Table 39Intra-operative cell salvage plus tranexamic acid versus intra-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 salvageRisk difference with intra-operative cell salvage + TXA (95% CI)
No. exposed to allogeneic blood147
(1 study)
VERY LOWa,b
due to risk of bias, imprecision
RR 0.78
(0.5 to 1.2)
Study population
405 per 100089 fewer per 1000
(from 203 fewer to 81 more)
Units of blood transfused147
(1 study)
VERY LOWa,c
due to risk of bias, imprecision
The mean units of blood transfused in the intervention groups was 0.46 lower
(1.1 lower to 0.18 higher)
Length of stay in hospital147
(1 study)
VERY LOWa,c
due to risk of bias, imprecision
The mean length of stay in hospital in the intervention groups was 0.72 higher
(0.85 lower to 2.29 higher)
a

Majority of the evidence was at very high risk of bias.

b

Confidence interval crosses one MID.

c

Confidence interval crosses both MIDs.

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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