K.1. Erythropoietin and iron
K.1.1. Erythropoietin versus placebo
Figure 1. All-cause mortality at 30 days
Figure 2. Number of patients transfused
Figure 1. Number of patients transfused – sub-grouped by presence/absence of anaemia at baseline
Figure 4. Number of units transfused per patient
Figure 3. Serious adverse events
K.1.2. IV iron versus placebo or no IV iron
Figure 7. All-cause mortality at 30 days
Figure 8. Number of patients transfused
Figure 9. Length of hospital stay
K.1.3. Oral iron versus placebo or no oral iron
K.1.4. Erythropoietin plus IV iron versus placebo
Figure 13. All-cause mortality at 30 days
Figure 14. Number of patients transfused
Figure 15. Number of units transfused per patient
K.1.5. Oral iron versus IV iron
Figure 19. Number of patients transfused
Figure 20. Length of hospital stay
K.1.6. Erythropoietin plus IV iron versus IV iron
Figure 23. All-cause mortality at 30 days
K.1.7. Erythropoietin plus oral iron versus oral iron
Figure 26. All-cause mortality at 30 days
Figure 27. Number of patients transfused
Figure 28. Length of hospital stay
K.1.8. Erythropoietin plus oral iron or IV iron versus oral iron or IV iron
Figure 32. Mortality (all-cause)
K.2. Alternatives to blood transfusion in surgical patients- combinations of cell salvage and tranexamic acid
K.2.1. Adults - high risk
Figure 35. ICS versus standard treatment- Number exposed to allogeneic blood
Figure 36. ICS versus standard treatment- Units of allogeneic blood transfused
Figure 37. ICS versus standard treatment- Mortality at up to 30 days
Figure 38. ICS versus standard treatment- Infection
Figure 39. ICS versus standard treatment- Length of stay in hospital
Figure 40. PCS versus standard treatment- Number exposed to allogeneic blood
Figure 41. PCS versus standard treatment- Units of allogeneic blood transfused
Figure 42. PCS versus standard treatment- Mortality at up to 30 days
Figure 43. PCS versus standard treatment- Infection
Figure 44. PCS versus standard treatment- Length of stay in hospital
Figure 45. ICS plus PCS versus standard treatment- Number exposed to allogeneic blood
Figure 46. ICS plus PCS versus standard treatment- Mortality at up to 30 days
Figure 47. ICS plus PCS versus standard treatment- Infection
Figure 48. ICS plus PCS versus standard treatment- Length of stay in hospital
Figure 49. ICS plus TXA versus ICS- Number exposed to allogeneic blood
Figure 50. ICS plus TXA versus ICS - Units of allogeneic blood transfused
Figure 51. ICS plus TXA versus ICS- Mortality at up to 30 days
Figure 52. ICS plus TXA versus ICS- Length of stay in hospital
Figure 53. ICS plus TXA versus TXA- Number exposed to allogeneic blood
Figure 54. ICS plus TXA versus TXA- Mortality at up to 30 days
Figure 55. ICS plus TXA versus TXA- Infections
Figure 56. ICS+TXA versus TXA- Length of stay in hospital
Figure 57. PCS plus TXA versus TXA- No. exposed to allogeneic blood
Figure 58. ICS plus PCS plus TXA versus ICS plus PCS- Number exposed to allogeneic blood
Figure 59. ICS plus PCS plus TXA versus ICS plus PCS- Units of allogeneic blood transfused
Figure 60. ICS plus PCS plus TXA versus ICS plus PCS- Mortality at up to 30 days
Figure 61. ICS plus PCS plus TXA versus TXA- Number exposed to allogeneic blood
Figure 62. ICS plus PCS plus TXA versus TXA- Infection
Figure 63. TXA versus standard treatment- Number exposed to allogeneic transfusions
Figure 64. TXA versus standard treatment- Units of allogeneic blood transfused
Figure 65. TXA versus standard treatment- Mortality
Figure 66. TXA versus standard treatment- Length of hospital stay
Figure 67. TXA versus standard treatment- Thrombotic complications
K.2.2. Adults - moderate risk
Figure 69. ICS versus standard treatment- Number exposed to allogeneic blood
Figure 70. ICS versus standard treatment- Units of allogeneic blood transfused
Figure 71. PCS versus standard treatment- Number exposed to allogeneic blood
Figure 72. PCS versus standard treatment- Units of allogeneic blood transfused
Figure 73. PCS versus standard treatment- Infection
Figure 74. PCS versus standard treatment- Length of hospital stay
Figure 75. ICS plus PCS versus standard treatment- Number exposed to allogeneic blood
Figure 76. ICS plus PCS versus standard treatment- Units of allogeneic blood transfused
Figure 77. ICS plus PCS versus standard treatment- Mortality
Figure 78. ICS plus PCS versus standard treatment- Infection
Figure 79. ICS plus PCS versus standard treatment- Length of hospital stay
Figure 80. ICS plus PCS versus PCS- No.of patients receiving allogeneic transfusions
Figure 81. ICS plus PCS versus PCS- Units of allogeneic blood transfused
Figure 82. ICS plus TXA versus ICS- Number exposed to allogeneic blood
Figure 83. ICS plus TXA versus ICS- Units of allogeneic blood transfused
Figure 84. ICS plus TXA versus ICS- Length of hospital stay
Figure 85. PCS plus TXA versus PCS- Number exposed to allogeneic blood
Figure 86. PCS plus TXA versus PCS- Thrombotic complications
Figure 87. ICS plus PCS plus TXA versus TXA- No. exposed to allogeneic blood
Figure 88. ICS plus PCS plus TXA versus TXA- Units of allogeneic blood transfused
Figure 89. TXA versus standard treatment- Number exposed to allogeneic transfusions
Figure 90. TXA versus standard treatment- Units of allogeneic blood transfused
Figure 91. TXA versus standard treatment- Mortality
Figure 92. TXA versus standard treatment- Length of hospital stay
Figure 93. TXA versus standard treatment- Infections
Figure 94. TXA versus standard treatment- Thrombotic complications
K.2.3. Adult- Low risk group
Figure 95. TXA versus standard treatment- Number exposed to allogeneic blood
K.3. Red blood cells
K.3.1. RBC thresholds - adults
Figure 103. Number of patients needing transfusion
Figure 104. Number of units of blood transfused in those transfused (adults)
Figure 105. Length of stay in hospital (adults)
Figure 106. All-cause mortality (30 days)
Figure 107. New cardiac events (MI,CHF)
Figure 109. Adverse events (adults)
K.3.2. RBC thresholds - children
Figure 112. Total RBC ml/patient (children)
Figure 113. Number of units transfused-children
Figure 114. Number of patients needing transfusion -children
Figure 115. Number of patients needing transfusion -children (sub-group analysis)
Figure 116. Mortality at 30 days (all-cause)- children
Figure 117. ICU length of stay (children)
K.3.3. Target haemoglobin concentrations for blood transfusion
K.4. Target haemoglobin concentrations for blood transfusion
Figure 121. Number of patients needing transfusions-adults
Figure 122. Number of units of blood transfused (in those who were transfused)-adults
Figure 123. Length of hospital stay-adults
Figure 124. Mortality at 30 days (all-cause)-adults
Figure 125. New cardiac events-adults
Figure 127. Adverse events (as defined by study)-adults
Figure 128. Number of patients needing transfusion- children (critical care)
Figure 129. Volume of RBC transfused in ml/patient- children (critical care)
Figure 130. Mortality at 30 days- children (critical care)
Figure 131. Length of ICU stay-children (critical care)
K.5. Platelets
K.5.1. Low dose versus medium dose
Figure 134. Number of patients with bleeding (WHO grade 2 and above)
K.5.2. High dose versus medium dose
Figure 138. Number of patients with bleeding (WHO grade 2 and above)
K.5.3. Low dose versus high dose
Figure 142. Number of patients with bleeding (WHO grade 2 and above)
K.5.4. Platelet thresholds and Targets
Prophylactic transfusion versus no prophylactic transfusion - adults who are haematology patients (non-bleeding patients)
Figure 146. Number of patients with bleeding events (WHO grade 2 or higher)
Figure 147. Number of patients with major bleeding events (WHO grade 3 or 4)
Figure 148. Serious adverse events (including sepsis and respiratory deterioration)
Figure 149. Transfusion related serious adverse event (urticarial and angioedema)
Figure 150. Number of patients needing platelet transfusion
Figure 151. Number of units (platelets) transfused per patient
K.5.5. Prophylactic transfusion versus no prophylactic transfusion - children who are haematology patients (non-bleeding patients)
Figure 154. Number of patients with major bleeding events (WHO grade 3 or 4)
K.5.6. Low threshold versus high threshold - adults who are haematology patients (non-bleeding patients)
Figure 157. Mortality (all cause)
Figure 158. Number of patients with bleeding events (WHO grade 2 or higher)
Figure 159. Number of patients with major bleeding events (WHO grade 3 or 4)
Figure 162. Number of units (platelets) transfused per patient
K.6. Fresh frozen plasma
K.6.1. Therapeutic FFP transfusion versus no FFP transfusion
K.7. Prothrombin complex concentrates
K.7.1. Low dose (25 IU/kg) versus high dose (40 IU/kg)
Figure 166. Patients with at least one adverse event
Figure 167. Patients with at least one serious adverse event
K.7.2. Low fixed dose (1040 IU FIX) versus variable dose
Figure 170. Target INR reached
K.7.3. Standard dose (500 IU FIX/7 IU FIX/kg) versus individualised dosing regimen
Figure 173. Target INR at 15 minutes after the first dosage of PCC
K.8. Cryoprecipitate
K.8.1. Cryoprecipitate versus no cryoprecipitate
Publication Details
Copyright
Publisher
National Institute for Health and Care Excellence (NICE), London
NLM Citation
National Clinical Guideline Centre (UK). Blood Transfusion. London: National Institute for Health and Care Excellence (NICE); 2015 Nov. (NICE Guideline, No. 24.) Appendix K, Forest plots.