Table 1 Characteristics of the 9 RCTs included in the final analysis of transfusion strategies and infection risk.

From: Restrictive blood transfusion strategies and associated infection in orthopedic patients: a meta-analysis of 8 randomized controlled trials

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

  1. Note: R represents restrictive blood transfusion strategies; L represents liberal blood transfusion strategies.