Blood Loss, Surgical Clinical Trial
Official title:
TRANEXAMIC ACID IN PATIENTS UNDERGOING TOTAL HIP ARTHROPLASTY IN A BRAZILIAN REFERENCE ORTHOPEDIC CENTER: A RANDOMIZED CONTROLLED TRIAL
This study aims to analyze the efficacy of intravenous tranexamic acid (TXA) in patients undergoing total hip arthroplasty (THA).
This was a prospective, experimental, randomized, controlled study of 308 consecutive
patients who underwent primary THA from December 2013 to March 2014. 256 volunteers remained
in the study, 128 were treated 15 mg/kg intravenous bolus of TXA and 128 did not receive the
medication. Participants were followed up at 3 weeks, 3 months, 6 months, 1 year, and then
annually after surgery.
The use of TXA resulted in lesser reduction in hemoglobin and hematocrit levels, reduced
blood loss, blood transfusion rate, volume of blood products, and stay length even in risk
factor patients.
TXA protects risk factor patients against intra and postoperative bleeding and reduces
transfusion rates.
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