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tranexamic acid and Circulatory Collapse

tranexamic acid has been researched along with Circulatory Collapse in 9 studies

Tranexamic Acid: Antifibrinolytic hemostatic used in severe hemorrhage.

Research Excerpts

ExcerptRelevanceReference
"This case reminds clinicians that perioperative tranexamic acid administration may increase the risk of thrombosis, which needs focused attention from anesthesiologists."8.02Circulation collapse caused by intracardiac thrombosis associated with tranexamic acid administration: A case report. ( Gu, KP; Huang, CJ; Xie, Q; Yao, YX, 2021)
" This study investigates whether out-of-hospital TXA use is associated with adverse events or unfavorable outcomes in suspected traumatic brain injury (TBI) when intracranial hemorrhage (ICH) is absent on initial computed tomography."7.11Tranexamic acid is not inferior to placebo with respect to adverse events in suspected traumatic brain injury patients not in shock with a normal head computed tomography scan: A retrospective study of a randomized trial. ( Dewey, EN; Harmer, JW; Meier, EN; Rowell, SE; Schreiber, MA, 2022)
"The current therapeutic strategy for disseminated intravascular coagulation (DIC) is limited to control of the underlying disease, and methods for the effective management of DIC have not been established."5.34Successful combined use of tranexamic acid and unfractionated heparin for life-threatening bleeding associated with intravascular coagulation in a patient with chronic myelogenous leukemia in blast crisis. ( Asada, N; Asakura, H; Koseki, M; Matsue, K; Takeuchi, M; Uryu, H, 2007)
" A combination of aprotinin with tranexamic acid may be effective in preventing or delaying rebleeding after rupture of an intracerebral aneurysm; the addition of aprotinin seems to decrease the incidence of delayed cerebral vasospasm and ischaemic complications which are sometimes noted when tranexamic acid alone is used."4.77Clinical application of inhibitors of fibrinolysis. ( Verstraete, M, 1985)
"This case reminds clinicians that perioperative tranexamic acid administration may increase the risk of thrombosis, which needs focused attention from anesthesiologists."4.02Circulation collapse caused by intracardiac thrombosis associated with tranexamic acid administration: A case report. ( Gu, KP; Huang, CJ; Xie, Q; Yao, YX, 2021)
" This study investigates whether out-of-hospital TXA use is associated with adverse events or unfavorable outcomes in suspected traumatic brain injury (TBI) when intracranial hemorrhage (ICH) is absent on initial computed tomography."3.11Tranexamic acid is not inferior to placebo with respect to adverse events in suspected traumatic brain injury patients not in shock with a normal head computed tomography scan: A retrospective study of a randomized trial. ( Dewey, EN; Harmer, JW; Meier, EN; Rowell, SE; Schreiber, MA, 2022)
"Postpartum hemorrhage is the number one cause of severe morbidity during hospitalization for birth, despite hospital, state, and national initiatives."2.72Goals for Collaborative Management of Obstetric Hemorrhage. ( Baird, SM; Kennedy, MBB; Martin, S, 2021)
"The current therapeutic strategy for disseminated intravascular coagulation (DIC) is limited to control of the underlying disease, and methods for the effective management of DIC have not been established."1.34Successful combined use of tranexamic acid and unfractionated heparin for life-threatening bleeding associated with intravascular coagulation in a patient with chronic myelogenous leukemia in blast crisis. ( Asada, N; Asakura, H; Koseki, M; Matsue, K; Takeuchi, M; Uryu, H, 2007)

Research

Studies (9)

TimeframeStudies, this research(%)All Research%
pre-19902 (22.22)18.7374
1990's0 (0.00)18.2507
2000's2 (22.22)29.6817
2010's2 (22.22)24.3611
2020's3 (33.33)2.80

Authors

AuthorsStudies
Xie, Q1
Huang, CJ1
Gu, KP1
Yao, YX1
Harmer, JW1
Dewey, EN1
Meier, EN1
Rowell, SE1
Schreiber, MA1
Baird, SM1
Martin, S1
Kennedy, MBB1
DeLano, FA1
Chow, J1
Schmid-Schönbein, GW1
Reyes-Chicuellar, N1
Doddi, NM1
Kalro, A1
Patel, H1
Martínez Rodríguez, E1
Mato, M1
Otero, J1
Ferri, JR1
Gonzálvez, A1
Torres, LM1
Koseki, M1
Asada, N1
Uryu, H1
Takeuchi, M1
Asakura, H1
Matsue, K1
Verstraete, M1
Bottari, M1
Donati, L1
Gagnatelli, G1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Prehospital Tranexamic Acid Use for Traumatic Brain Injury[NCT01990768]Phase 2967 participants (Actual)Interventional2015-05-31Completed
Efficacy in Controlling Bleeding Post-coronary Bypass Surgery Using Combination of Local Application of Tranexamic Acid and Intravenous Tranexamic Compared to Intravenous Tranexamic Acid Alone. A Randomized Controlled Trial[NCT01600599]40 participants (Actual)Interventional2011-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Disability Rating Scale (DRS) at 6 Months

The DRS is designed to classify patients based on their degree of function after brain injury. The DRS consists of 8 items that fall into 4 categories: (a) arousability, awareness and responsivity, (b) cognitive ability for self-care activities, (c) dependence on others, and (d) psychosocial adaptability. The score ranges from 0 (no disability) to 30 (death). (NCT01990768)
Timeframe: 6 months post-injury

Interventionscore on a scale (Mean)
Placebo8.0
Bolus-Maintenance8.1
Bolus Only6.6

Disability Rating Scale (DRS) at Discharge

The DRS is designed to classify patients based on their degree of function after brain injury. The DRS consists of 8 items that fall into 4 categories: (a) arousability, awareness and responsivity, (b) cognitive ability for self-care activities, (c) dependence on others, and (d) psychosocial adaptability. The score ranges from 0 (no disability) to 30 (death). (NCT01990768)
Timeframe: At the end of the hospital stay (average of 9 days post injury)

Interventionscore on a scale (Mean)
Placebo9.0
Bolus-Maintenance9.4
Bolus Only8.1

Hospital-free Days

Hospital-free days count any day from hospital admission through day 28 that the patient is alive and out of the hospital. (NCT01990768)
Timeframe: From hospital admission through day 28

Interventiondays (Mean)
Placebo13.6
Bolus-Maintenance13.6
Bolus Only14.1

Intensive Care Unit (ICU)-Free Days

ICU-free days count any day from hospital admission through day 28 that the patient is alive and not in the ICU. Subjects who die prior to discharge (even if after 28 days) are assigned a value of 0. (NCT01990768)
Timeframe: From hospital admission through day 28

Interventiondays (Mean)
Placebo18.5
Bolus-Maintenance18.1
Bolus Only19.1

Number of Participants Who Died Within 28 Days

The counts of patients who died on or before day 28 are reported. (NCT01990768)
Timeframe: 28 days after hospital arrival

InterventionParticipants (Count of Participants)
Placebo50
Bolus-Maintenance53
Bolus Only40

Number of Participants With Any Thromboembolic Event

Diagnosis of one or more of the following: cerebral ischemic event, myocardial infarction (MI), deep vein thrombosis (DVT), pulmonary embolism (PE), or any other thromboembolic event (NCT01990768)
Timeframe: From hospital admission through 28 days or the end of the hospital stay if sooner (average of 9 days)

InterventionParticipants (Count of Participants)
Placebo30
Bolus-Maintenance13
Bolus Only31

Number of Participants With Cerebral Ischemic Event

Diagnosis of cerebral ischemic event (NCT01990768)
Timeframe: From hospital admission through 28 days or the end of the hospital stay if sooner (average of 9 days)

InterventionParticipants (Count of Participants)
Placebo10
Bolus-Maintenance3
Bolus Only13

Number of Participants With Deep Vein Thrombosis (DVT)

Diagnosis of DVT (NCT01990768)
Timeframe: From hospital admission through 28 days or the end of the hospital stay if sooner (average of 9 days)

InterventionParticipants (Count of Participants)
Placebo9
Bolus-Maintenance3
Bolus Only10

Number of Participants With Intracranial Hemorrhage (ICH) Progression

All clinically indicated head computed tomography (CT) scans obtained during the initial hospitalization or within the first 28 days were assessed for ICH. Parenchymal (IPH), subdural (SDH) and epidural (EDH) hemorrhage volumes were measured and quantified using volumetric software and verified by manual calculations based on the previously validated ABC/2 technique. The sum of the IPH, SDH, and EDH volumes were compared across scans. A relative increase of 33% (and at least a 1 ml increase) on any subsequent scan compared to the initial scan was defined as a progression. (NCT01990768)
Timeframe: From hospital admission through 28 days or the end of the hospital stay if sooner (average of 13 days among patients with multiple scans)

InterventionParticipants (Count of Participants)
Placebo30
Bolus-Maintenance26
Bolus Only27

Number of Participants With Myocardial Infarction (MI)

Diagnosis of an acute myocardial infarction (NCT01990768)
Timeframe: From hospital admission through 28 days or the end of the hospital stay if sooner (average of 9 days)

InterventionParticipants (Count of Participants)
Placebo1
Bolus-Maintenance3
Bolus Only2

Number of Participants With One or More Neurosurgical Interventions

Neurosurgical interventions include craniotomy, craniectomy, and placement of a neuromonitoring or drainage device. Counts are of subjects with one or more neurosurgical interventions. (NCT01990768)
Timeframe: From hospital admission through 28 days or the end of the hospital stay if sooner (average of 9 days)

InterventionParticipants (Count of Participants)
Placebo54
Bolus-Maintenance62
Bolus Only75

Number of Participants With Pulmonary Embolus (PE)

Diagnosis of PE (NCT01990768)
Timeframe: From hospital admission through 28 days or the end of the hospital stay if sooner (average of 9 days)

InterventionParticipants (Count of Participants)
Placebo5
Bolus-Maintenance3
Bolus Only6

Number of Participants With Seizure

Seizures may cause involuntary changes in body movement or function, sensation, awareness, or behavior. Seizures are often associated with a sudden and involuntary contraction of a group of muscles and loss of consciousness. Seizures or episodes of seizure-like activity were reported by medics in the field following the start of study drug infusion through hand-off to the trauma center and by trauma center staff through discharge. Reported events were included if providers gave anti-seizure medication and/or the event was confirmed by EEG. (NCT01990768)
Timeframe: From start of study drug infusion through 28 days or the end of the hospital stay if sooner (average of 9 days)

InterventionParticipants (Count of Participants)
Placebo7
Bolus-Maintenance5
Bolus Only17

Number of Participants With Unfavorable Outcome on Dichotomized Glasgow Outcome Scale Extended (GOS-E) at Discharge

GOS-E subdivides the categories of severe and moderate disability and good recovery using a scale of 1 to 8 where 1 = death, 2 = vegetative state, 3 = lower severe disability, 4 = upper severe disability, 5 = lower moderate disability, 6 = upper moderate disability, 7 = lower good recovery, and 8 = upper good recovery. Structured telephone interviews have been developed and validated for the GOS-E and these questions were incorporated into the follow-up survey. GOS-E was dichotomized into unfavorable (1 to 4) and favorable (5 to 8) outcomes. The number of subjects with unfavorable outcome is reported. (NCT01990768)
Timeframe: At the end of the hospital stay (average of 9 days post injury)

InterventionParticipants (Count of Participants)
Placebo196
Bolus-Maintenance193
Bolus Only228

Ventilator-free Days

Ventilator-free days count any day from hospital admission through day 28 that the patient is alive and does not require mechanical ventilatory support. Subjects who die prior to discharge (even if after 28 days) are assigned a value of 0. (NCT01990768)
Timeframe: From hospital admission through day 28

Interventiondays (Mean)
Placebo20.2
Bolus-Maintenance19.9
Bolus Only20.9

Reviews

2 reviews available for tranexamic acid and Circulatory Collapse

ArticleYear
Goals for Collaborative Management of Obstetric Hemorrhage.
    Obstetrics and gynecology clinics of North America, 2021, Volume: 48, Issue:1

    Topics: Antifibrinolytic Agents; Blood Transfusion; Female; Goals; Humans; Hysterectomy; Maternal Mortality;

2021
Clinical application of inhibitors of fibrinolysis.
    Drugs, 1985, Volume: 29, Issue:3

    Topics: 4-Aminobenzoic Acid; Aminocaproic Acid; Angioedema; Antifibrinolytic Agents; Aprotinin; Blood Preser

1985

Trials

1 trial available for tranexamic acid and Circulatory Collapse

ArticleYear
Tranexamic acid is not inferior to placebo with respect to adverse events in suspected traumatic brain injury patients not in shock with a normal head computed tomography scan: A retrospective study of a randomized trial.
    The journal of trauma and acute care surgery, 2022, 07-01, Volume: 93, Issue:1

    Topics: Antifibrinolytic Agents; Brain Injuries, Traumatic; Humans; Retrospective Studies; Shock; Tomography

2022

Other Studies

6 other studies available for tranexamic acid and Circulatory Collapse

ArticleYear
Circulation collapse caused by intracardiac thrombosis associated with tranexamic acid administration: A case report.
    Medicine, 2021, Nov-24, Volume: 100, Issue:47

    Topics: Antifibrinolytic Agents; Arthroplasty, Replacement, Knee; Blood Circulation; Blood Loss, Surgical; C

2021
Volatile Decay Products in Breath During Peritonitis Shock are Attenuated by Enteral Blockade of Pancreatic Digestive Proteases.
    Shock (Augusta, Ga.), 2017, Volume: 48, Issue:5

    Topics: Animals; Chromatography, Gas; Intestinal Mucosa; Methylamines; Peptide Hydrolases; Peritoneum; Perit

2017
Sphenopalatine Artery Ligation for Life-Threatening Epistaxis in a 4-Year-Old Child With Glanzmann Thrombasthenia.
    Ear, nose, & throat journal, 2019, Volume: 98, Issue:7

    Topics: Antifibrinolytic Agents; Child, Preschool; Endoscopy; Epistaxis; Factor VIIa; Female; Fluid Therapy;

2019
[Hemostatic drugs in a patient with antiphospholipid syndrome and clinically significant perioperative bleeding].
    Revista espanola de anestesiologia y reanimacion, 2006, Volume: 53, Issue:3

    Topics: Adult; Aminocaproic Acid; Antiphospholipid Syndrome; Aprotinin; Blood Coagulation Tests; Blood Loss,

2006
Successful combined use of tranexamic acid and unfractionated heparin for life-threatening bleeding associated with intravascular coagulation in a patient with chronic myelogenous leukemia in blast crisis.
    International journal of hematology, 2007, Volume: 86, Issue:5

    Topics: Acute Disease; Adult; alpha-2-Antiplasmin; Antifibrinolytic Agents; Antineoplastic Agents; Antithrom

2007
[Disseminated intravascular coagulation as a complication of shock].
    Atti della Accademia medica lombarda, 1973, Volume: 28, Issue:1-4

    Topics: Aminocaproic Acid; Aprotinin; Disseminated Intravascular Coagulation; Heparin; Humans; Shock; Tranex

1973