Table 2.

Assessment of quality of evidence using GRADE approach

Quality assessmentNo. of patientsPooled event rate (95% CI)QualityImportance
No. of studiesStudy designRisk of biasInconsistencyIndirectnessImprecisionOther considerationsOutcomeTotal
Effective management of major bleeding using the ISTH criteria            
 2 Observational Very serious* Not serious Not serious Very serious None 103 150 0.69 (0.61-0.76) ⊕◯◯◯ Very low Critical 
Effective management of major bleeding not using the ISTH criteria            
 8 Observational Very serious* Not serious Not serious Very serious None 143 190 0.77 (0.63-0.92) ⊕◯◯◯ Very low Critical 
Mortality            
 9 Observational Very serious* Not serious Not serious Very serious None 50 249 0.16 (0.07-0.26) ⊕◯◯◯ Very low Critical 
Thromboembolic complications            
 7 Observational Very serious* Not serious Not serious Very serious None 10 240 0.04 (0.01-0.08) ⊕◯◯◯ Very low Critical 
Quality assessmentNo. of patientsPooled event rate (95% CI)QualityImportance
No. of studiesStudy designRisk of biasInconsistencyIndirectnessImprecisionOther considerationsOutcomeTotal
Effective management of major bleeding using the ISTH criteria            
 2 Observational Very serious* Not serious Not serious Very serious None 103 150 0.69 (0.61-0.76) ⊕◯◯◯ Very low Critical 
Effective management of major bleeding not using the ISTH criteria            
 8 Observational Very serious* Not serious Not serious Very serious None 143 190 0.77 (0.63-0.92) ⊕◯◯◯ Very low Critical 
Mortality            
 9 Observational Very serious* Not serious Not serious Very serious None 50 249 0.16 (0.07-0.26) ⊕◯◯◯ Very low Critical 
Thromboembolic complications            
 7 Observational Very serious* Not serious Not serious Very serious None 10 240 0.04 (0.01-0.08) ⊕◯◯◯ Very low Critical 
*

All studies were single-arm case series, the outcome assessors were not blinded, and the studies are at risk of selection bias.

Studies included very few patients and very few events.

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