Cochrane · systematic review · CD005011

Recombinant factor VIIa for the prevention and treatment of bleeding in patients without haemophilia

Simpson, E, Lin, Y, Stanworth, S, et al. · Cochrane Database of Systematic Reviews · 2012 · Cochrane Library

Injuries3 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 50%Moderate 5 · 50%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

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Comparison

Population: any patients with conditions outside the marketing license for the intervention, particularly those at risk of bleeding or those whose bleeding cannot be controlled by other means
10 questions
OutcomeEffectEvidenceStatus / GRADE
Death (
RR 1.04 [0.55, 1.97]15 studies · 1219 participantsModerate
Downgraded: imprecision, inconsistency, publication bias
Total operative and perioperative blood loss (mL) (
no estimate extracted10 studies · 707 participantsLow
Downgraded: imprecision, inconsistency, publication bias
Red cell transfusion requirements (mL) (
no estimate extracted12 studies · 774 participantsLow
Downgraded: imprecision, inconsistency, publication bias
Number of patients transfused (
RR 0.85 [0.72, 1.01]8 studies · 868 participantsLow
Downgraded: imprecision, inconsistency, publication bias
Total thromboembolic events (
RR 1.35 [0.82, 2.25]13 studies · 1159 participantsModerate
Downgraded: imprecision, inconsistency, publication bias
Death (
RR 0.91 [0.78, 1.06]13 studies · 2856 participantsModerate
Downgraded: imprecision, inconsistency, publication bias
Numbers of patients with reduced bleeding (
RR 0.95 [0.88, 1.03]4 studies · 616 participantsLow
Downgraded: imprecision, inconsistency, publication bias
Red cell transfusion requirements (mL) (
no estimate extracted5 studies · 911 participantsLow
Downgraded: imprecision, inconsistency, publication bias
Total thromboembolic events (
RR 1.14 [0.89, 1.47]13 studies · 2873 participantsModerate
Downgraded: imprecision, inconsistency, publication bias
Arterial thromboembolic events (
RR 1.45 [1.02, 2.05]25 studies · 3849 participantsModerate
Downgraded: imprecision, inconsistency, publication bias