Clinical outcomes of hemostatic interventions in patients with traumatic injury: A systematic review of randomized controlled trials.
James Winearls, Elham Ashrafi, Erica Wang et al.
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In 30 seconds
This systematic review analyzed 110 randomized controlled trials (RCTs) evaluating hemostatic interventions in trauma patients. The study found that mortality was the primary outcome in 56.4% of trials, with 36.4% reporting a statistically significant difference. The review highlights significant variability in outcome reporting, particularly regarding patient-centered outcomes.
Key findings
- Mortality was the primary outcome in 56.4% of the included studies.
- 36.4% of trials reported a statistically significant difference in mortality outcomes.
- Patient-centered outcomes like quality of life were infrequently assessed, with only 7.3% reporting.
- Most trials (88.2%) were parallel-group RCTs with a median sample size of 314 participants.
Why it matters
Understanding the variability in outcome reporting for hemostatic interventions is crucial for clinicians to interpret trial results effectively. Standardizing outcomes could enhance the quality of evidence and inform better clinical practices in trauma care.