Cochrane · systematic review · CD010649

Pro‐coagulant haemostatic factors for the prevention and treatment of bleeding in people without haemophilia

Fabes, J, Brunskill, SJ, Curry, N, et al. · Cochrane Database of Systematic Reviews · 2018 · 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
22
current version
GRADE rated
22
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 9.1%Low 15 · 68.2%Moderate 4 · 18.2%High 1 · 4.5%

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

FIBRINOGEN: Therapeutic trials: intervention compared to inactive Control for the prevention and treatment of bleeding in participants without haemophilia

Population: the prevention and treatment of bleeding in patients without haemophilia
4 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality Up to 28 days following admission
FIBRINOGEN: Therapeutic trials: intervention vs inactive Control
RR 1.46 [0.71, 2.99]2 studies · 97 participantsModerate
All‐cause mortality In‐hospital mortality up to 30 days post‐operatively
FIBRINOGEN: Therapeutic trials: intervention vs inactive Control
RR 5 [0.25, 102]1 study · 120 participantsLow
Downgraded: imprecision
All‐cause mortality Up to 6 weeks post‐natally
FIBRINOGEN: Therapeutic trials: intervention vs inactive Control
no estimate extracted2 studies · 294 participantsLow
Downgraded: imprecision
All‐cause mortality Up to 46 days post‐operatively
FIBRINOGEN: Therapeutic trials: intervention vs inactive Control
RR 0.23 [0.05, 1.01]2 studies · 213 participantsHigh

FIBRINOGEN: Therapeutic trials: intervention compared to haemostatically active control for the prevention and treatment of bleeding in participants without haemophilia

Population: the prevention and treatment of bleeding in patients without haemophilia
3 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality Up to 7 days post‐operatively or hospital discharge
FIBRINOGEN: Therapeutic trials: intervention vs haemostatically active control
no estimate extracted1 study · 63 participantsModerate
Downgraded: imprecision
All‐cause mortality Up to 28 days post‐operatively
FIBRINOGEN: Therapeutic trials: intervention vs haemostatically active control
no estimate extracted1 study · 20 participantsLow
Downgraded: risk of bias, imprecision
All‐cause mortality Up to 30 days post‐operatively
FIBRINOGEN: Therapeutic trials: intervention vs haemostatically active control
RR 0.95 [0.06, 14.3]1 study · 43 participantsLow
Downgraded: imprecision

FIBRINOGEN: Prophylactic trials: intervention compared to inactive control for the prevention and treatment of bleeding in participants without haemophilia

Population: the prevention and treatment of bleeding in patients without haemophilia
5 questions
OutcomeEffectEvidenceStatus / GRADE
Venous thromboembolic events Up to 30 days post‐operatively
FIBRINOGEN: Prophylactic trials: intervention vs inactive control
no estimate extracted2 studies · 122 participantsLow
Downgraded: risk of bias, imprecision
Arterial thrombotic events Up to 4 days post‐operatively
FIBRINOGEN: Prophylactic trials: intervention vs inactive control
no estimate extracted2 studies · 80 participantsModerate
Downgraded: imprecision
Arterial thrombotic events Up to 30 days post‐operatively
FIBRINOGEN: Prophylactic trials: intervention vs inactive control
RR 0.33 [0.01, 8.02]1 study · 116 participantsLow
Downgraded: risk of bias, imprecision
Arterial thrombotic events ‐ up to 30 days post‐operatively
FIBRINOGEN: Prophylactic trials: intervention vs inactive control
no estimate extracted2 studies · 122 participantsLow
Downgraded: risk of bias, imprecision
Venous thrombotic events Up to 4 days post‐operatively
FIBRINOGEN: Prophylactic trials: intervention vs inactive control
no estimate extracted2 studies · 80 participantsModerate
Downgraded: imprecision

FIBRINOGEN: Prophylactic trials: intervention compared to haemostatically active control for the prevention and treatment of bleeding in participants without haemophilia

Population: the prevention and treatment of bleeding in patients without haemophilia
4 questions
OutcomeEffectEvidenceStatus / GRADE
Arterial thromboembolic events
FIBRINOGEN: Prophylactic trials: intervention vs haemostatically active control
no estimate extracted1 study · 49 participantsLow
Downgraded: imprecision
Arterial thromboembolic events ‐ Duration of hospital stay (whole population)
FIBRINOGEN: Prophylactic trials: intervention vs haemostatically active control
no estimate extracted1 study · 49 participantsLow
Downgraded: imprecision
Venous thromboembolic events
FIBRINOGEN: Prophylactic trials: intervention vs haemostatically active control
no estimate extracted1 study · 49 participantsLow
Downgraded: imprecision
Venous thromboembolic events Duration of hospital stay (whole population)
FIBRINOGEN: Prophylactic trials: intervention vs haemostatically active control
no estimate extracted1 study · 49 participantsLow
Downgraded: imprecision

FXIII: Prophylactic trials: intervention compared to inactive control for the prevention and treatment of bleeding in participants without haemophilia

Population: the prevention and treatment of bleeding in patients without haemophilia
6 questions
OutcomeEffectEvidenceStatus / GRADE
Arterial thromboembolic events Up to 5 to 7 weeks post‐operatively
FXIII: Prophylactic trials: intervention vs inactive control
RR 0.67 [0.28, 1.62]2 studies · 282 participantsLow
Downgraded: risk of bias
Arterial thromboembolic events Up to 30 days post‐operatively
FXIII: Prophylactic trials: intervention vs inactive control
RR 3 [0.14, 66.53]1 study · 22 participantsLow
Downgraded: imprecision
Arterial thromboembolic events Post‐operatively
FXIII: Prophylactic trials: intervention vs inactive control
RR 0.2 [0.01, 3.97]1 study · 50 participantsVery low
Downgraded: risk of bias, imprecision
Venous thromboembolic events ‐ Up to 5 to 7 weeks post‐operatively
FXIII: Prophylactic trials: intervention vs inactive control
RR 0.93 [0.06, 14.67]2 studies · 282 participantsLow
Downgraded: risk of bias
Venous thromboembolic events Up to 30 days post‐operatively
FXIII: Prophylactic trials: intervention vs inactive control
RR 3 [0.14, 66.53]1 study · 22 participantsLow
Downgraded: imprecision
Venous thromboembolic events Post‐operatively
FXIII: Prophylactic trials: intervention vs inactive control
no estimate extracted1 study · 50 participantsVery low
Downgraded: risk of bias, imprecision