Cochrane · systematic review · CD009330

Prolonged storage of packed red blood cells for blood transfusion

Martí‐Carvajal, AJ, Simancas‐Racines, D, Peña‐González, BS · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

InjuriesAMSTAR 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
7
current version
GRADE rated
2
No studies
5
Included studies
NR
No studies 5 · 71.4%Ungraded 0 · 0%Very low 2 · 28.6%Low 0 · 0%Moderate 0 · 0%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

Long‐stored ('older') PRBC (≥ 21 days of storage) compared with short‐stored (fresh) PRBC (< 21 days of storage) for patients requiring blood transfusion

Population: patients requiring blood transfusion (children with malaria and adults with a traumatic injury)
7 questions
OutcomeEffectEvidenceStatus / GRADE
Death from any cause
Long‐stored ('older') PRBC (≥ 21 days of storage) vs short‐stored (fresh) PRBC (< 21 days of storage)
RR 2.36 [0.65, 8.52]2 studies · 91 participantsVery low
Downgraded: imprecision
Transfusion‐related acute lung injury ‐ not measured
Long‐stored ('older') PRBC (≥ 21 days of storage) vs short‐stored (fresh) PRBC (< 21 days of storage)
no estimate extractedNRNo studies
Postoperative infections ‐ not measured
Long‐stored ('older') PRBC (≥ 21 days of storage) vs short‐stored (fresh) PRBC (< 21 days of storage)
no estimate extractedNRNo studies
Post‐injury coagulopathy ‐ not measured
Long‐stored ('older') PRBC (≥ 21 days of storage) vs short‐stored (fresh) PRBC (< 21 days of storage)
no estimate extractedNRNo studies
Multiple organ failure post‐injury ‐ not measured
Long‐stored ('older') PRBC (≥ 21 days of storage) vs short‐stored (fresh) PRBC (< 21 days of storage)
no estimate extractedNRNo studies
Adverse event (Hyperkalaemia) ‐ not measured
Long‐stored ('older') PRBC (≥ 21 days of storage) vs short‐stored (fresh) PRBC (< 21 days of storage)
no estimate extractedNRNo studies
Adverse event (Metabolic acidosis)
Long‐stored ('older') PRBC (≥ 21 days of storage) vs short‐stored (fresh) PRBC (< 21 days of storage)
no estimate extracted1 study · 22 participantsVery low
Downgraded: risk of bias, imprecision