Hip Fracture Clinical Trial
Official title:
Efficacy of Tranexamic Acid on Perioperative Blood Loss During Hip Fracture Surgery.
The purpose of this study is to assess the efficacy of tranexamic acid in hip fracture surgery on the reduction of allogeneic red blood cell transfusion.
Studies in hip and knee arthroplasty (scheduled surgery) have shown that tranexamic acid
decreases allogeneic red blood cell transfusion. In hip fracture surgery, an emergent
procedure, transfusion is frequent. Transfusion increases adverse events such as
postoperative bacterial infection and venous thrombosis. The purpose of this study is to
assess the efficacy of tranexamic acid, an anti-fibrinolytic agent, in hip fracture surgery
on the reduction of allogeneic red blood cell transfusion. The trial will also evaluate if
the reduction in transfusion will be associated with less postoperative infection and
without an increase in the thrombotic risk.
Patients with an isolated hip fracture of less than 48 hours will be randomized to either
tranexamic acid 15mg/kg IV at skin incision and three hours later or saline.Patients will
receive fondaparinux for prophylaxis of venous thrombosis.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
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