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Table 2 The four key elements of study design applied to three systematic reviews of transfusion literature

From: Observational studies - should we simply ignore them in assessing transfusion outcomes?

Study

1. Patients

2. Intervention/Exposure

3. Outcomes

4. Study methods

Efficacy of red blood cell transfusion in the critically ill: A systematic review of the literature

Cardiac Patients

Comparison between patients transfused red blood cells to patients not transfused red blood cells

Mortality

Observational Studies

Critical Care Patients

Infection

Orthopaedics

Multiorgan Dysfunction

Trauma

Acute Respiratory Distress

General Surgery

Neurosurgery

Transfusion thresholds and other strategies for guiding

Transfusion thresholds and other strategies for guiding red blood cell transfusion (Cochrane Review)

Cardiac Patients

Comparison of patients assigned to a liberal transfusion strategy to patients assigned to a restrictive transfusion strategy

Mortality

Randomized Controlled Trials

Critical Care Patients

Infection

Orthopaedics

Length of Stay

GI Bleeding

Function and Fatigue

Trauma

Cardiac events

Vascular

Myocardial infarction

Haematology

Pulmonary oedema

Stroke

Pneumonia

Thromboembolism

Rebleeding

Renal failure

Mental confusion

HealthCare–Associated Infection After Red Blood Cell Transfusion: A Systematic Review and Meta-analysis

Cardiac Patients

Comparison of patients assigned to a liberal transfusion strategy to patients assigned to a restrictive transfusion strategy

Infection

Randomized Controlled Trials

Critical Care Patients

Orthopaedics

GI Bleeding

Post Partum

Sickle Cell

  1. Adapted from Hatala R, et al. Tips for learners of evidence-based medicine: 4. Assessing heterogeneity of primary studies in systematic reviews and whether to combine their results. CMAJ : Canadian Medical Association journal 2005;172(5):661–5