Evidence map›Paper›PMID 29675833›Full record

SynthesisTransfusion medicine (Oxford, England)2018

Risks of restrictive red blood cell transfusion strategies in patients with cardiovascular disease (CVD): a meta-analysis.

I Cortés-Puch, B M Wiley, J Sun, H G Klein, J Welsh, R L Danner, P Q Eichacker, C Natanson

Open access · greenAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Transfusion medicine (Oxford, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 25% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Review
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  11. The Limits of Acute Anemia.Journal of clinical medicine · 2022
    Review
  12. Article
  13. Modeling current practices in critical care comparative effectiveness research.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2022
    Article
  14. Article
  15. Comparative effectiveness research in critically ill patients: risks associated with mischaracterising usual care.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2020
    Article
  16. Article
  17. 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

8 authors at 3 institutions in 1 country.

I Cortés-PuchCritical Care Medicine Department, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA.
B M WileyCritical Care Medicine Department, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA.
J SunCritical Care Medicine Department, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA.
H G KleinDepartment of Transfusion Medicine, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA.
J WelshNational Institutes of Health Library, National Institutes of Health, Bethesda, Maryland, USA.
R L DannerCritical Care Medicine Department, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA.
P Q EichackerCritical Care Medicine Department, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA.
C NatansonCritical Care Medicine Department, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA.ORCID http://orcid.org/0000-0001-9712-2538
National Institutes of Health Clinical Center · USMayo Clinic · USNational Institutes of Health · US

Funding

Vascular Dysfunction and InflammationZIACL000188 · CLC · CLINICAL CENTER · PI DANNER, ROBERT L · 2009 to 2025
$0k
Preclinical and Clinical Investigations of Severe Infection and Critical Illness ZIACL008060 · CLC · CLINICAL CENTER · PI DANNER, ROBERT L · 2009 to 2025
$0k
Intramural NIH HHS Z99 CL999999NIH Clinical Center
6 · The paper itself

Abstract

aimTo evaluate the risks of restrictive red blood cell transfusion strategies (haemoglobin 7-8 g dL

backgroundRecent guidelines recommend restrictive strategies for CVD patients hospitalised for non-CVD indications, patients without known CVD and patients hospitalised for CVD corrective procedures. METHODS/MATERIALS: Database searches were conducted through December 2017 for randomised clinical trials that enrolled patients with and without known CVD, hospitalised either for CVD-corrective procedures or non-cardiac indications, comparing effects of liberal with restrictive strategies on major adverse coronary events (MACE) and death.

resultsIn CVD patients not undergoing cardiac interventions, a liberal strategy decreased (P = 0·01) the relative risk (95% CI) (RR) of MACE [0·50 (0·29-0·86)] (I

conclusionsIn patients hospitalised for non-cardiac indications, liberal transfusion strategies are associated with a decreased risk of MACE in both those with and without known CVD. However, this only provides a survival benefit to CVD patients not admitted for CVD-corrective procedures.

Indexed as

Cardiac Surgical ProceduresErythrocyte TransfusionRandomized Controlled Trials as TopicCardiovascular DiseasesDisease-Free SurvivalFemaleHumansMaleRisk FactorsSurvival Rateblood transfusioncardiovascular diseaseliberal transfusion strategyrestrictive transfusion strategytransfusion trigger

Identifiers

PMID29675833
PMCPMC6186511
OpenAlexW2800025735

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.