip or knee replacement | threshold range, 6.4–9.7 g/dL | Varied by hospital, age and condition of patients, symptoms and time | 619 | Infections | 18 | 299 | 31 | 304 |
Carson14 | ≥50 | US and Canada | hip fracture repair | Symptomatic anemia or if Hb < 8.0 g/dl | Hb < 10.0 g/dL | 2016 | Wound infection | 8 | 1007 | 14 | 1005 |
Parker6 | ≥60 | Canada | hip fracture surgery | 8.0–9.5 g/dL and symptomatic anemia | 8.0–9.5 g/dL | 200 | Pneumonia | 2 | 100 | 5 | 100 |
Wound infection | 3 | 100 | 1 | 100 | |||||||
All infections | 6 | 100 | 6 | 100 | |||||||
Gruber-Baldini7 | ≥50 | US and Canada | hip fracture repair | symptoms or ≤ 8 g/dL | ≤ 10 g/dL | 139 | Infection | 3 | 72 | 3 | 66 |
Fan8 | >65 | China | hip replacement | Symptomatic anemia or if Hb < 8.0 g/dl, maintenance range, 8.0–10 g/dL | maintenance ≥ 10 g/dL | 192 | Pneumonia | 3 | 94 | 3 | 92 |
Wound infection | 2 | 94 | 3 | 92 | |||||||
All infections | 8 | 94 | 10 | 92 |