Table 29Intra-operative cell salvage plus post-operative cell salvage versus standard treatment

OutcomesNo. of Participants
(studies)
Follow up
Quality of the evidence
(GRADE)
Relative effect
(95% CI)
Anticipated absolute effects
Risk with standard treatmentRisk difference with intra-operative cell salvage + post-operative cell salvage (95% CI)
No. exposed to allogeneic blood230
(2 studies)
VERY LOWa,b
due to risk of bias, imprecision
RR 0.69
(0.54 to 0.89)
Study population
632 per 1000196 fewer per 1000
(from 70 fewer to 291 fewer)
Mortality at up to 30 days196
(1 study)
VERY LOWa,c
due to risk of bias, imprecision
RR 0.33
(0.03 to 3.09)
Study population
31 per 100021 fewer per 1000
(from 30 fewer to 65 more)
Any infection196
(1 study)
VERY LOWa,c
due to risk of bias, imprecision
RR 0.98
(0.14 to 6.82)
Study population
21 per 10000 fewer per 1000
(from 18 fewer to 120 more)
Length of hospital stay196
(1 study)
VERY LOWa,c
due to risk of bias, imprecision
The mean length of hospital stay in the intervention groups was 2.8 higher
(2.11 lower to 7.71 higher)
a

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

b

The confidence interval crosses one MID.

c

The confidence interval crosses both MIDs.

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

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

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