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Original report does a single bolus dose of tranexamic acid reduce blood loss and transfusion requirements during hip fracture surgery? a prospective randomized double blind study in 67 patients.
| Content Provider | CiteSeerX |
|---|---|
| Author | Sadeghi, M. Mehr-Aein, A. |
| Abstract | Abstract- Extensive blood loss in total hip surgery is well known and is associated with a high transfusion rate of allogeneic blood. The aim of this study is to assess the effects of intraoperative tranexamic acid on post-operative bleeding and need for allogeneic transfusion during hip fracture surgery. We investigated 67 patients undergoing hip fracture surgery in a prospective, randomized, double-blinded study. 32 patients received tranexamic acid (TA) given in a bolus dose of 15 mg/kg before surgical incision. The remaining, 35 patients were allocated as control group. Postoperative bleeding, transfusions, complications, and hospital stay were recorded. The intraoperative bleeding was significantly lower in the TA group (652 ± 228 ml vs. 1108 ± 372 ml, P <0.003). Post operative drainage was lower in TA group (296 ± 85 ml vs. 375 ± 110 ml, P <0.195). There were no differences in coagulation parameters. The rates of transfused patients in TA and control groups were 37 % and 57 %. In TA group, hospital stay was 4.3 ± 1.6 days (vs. 5.8 ± 1.5 days in control group; P < 0.05). There is one in hospital mortality in control group. We conclude that tranexamic acid significantly reduces blood loss during hip fracture surgery. |
| File Format | |
| Access Restriction | Open |
| Subject Keyword | Control Group Ta Group Original Report Prospective Randomized Double Blind Study Hospital Stay Hip Fracture Surgery Ml V Tranexamic Acid Intraoperative Tranexamic Acid Total Hip Surgery Double-blinded Study Post Operative Drainage High Transfusion Rate Allogeneic Blood Transfused Patient Bolus Dose Postoperative Bleeding Abstract Extensive Blood Loss Coagulation Parameter Post-operative Bleeding Allogeneic Transfusion Patient Undergoing Hip Fracture Surgery Hospital Mortality Surgical Incision Intraoperative Bleeding Blood Loss |
| Content Type | Text |
| Resource Type | Article |
