Tranexamic Acid in Trauma Surgery Tranexamic Acid in Trauma Surgery Tranexamic Acid in Trauma Surgery

NCT ID: NCT04986813

Last Updated: 2021-08-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-01

Study Completion Date

2018-08-31

Brief Summary

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This study was done to evaluate the efficacy of Tranexamic Acid (TXA) in reducing blood transfusion requirement in patients of lower limb trauma undergoing surgery.

Detailed Description

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This was a single centre, parallel group, prospective randomized control study. 116 patients of lower limb trauma presented between April 2017 to August 2018 at Civil Hospital Rajpura. 16 patients were excluded due to old fracture, percutaneous wire fixation or non-consenting patient. The remaining 100 patients were randomized into two groups. 50 patients were given 1 gram of TXA before surgery and 50 patients were not given TXA. Fall in Hb, requirement of blood transfusion, number of days admitted in the hospital after surgery and evidence of deep vein thrombosis were monitored.

Conditions

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Tranexamic Acid Trauma Lower Extremity Fracture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This was a single centre, parallel group, prospective randomized control study.
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants
The random allocation of the patients to either group was done by one of the investigators using a random number table.

Study Groups

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Group Tranexamic Acid

50 patients were given 1 gram of Tranexamic acid (TXA) intravenously pre-operatively. Intravenous TXA was administered, at the time of start of surgical incision.

Group Type ACTIVE_COMPARATOR

Tranexamic acid injection

Intervention Type DRUG

1 g of TXA in 100 ml of normal saline

Control group

50 patients were kept as a control group and were not given TXA.

Group Type PLACEBO_COMPARATOR

Normal Saline

Intervention Type OTHER

100 ml

Interventions

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Tranexamic acid injection

1 g of TXA in 100 ml of normal saline

Intervention Type DRUG

Normal Saline

100 ml

Intervention Type OTHER

Other Intervention Names

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Inj Tranexa NS

Eligibility Criteria

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Inclusion Criteria

* patients suffering from lower limb trauma

Exclusion Criteria

* Presence of old implant or infection at the fracture site,
* Any blood coagulation disorder
* Patients undergoing percutaneous wire placement procedures for fracture fixation
* Polytrauma
* Non-consenting patients
* Psychiatric patient
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Jaspreet Singh

OTHER

Sponsor Role lead

Responsible Party

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Jaspreet Singh

Specialist Medical Officer

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Gurleen Kaur, MD

Role: STUDY_DIRECTOR

Adesh Medical College & Hospital

Locations

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APJain Civil Hospital, Rajpura

Patiāla, Punjab, India

Site Status

Countries

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India

References

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Kaye JA, Jick H. Epidemiology of lower limb fractures in general practice in the United Kingdom. Inj Prev. 2004 Dec;10(6):368-74. doi: 10.1136/ip.2004.005843.

Reference Type BACKGROUND
PMID: 15583259 (View on PubMed)

Zhang P, Bai J, He J, Liang Y, Chen P, Wang J. A systematic review of tranexamic acid usage in patients undergoing femoral fracture surgery. Clin Interv Aging. 2018 Sep 4;13:1579-1591. doi: 10.2147/CIA.S163950. eCollection 2018.

Reference Type RESULT
PMID: 30233155 (View on PubMed)

Fischer PE, Bulger EM, Perina DG, Delbridge TR, Gestring ML, Fallat ME, Shatz DV, Doucet J, Levy M, Stuke L, Zietlow SP, Goodloe JM, VanderKolk WE, Fox AD, Sanddal ND. Guidance Document for the Prehospital Use of Tranexamic Acid in Injured Patients. Prehosp Emerg Care. 2016 Sep-Oct;20(5):557-9. doi: 10.3109/10903127.2016.1142628. Epub 2016 Mar 17.

Reference Type RESULT
PMID: 26985786 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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PHMA/GSMCH-17/IEC-29A

Identifier Type: -

Identifier Source: org_study_id

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