Evidence map›Paper›PMID 26407379›Full record

ArticleClinical medicine (London, England)2015

The influence of a simple blood transfusion policy on overtransfusion in acute upper gastrointestinal haemorrhage.

Adam Stokes, Clare Thompson, Andrew Clegg, Jonathon Snook

Open access · diamondAbstract read
In one paragraph

Article in Clinical medicine (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
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

4 authors at 2 institutions in 1 country.

Adam StokesPoole Hospital NHS Foundation Trust, Poole, UK;
Clare ThompsonPoole Hospital NHS Foundation Trust, Poole, UK;
Andrew CleggUniversity of Southampton, Southampton, UK;
Jonathon SnookPoole Hospital NHS Foundation Trust, Poole, UK jonathon.snook@poole.nhs.uk.
Poole Hospital NHS Foundation Trust · GBUniversity of Southampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blood transfusion is widely used in the management of acute upper gastrointestinal haemorrhage (AUGIH). Trial data suggests that excessive transfusion may be detrimental, yet overtransfusion remains commonplace. This study reports the impact of introducing a simple cross-match policy in a district general hospital, which resulted in a substantial fall in the prevalence of overtransfusion (odds ratio 0.43; 95% confidence interval 0.19-0.98), with potential patient benefits in terms of rebleeding, and a reduction in the total blood transfused from 162 to 121 units per 100 patients with AUGIH. For the cost of blood alone, this corresponds to projected savings across the NHS in England in excess of £2 million per annum.

Indexed as

Blood TransfusionLeadershipPolicy MakingState MedicineAcute DiseaseAgedAged, 80 and overEnglandFemaleGastrointestinal HemorrhageHospitals, DistrictHumansIncidenceMaleRetrospective StudiesAcute upper gastrointestinal haemorrhageblood transfusionovertransfusion

Identifiers

PMID26407379
PMCPMC4952792
OpenAlexW2128976318

What OpenQuestion holds

Textmetadata
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.