Does Early Administration of Tranexamic Acid Reduce Blood Loss and Perioperative Transfusion Requirement

Overview

About this study

A single-center, prospective randomized study. Consecutive patients presenting with intertrochanteric hip fractures will be treated with tranexamic acid. Treatment will be initiated in the emergency department according to a previously studied protocol for trauma patients.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • AO/OTA fracture classification 31A
  • Surgically treated with sliding hip screw or cephalomedullary nail (short or long)
  • Low energy, isolated injury
  • Age greater than 18 years old

Exclusion Criteria:

  • Intracapsular hip fractures: AO/OTA fracture classification 31B-C
  • Polytrauma patients
  • Creatinine clearance less than 30 mL/min
  • History of unprovoked VTE and/or recurrent VTE
  • Known history of Factor V Leiden, protein C/S deficiency, prothrombin gene mutation, anti-thrombin deficiency, anti-phospholipid antibody syndrome, lupus anticoagulant
  • Pregnancy or breastfeeding (pregnancy tests will be performed on all patients of child-bearing potential)
  • History of CVA, MI, or VTE within the previous 30 days
  • Coronary stent placement within the previous 6 months
  • Disseminated intravascular coagulation
  • Intracranial hemorrhage

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status

Rochester, Minn.

Mayo Clinic principal investigator

Brandon Yuan, M.D.

Closed for enrollment

More information

Publications

Publications are currently not available
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CLS-20318352

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