Cochrane · systematic review · CD010378

Prophylactic versus selective blood transfusion for sickle cell disease in pregnancy

Okusanya, BO, Oladapo, OT · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

Pregnancy and Childbirth2 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 71.4%Low 2 · 28.6%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

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Prophylactic versus selective blood transfusion for sickle cell disease in pregnancy

Population: patients with sickle cell disease in pregnancy
7 questions
OutcomeEffectEvidenceStatus / GRADE
Maternal death
Prophylactic vs selective blood transfusion
no estimate extracted1 study · 72 participantsVery low
Downgraded: risk of bias
Severe maternal morbidity (pulmonary embolism)
Prophylactic vs selective blood transfusion
no estimate extracted1 study · 72 participantsVery low
Downgraded: risk of bias
Severe maternal morbidity (congestive cardiac failure)
Prophylactic vs selective blood transfusion
RR 1 [0.07, 15.38]1 study · 72 participantsVery low
Downgraded: risk of bias, imprecision
Perinatal death
Prophylactic vs selective blood transfusion
RR 2.85 [0.61, 13.22]1 study · 76 participantsVery low
Downgraded: risk of bias, imprecision
Sickle cell crisis (pain crisis)
Prophylactic vs selective blood transfusion
RR 0.28 [0.12, 0.67]1 study · 72 participantsLow
Downgraded: risk of bias, imprecision
Sickle cell crises (acute splenic sequestration)
Prophylactic vs selective blood transfusion
RR 0.33 [0.01, 7.92]1 study · 72 participantsLow
Downgraded: risk of bias, imprecision
Blood transfusion reaction
Prophylactic vs selective blood transfusion
RR 2 [0.54, 7.39]1 study · 72 participantsVery low
Downgraded: risk of bias, imprecision