Use of TXA in patients with hip fractures | |||||||||
---|---|---|---|---|---|---|---|---|---|
Country | Design | Hip fx (IT or FNF) | TXA regimen | DVT PPX | Sample size | Blood loss (cc) | Transfuse rate % | Thromboembolic events | |
Lee et al 201511 | UK | Cohort | Hemiarthroplasy only | 1 g bolus preoperative | Tinzaparin | 84 cases/187 controls | – | 6 | 1 |
– | 19 | 4 | |||||||
Emara et al 20149 | Egypt | RCT | Hemiarthroplasty only | 10 mg/kg bolus, then 5 mg/kg/hour infusion | Clexane | 20 cases IV/20 cases topical/20 controls | 640* | 5 | 5 |
1100* | 32 | 0 | |||||||
Zufferey et al 201010 | France | RCT | Hip fractures | 15 mg/kg bolus preoperative and 3 h later | Fondaparinux×35 days (mandatory ultrasound) | 57 cases/53 controls | 975 | 42 | 0 |
1178 | 60 | 0 | |||||||
Sadeghi and Mehr-Aein 20068 | Iran | RCT | Hip fractures | 15 mg/kg bolus preoperative | NA | 32 cases/35 controls | 960 | 37 | 0 |
1484 | 57 | 0 | |||||||
Vijay et al 201335 | India | RCT | Hip fractures | 10 mg/kg bolus at surgery | NA | 45 cases/45 controls | 39* | 16 | 0 |
91* | 40 | 0 |
*Drain output. Thromboembolic events include only symptomatic thromboembolic events.
DVT, deep vein thrombosis; FNF, femoral neck fracture; IT, intertrochanteric; NA, not applicable; PPX, prophylaxis; RCT, randomised controlled trial.