Evidence map›Paper›PMID 25259949›Full record

ReviewCurrent opinion in obstetrics & gynecology2014

Does current evidence support the use of intraoperative cell salvage in reducing the need for blood transfusion in caesarean section?

Sukhjit K Dhariwal, Khalid S Khan, Shubha Allard, Matthew Wilson, Philip Moore, SALVO study group

Open access · greenAbstract readReview
In one paragraph

Review in Current opinion in obstetrics & gynecology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Routine use of cell salvage during cesarean section: A practice evaluation.Acta obstetricia et gynecologica Scandinavica · 2024
    Article
  7. Observational
  8. Effects of transfusion load and suction pressure on renal function in intraoperative salvage autotransfusion.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2021
    Article
  9. Observational
  10. Review
  11. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Sukhjit K DhariwalaBarts and The London School of Medicine and Dentistry bCentre of Primary Care and Public Health, Barts and The London School of Medicine and Dentistry cBarts and the London NHS Trust and NHS Blood and Transplant, London dSchool of Health and Related Research, University of Sheffield, Sheffield eBirmingham Women's NHS Foundation Trust, Birmingham, UK.
Khalid S Khan
Shubha Allard
Matthew Wilson
Philip Moore
SALVO study group
Barts Health NHS Trust · GBBirmingham Women’s and Children’s NHS Foundation Trust · GBNHS Blood and Transplant · GBQueen Mary University of London · GBUniversity of Sheffield · GB

Funding

Department of Health 10/57/32
6 · The paper itself

Abstract

purpose of reviewAn important cause of maternal morbidity and direct maternal death is obstetric haemorrhage at caesarean section. Concerns regarding allogeneic blood safety, limited blood supplies and rising health costs have collectively generated enthusiasm for the utility of methods intended to reduce the use of allogeneic blood transfusion in cases of haemorrhage at caesarean section. This can be achieved by intraoperative cell salvage (IOCS). The aim of this review is to summarize and examine the evidence for the efficacy of IOCS during caesarean section, in women at risk of haemorrhage, in reducing the need for allogeneic blood transfusion. RECENT

findingsThe majority of the evidence currently available is from case reports and case series. Although this evidence appears to support the use of IOCS in obstetrics, strong clinical evidence or economic effectiveness from clinical trials are essential to support the routine practice of IOCS in obstetrics. SUMMARY: Current evidence is limited to reported case series and two small controlled studies. Overall, IOCS may reduce the need for allogeneic blood transfusions during caesarean section. Future large randomized trials are required to assess effectiveness, cost effectiveness and safety. The results of the current ongoing SALVO (A randomised controlled trial of intra-operative cell salvage during caesarean section in women at risk of haemorrhage) trial will shed light on these aspects.

Indexed as

Blood Loss, SurgicalEvidence-Based MedicineBlood TransfusionBlood Transfusion, AutologousCesarean SectionContraindicationsFemaleHealth Care CostsHumansOperative Blood SalvagePostoperative HemorrhagePostpartum HemorrhagePractice Guidelines as TopicPregnancyRiskTransfusion Reaction

Identifiers

PMID25259949
PMCPMC4338583
OpenAlexW2094752367

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.