Table 4

Outcomes in cohort studies of prophylactic transfusion compared with on-demand transfusion in pregnant women with SCD (cohort studies)

GroupOutcomesStudies, nStudy subject, nOR (95% CI)Significance (heterogeneity), P (I2)
Maternal Mortality 714,15,18,26-29  955 0.23 (0.06-0.91) .04 (20%) 
Vaso-occlusive pain episodes 1110,15,17-19,26-30  1219 0.26 (0.09-0.76) .01 (90%) 
Pulmonary complications* 910,15,17-19,26-28,30  1019 0.25 (0.09-0.72) .01 (77%) 
Pulmonary infection 518,19,26-28  792 0.26 (0.05-1.27) .10 (83%) 
Pulmonary embolism 319,26,28  237 0.07 (0.01-0.41) <.01 (1%) 
Acute chest syndrome 215,17  102 0.28 (0.06-1.26) .10 (0%) 
Urinary tract infection 315,29,30  149 1.09 (0.22-5.42) .92 (61%) 
Pyelonephritis 615,19,26-29  455 0.19 (0.07-0.51) <.01 (34%) 
Endometritis 226,29  80 0.76 (0.17-3.44) .72 (40%) 
Preeclampsia 610,14,15,17,26,29  282 1.01 (0.49-2.08) .98 (0%) 
Fetal Perinatal mortality 810,15,18,19,26-28,30  1140 0.43 (0.19-0.99) <.05 (58%) 
Intrauterine fetal demise 814,15,17,19,26,28-30  458 0.47 (0.17-1.33) .15 (32%) 
Neonatal death 515,19,26,28,30  374 0.26 (0.07-0.93) .04 (0%) 
Small for gestational age/low birth weight 1010,15,17-19,26-30  1187 0.71 (0.44-1.16) .17 (35%) 
Preterm delivery 910,15,17-19,27-30  1123 0.59 (0.37-0.96) .03 (38%) 
GroupOutcomesStudies, nStudy subject, nOR (95% CI)Significance (heterogeneity), P (I2)
Maternal Mortality 714,15,18,26-29  955 0.23 (0.06-0.91) .04 (20%) 
Vaso-occlusive pain episodes 1110,15,17-19,26-30  1219 0.26 (0.09-0.76) .01 (90%) 
Pulmonary complications* 910,15,17-19,26-28,30  1019 0.25 (0.09-0.72) .01 (77%) 
Pulmonary infection 518,19,26-28  792 0.26 (0.05-1.27) .10 (83%) 
Pulmonary embolism 319,26,28  237 0.07 (0.01-0.41) <.01 (1%) 
Acute chest syndrome 215,17  102 0.28 (0.06-1.26) .10 (0%) 
Urinary tract infection 315,29,30  149 1.09 (0.22-5.42) .92 (61%) 
Pyelonephritis 615,19,26-29  455 0.19 (0.07-0.51) <.01 (34%) 
Endometritis 226,29  80 0.76 (0.17-3.44) .72 (40%) 
Preeclampsia 610,14,15,17,26,29  282 1.01 (0.49-2.08) .98 (0%) 
Fetal Perinatal mortality 810,15,18,19,26-28,30  1140 0.43 (0.19-0.99) <.05 (58%) 
Intrauterine fetal demise 814,15,17,19,26,28-30  458 0.47 (0.17-1.33) .15 (32%) 
Neonatal death 515,19,26,28,30  374 0.26 (0.07-0.93) .04 (0%) 
Small for gestational age/low birth weight 1010,15,17-19,26-30  1187 0.71 (0.44-1.16) .17 (35%) 
Preterm delivery 910,15,17-19,27-30  1123 0.59 (0.37-0.96) .03 (38%) 
*

Pulmonary complications (infections, infarctions, and/or embolism).

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