Hemodynamics, fluids & transfusion

Red Cell Transfusion in Critically Ill and Noncritically Ill Patients With Acute Myocardial Infarction and Anemia—A Subanalysis of the Myocardial Ischemia and Transfusion (MINT) Trial

Crit Care MedPublished Secondary analysis of the MINT randomised trial

Authors' conclusion

There is no evidence that the overall MINT trial results, which generally favor a liberal transfusion strategy in AMI patients, apply differently to noncritically ill and critically ill patients.

Study context

Population
Adults with acute myocardial infarction (AMI) and anemia in the MINT trial; critically ill = treated in an ICU at randomization; 144 sites in US, Canada, France, Brazil, New Zealand, Australia1,679 (47.9%) critically ill
Participants
3,504 adults
Comparison
Restrictive vs Liberal
Primary endpoint
Death and composite of death/MI
Follow-up
30 days
Methodological detailssubgroup analysis, parallel, two-arm, multicentre
  • Subgroup analysis
  • Parallel, two-arm
  • Multicentre

Primary result

As reported in the abstract

Death and death/MI by subgroup
Restrictive vs LiberalRelative risk (95% CI)
Death, noncritically ill
1.09(0.77–1.54)
death/MI, noncritically ill
1.09(0.85–1.38)
Death, critically ill; interaction p = 0.55
1.24(0.95–1.61)
death/MI, critically ill; interaction p = 0.52
1.21(0.99–1.47)

Further findings

Death and death/MI, critically ill vs noncritically ill patients · 30 days

Death, critically ill vs noncritically ill
11.9% vs. 6.5%
Death/MI, critically ill vs noncritically ill
18.9% vs. 12.7%

Original publication

Red Cell Transfusion in Critically Ill and Noncritically Ill Patients With Acute Myocardial Infarction and Anemia—A Subanalysis of the Myocardial Ischemia and Transfusion (MINT) Trial. Crit Care Med. Published 27 May 2026. doi:10.1097/ccm.0000000000007211

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