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Table 4 Study characteristics Author and year, number of patients allocated to control or intervention group and the type of patients and/or procedures performed during the study

From: The use of viscoelastic haemostatic assays in goal-directing treatment with allogeneic blood products – A systematic review and meta-analysis

Reference (Author and year)

Control/intervention (n)

Type of patients/procedures

Shore-Lesserson 1999 [33]

52/53

Cardiac surgery

Moderate to high risk of microvascular bleeding (single/multiple valve replacement, combined CAB + valvular procedure, cardiac reoperation, thoracic aortic replacement). CPB performed with moderate hypothermia.

Nuttall 2001 [31]

51/41

Cardiac surgery

All types of elective cardiac surgery developing abnormal bleeding after CPB.

Royston 2001 [32]

30/30

Cardiac surgery

10% in each group had heart transplantation, 50% in each group had revascularization (multiple grafts with an estimated CPB-time >100 min), 40% in each group Ross procedure, multiple valve or valve and revascularization surgery.

Avidan 2004 [29]

51/51

Cardiac surgery

Routine elective first time coronary artery surgery with CPB. Cooled to 32 °C.

Ak 2009 [28]

110/114

Cardiac surgery

Elective first time coronary artery bypass graft (CABG) with CPB.

Westbrook 2009 [35]

37/32

Cardiac surgery

Presenting for cardiac surgery except lung transplantations.

Girdauskas 2010 [30]

29/27

Aortic surgery

Patients undergoing aortic surgery with hypothermic circulatory arrest. 25 patients with acute type A dissection.

Wang 2010 [37]

14/14

Orthotopic liver transplantation

Paniagua 2011 [36]

9/13

Cardiac surgery

Patients scheduled for cardiac surgery with extracorporeal circulation with major post-operative bleeding (>300 mL).

Schaden 2012 [38]

16/14

Surgical excision of burn wounds

Surgical intervention performed on 3rd day after trauma.

Weber 2012 [34]

50/50

Cardiac surgery

Patients scheduled for elective, complex cardiothoracic surgery (combined coronary artery bypass, graft and valve surgery, double/triple valve procedures, aortic surgery or redo surgery) with CPB.

Barinov 2015 [41]

29/90

Postpartum obstetric haemorrhage

Gonzalez 2015 [22]

55/56

Trauma patients

Meeting criteria for massive transfusion protocol (MTP) activation on arrival to ED: systolic blood pressure <70 mmHg or SBP 70 – 90 mmHg with heart rate 108 beats/min, in addition to any of the following injury patterns: penetrating torso wound, unstable pelvic fracture, or abdominal ultrasound suspicious of bleeding in more than one region.

De Pietri 2015 [39]

30/30

Hepatic surgery

Patients with cirrhosis + significant coagulopathy (defined as INR >1,8 and/or platelet count <50 × 109/L) undergoing invasive procedure.

Cao 2016 [40]

28/32

Scoliosis surgery

Patients with an expected surgical bleeding > 1000 ml and the American Society of Anesthesiologists rating I-II in addition to a body mass index (BMI) 18 to 24 kg/m2

  1. CAB coronary arterial bypass, CABG coronary artery bypass graft, CPB cardio pulmonary bypass, MTP massive transfusion protocol, ED emergency department, SBP systolic blood pressure, INR international normalised ratio