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. 2019 Mar-Apr;10(2):286-289.
doi: 10.1016/j.jcot.2018.04.011. Epub 2018 Apr 24.

Effects of tranexamic acid on reducing blood loss in pelvic trauma: A randomised double-blind placebo controlled study

Vahid Monsef Kasmaei  1 , Amin Javadi  1 , Seyed Ahmad Naseri Alavi  2
Affiliations

Effects of tranexamic acid on reducing blood loss in pelvic trauma: A randomised double-blind placebo controlled study

Vahid Monsef Kasmaei et al. J Clin Orthop Trauma. 2019 Mar-Apr.

Abstract

Background: Management of pelvic trauma is complicated with patients' instability and remains high in skeletal injuries. The patients usually are young and in middle age and the management of bleeding is more important. The aim of this study is to assess the effects of Tranexamic Acid in Reducing Blood Loss in pelvic trauma: A Randomised Double-Blind Placebo Controlled Study.

Method and materials: In this randomized clinical trial study 106 patients with Pelvic Trauma (PT) were randomly divided into two groups. The case group received 1 g Intravenous TXA for loading dose and 3 dose per 8 h for the maintenance and control group received only serum 0.9% N.S (Normal Saline) or placebo. The Hemoglobin (Hb), Hematocrit (HCT), Pulse Rate (PR) and Blood Pressure (BP) was checked at admission, 24 h, 48 h and 72 h after admission.

Results: From 106 patients 61(%57.54) male and 45 (%42.46) female patients enrolled to the study. The mean age was 48.14 ± 13.54 and the range was 18-60 years old. There was no difference between two groups based on Blood Pressure at admission, 24 h, 48 h and 72 h after admission. There was a significant difference between two groups in 24 h, 48 h and 72 h after admission based on Hb and HCT amount.

Conclusion: based on our findings it appears that TXA can reduce bleeding amount in the first, second and third 24 h after surgery based on Hb and HCT without any effect on systolic and diastolic BP and PR. In other hand no side effect reported by any patients.

Keywords: Antifibrinolytic; Emergency medicine; Pelvic; Tranexamic acid; Trauma.

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