Cochrane · systematic review · CD010801

Transfusion of red blood cells stored for shorter versus longer duration for all conditions

Shah, A, Brunskill, SJ, Desborough, MJR, 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
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 37.5%Low 2 · 25%Moderate 3 · 37.5%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

Transfusion of RBCs of shorter vs longer storage duration

Population: all conditions
4 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality: in‐hospital mortality (within 24 hours)
Transfusion of RBCs of shorter vs longer storage duration
RR 1.71 [0.41, 7.1]1 study · 290 participantsLow
Downgraded: indirectness
Mortality: in‐hospital mortality (within 7 days)
Transfusion of RBCs of shorter vs longer storage duration
RR 3 [0.13, 71.34]1 study · 74 participantsVery low
Downgraded: indirectness
Mortality: time‐point not defined
Transfusion of RBCs of shorter vs longer storage duration
RR 2.25 [0.55, 9.17]1 study · 17 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Mortality: short term (up to 30 days)
Transfusion of RBCs of shorter vs longer storage duration
RR 1.44 [0.46, 4.48]1 study · 290 participantsLow
Downgraded: indirectness

Transfusion of RBCs of shorter vs standard practice storage duration

Population: all conditions
4 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality: in‐hospital mortality (time points varied)
Transfusion of RBCs of shorter vs standard practice storage duration
RR 1.05 [0.97, 1.14]4 studies · 25754 participantsModerate
Downgraded: risk of bias
Mortality: in‐ICU mortality
Transfusion of RBCs of shorter vs standard practice storage duration
RR 1.06 [0.98, 1.15]3 studies · 13066 participantsModerate
Downgraded: risk of bias, imprecision, indirectness
Mortality: short‐term mortality (up to 30 days) ‐ neonates
Transfusion of RBCs of shorter vs standard practice storage duration
RR 0.3 [0.01, 7.02]1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Mortality: short‐term mortality (up to 30 days) ‐ adults
Transfusion of RBCs of shorter vs standard practice storage duration
RR 1.04 [0.96, 1.13]4 studies · 7510 participantsModerate
Downgraded: risk of bias, imprecision, indirectness