articleNew England Journal of MedicineNov 12, 2017BRONZE OA

Restrictive or Liberal Red-Cell Transfusion for Cardiac Surgery

University of Toronto · St Michael's Hospital · +32 more institutions

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Abstract

Background

The effect of a restrictive versus liberal red-cell transfusion strategy on clinical outcomes in patients undergoing cardiac surgery remains unclear.

Methods

In this multicenter, open-label, noninferiority trial, we randomly assigned 5243 adults undergoing cardiac surgery who had a European System for Cardiac Operative Risk Evaluation (EuroSCORE) I of 6 or more (on a scale from 0 to 47, with higher scores indicating a higher risk of death after cardiac surgery) to a restrictive red-cell transfusion threshold (transfuse if hemoglobin level was

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Funding