Proximal Humeral Fracture Clinical Trial
Official title:
Effect of Tranexamic Acid in Proximal Humeral Fracture Surgery. A Randomized Controlled Trial
The purpose of this study is to determine the effect of tranexamic acid (on blood loss and transfusion requirements in patients with proximal humeral fractures requiring open surgical approaches. This a blinded, controlled, therapeutic trial in which the patients will be randomized to receive TXA or no drug intervention. The primary outcome is the estimated total blood loss. This study presents only minimal risks for the included patients.
Status | Recruiting |
Enrollment | 40 |
Est. completion date | June 24, 2023 |
Est. primary completion date | June 21, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Acute proximal humeral fracture - Age over 18 years Exclusion Criteria: - ASA IV - Concomitant fracture - Refusal to receive blood products - Allergy for tranexamic acid - Severe hepatic dysfunction (AST/ALT >60) - Renal function impairment (serum creatinine > 2 mg/dL or creatinine clearance <30 mL/min),) or kidney transplant - Active acute thromboembolic event in the past 12 months (Deep Vein Thrombosis, Pulmonary) - Active coronary artery disease or cerebrovascular accident (event in the past 12 months). - Coronary stents - History of hypercoagulability - Coagulopathy (INR > 1.4) |
Country | Name | City | State |
---|---|---|---|
Spain | Elda University Hospital | Elda | Alicante |
Lead Sponsor | Collaborator |
---|---|
Elda University Hospital | Universidad Miguel Hernandez de Elche |
Spain,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Perioperative blood loss | Measurement of loss (in mL), calculated with mathematical formulas proposed by Nadler and Good | Hospital stay, from admission to third postoperative day. | |
Secondary | Blood transfusion rate | Number of patients needing blood transfusion | Hospital stay, from admission to third postoperative day | |
Secondary | Infection rate | Number of patients with surgical or medical infections (wound, pneumonia, urinary tract) | 90 postoperative days | |
Secondary | Thrombotic event rate | Number of patients with postoperative thrombotic event (Deep Venous Thrombosis, Pulmonary Embolism, Myocardial Infarction, Stroke) | 90 postoperative days. |
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