What do systematic reviews say?

Starches vs crystalloid

Starches probably leads to higher transfusion of blood products compared with crystalloid (moderate certainty).

• Colloids versus crystalloids for fluid resuscitation in critically ill people 2018 · Cochrane Headline outcomes only
  RR 1.19 [1.02, 1.39]
  8 studies · 1917 participants
  Moderate