Gastrointestinal Bleeding Clinical Trial
Official title:
The Role of Tranexamic Acid for the Treatment of Gastrointestinal Bleeding: A Randomized Double-blind Controlled Trial
Studies showed that in cases of gastrointestinal bleeding, injection tranexamic acid
decreasing the risk of death and the need of surgical intervention. However, the quality of
most clinical trials were not good and the results were not significant. Injection tranexamic
acid does not become one of the treatment option in the international guidelines nor in
national consensus, so the effectiveness and the safety of its use in the treatment of
gastrointestinal bleeding remains unclear and not routinely used.
In Indonesia, injection tranexamic acid in gastrointestinal bleeding is limitedly used and
recorded. Therefore, a clinical trial study of injection tranexamic acid is required to
assess the effectiveness and the safety in the treatment of gastrointestinal bleeding.
This study is a randomized double-blind controlled trial study. Interventions were given in the form of tranexamic acid injection compared to placebo in patients with acute upper and lower gastrointestinal bleeding. Tranexamic acid were administered intravenously 1 gram loading dose, followed by 3 grams maintenance dose in infusion for 24 hours. Other routine and standardized drugs for gastrointestinal bleeding will still be given. Statistical analysis will use: Chi square test or Kolmogorov-Smirnov with alternative Fisher test for categorical dependent-variable; Independent T-Test with alternative Mann-Whitney test for two-group numerical dependent-variable; and one-way ANOVA with alternative Kruskal-Wallis for more than two-groups numerical dependent-variable. ;
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