Table 33Intra-operative cell salvage plus post-operative cell salvage plus tranexamic acid versus intra-operative cell salvage plus post-operative cell salvage

OutcomesNo. of Participants
(studies)
Follow up
Quality of the evidence
(GRADE)
Relative effect
(95% CI)
Anticipated absolute effects
Risk with intra-operative cell salvage + postoperative cell salvageRisk difference with intra-operative cell salvage + post-operative cell salvage + TXA (95% CI)
No. exposed to allogeneic blood100
(1 study)
VERY LOWa,b
due to risk of bias, imprecision
RR 0.93
(0.49 to 1.77)
Study population
280 per 100020 fewer per 1000
(from 143 fewer to 216 more)
Units of blood transfused27
(1 study)
VERY LOWa,c
due to risk of bias, imprecision
The mean units of blood transfused in the intervention groups was 0.25 higher
(0.32 lower to 0.82 higher)
Mortality at 30 days100
(1 study)
LOWa
due to risk of bias
Not estimable
a

The majority of the evidence was at very high risk of bias.

b

The confidence interval crosses both MIDs.

c

The confidence interval crosses one MID.

From: 6, Alternatives to blood transfusion for patients having surgery: Cell salvage and tranexamic acid

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Blood Transfusion.
NICE Guideline, No. 24.
National Clinical Guideline Centre (UK).
Copyright © 2015 National Clinical Guideline Centre.

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