Hemodynamics, fluids & transfusion

Association Between Length of Storage of Transfused Packed RBC Units and Outcome of Surgical Critically Ill Adults: A Subgroup Analysis of the Age of Blood Evaluation Randomized Trial*

Crit Care MedPublished Secondary analysis of the Age of Blood Evaluation (ABLE) randomised trial

Primary resultResult — go to the resultAbsolute risk difference 0.01 95% CI −0.09 to 0.11

Authors' conclusion

There was no evidence that fresh red cells improved outcomes as compared to standard issue red cells in critically ill surgical patients, consistent with other patients enrolled in the ABLE trial.

Study context

Population
Surgical nontrauma critically ill adults in ICU with a first RBC transfusion request in the first week and anticipated mechanical ventilation ≥48 hours; elective cardiac surgery and trauma excludedof 2,510 ABLE ICU adults
Participants
320 adults
Comparison
Fresh RBC units vs standard issue RBC
  • Freshn = 172
  • Standardn = 148reference
Primary endpoint
All-cause mortality
Follow-up
90 days
Methodological detailssubgroup analysis
  • Subgroup analysis

Primary result

As reported in the abstract

Absolute risk difference

0.01

95% CI −0.09 to 0.11

P = 0.803

By group

Fresh vs Standard
absolute risk difference 0.01 (95% CI −0.09 to 0.11); P = 0.803

Secondary outcomes

Length of storage

P < 0.0001

All secondary outcomes, incl. 6-month mortality

No significant differences, even after adjustment for age, country and APACHE score

Original publication

Association Between Length of Storage of Transfused Packed RBC Units and Outcome of Surgical Critically Ill Adults: A Subgroup Analysis of the Age of Blood Evaluation Randomized Trial*. Crit Care Med. Published 27 December 2022. doi:10.1097/ccm.0000000000005775

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