tranexamic acid has been researched along with Wounds and Injuries in 216 studies
Tranexamic Acid: Antifibrinolytic hemostatic used in severe hemorrhage.
Wounds and Injuries: Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.
Excerpt | Relevance | Reference |
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"To examine whether the effect of tranexamic acid on the risk of death and thrombotic events in patients with traumatic bleeding varies according to baseline risk of death." | 9.16 | Effect of tranexamic acid on mortality in patients with traumatic bleeding: prespecified analysis of data from randomised controlled trial. ( Brohi, K; Coats, T; Hunt, BJ; Lecky, F; Perel, P; Prieto-Merino, D; Roberts, I; Shakur, H; Willett, K, 2012) |
" 20,211 adult trauma patients with, or at risk of, significant bleeding were randomly assigned within 8 h of injury to either tranexamic acid (loading dose 1 g over 10 min followed by infusion of 1 g over 8 h) or placebo." | 9.15 | The importance of early treatment with tranexamic acid in bleeding trauma patients: an exploratory analysis of the CRASH-2 randomised controlled trial. ( Afolabi, A; Brohi, K; Coats, T; Dewan, Y; Gando, S; Guyatt, G; Hunt, BJ; Morales, C; Perel, P; Prieto-Merino, D; Roberts, I; Shakur, H; Woolley, T, 2011) |
"Tranexamic acid, an antifibrinolytic agent, reduces postoperative transfusion requirements but carries a poorly documented risk of thrombosis." | 8.89 | Trauma and severe bleeding. Tranexamic acid within one hour to reduce mortality. ( , 2013) |
"Intravenous tranexamic acid (TXA) reduces bleeding deaths after injury and childbirth." | 8.02 | Pharmacokinetics of intramuscular tranexamic acid in bleeding trauma patients: a clinical trial. ( Davenport, R; Frimley, L; Gilliam, C; Grassin-Delyle, S; Jarman, H; Lamy, E; McGuinness, W; Moss, P; Picetti, R; Pott, J; Prowse, D; Pynn, H; Roberts, I; Shakur-Still, H; Tai, N; Thayne, A; Urien, S, 2021) |
"Tranexamic acid (TXA) is used as a hemostatic adjunct for hemorrhage control in the injured patient and reduces early preventable death." | 7.91 | Tranexamic acid administration is associated with an increased risk of posttraumatic venous thromboembolism. ( Brown, JB; Kutcher, ME; Myers, SP; Neal, MD; Peitzman, AB; Rosengart, MR; Sperry, JL, 2019) |
"To describe the use of tranexamic acid (TXA) in trauma care in England and Wales since the Clinical Randomization of an Antifibrinolytic in Significant Hemorrhage (CRASH-2) trial results were published in 2010." | 7.91 | Implementation of tranexamic acid for bleeding trauma patients: a longitudinal and cross-sectional study. ( Coats, TJ; Fragoso-Iñiguez, M; Roberts, I, 2019) |
"We describe the case of a bleeding trauma patient who received tranexamic acid (TXA) during air transport who subsequently developed multiple intra-cardiac thrombi." | 7.88 | Left atrial thrombi following tranexamic acid in a bleeding trauma patient-A word of caution. ( Carroll, ND; Eastridge, BJ; Restrepo, CS; Stasik, CN, 2018) |
"It has been demonstrated that tranexamic acid (TXA), a synthetic derivative of lysine, alleviates lung damage in a trauma-hemorrhagic shock (T/HS) model." | 7.88 | Anti-inflammatory effect of tranexamic acid against trauma-hemorrhagic shock-induced acute lung injury in rats. ( Feng, C; Gao, Y; Jin, H; Li, T; Liu, Y; Teng, Y, 2018) |
"The California Prehospital Antifibrinolytic Therapy (Cal-PAT) study seeks to assess the safety and impact on patient mortality of tranexamic acid (TXA) administration in cases of trauma-induced hemorrhagic shock." | 7.85 | Efficacy and Safety of Tranexamic Acid in Prehospital Traumatic Hemorrhagic Shock: Outcomes of the Cal-PAT Study. ( Benson, P; Borger, R; Culhane, JT; Dong, F; Jabourian, A; Jabourian, N; Kissel, S; Kwong, E; Ludi, D; Mistry, J; Neeki, MM; O'Bosky, KR; Pennington, TW; Pitts, R; Powell, J; Schulz-Costello, K; Seiler, K; Sporer, K; Surrusco, MS; Toy, J; Vaezazizi, R; Van Stralen, D; Vara, R; Wong, D; Yoshida-McMath, C, 2017) |
" Our purposes were to study the efficacy of tranexamic acid (TXA) and prothrombin complex concentrate (PCC) on a traumatic coagulopathy with a severe native metabolic acidosis and compare the efficacy of PCC versus fresh frozen plasma (FFP) to reverse a dilutional coagulopathy." | 7.79 | The effects of tranexamic acid and prothrombin complex concentrate on the coagulopathy of trauma: an in vitro analysis of the impact of severe acidosis. ( Eckert, M; Izenberg, S; Martin, MJ; McVay, D; Nelson, D; Porta, CR; Salgar, S, 2013) |
"The early administration of tranexamic acid (TXA) to bleeding trauma patients reduces all-cause mortality without increasing the risk of vascular occlusive events." | 7.78 | Tranexamic acid: less bleeding and less thrombosis? ( Godier, A; Hunt, BJ; Roberts, I, 2012) |
"In trauma patients with severe injury, 4 g intravenous bolus dosing of TXA has minimal immunomodulatory effects with respect to leukocyte phenotypes and circulating cytokine levels." | 6.94 | The Immunologic Effect of Early Intravenous Two and Four Gram Bolus Dosing of Tranexamic Acid Compared to Placebo in Patients With Severe Traumatic Bleeding (TAMPITI): A Randomized, Double-Blind, Placebo-Controlled, Single-Center Trial. ( Baty, J; Bochicchio, GV; Bochicchio, K; Cap, AP; Coleoglou Centeno, AA; Fuchs, A; Horn, CB; Levy, JH; Meledeo, MA; Pusateri, AE; Reese, S; Schuerer, D; Shea, SM; Spinella, PC; Thomas, KA; Turnbull, IR, 2020) |
"The trial included 20,127 trauma patients with, or at risk of, significant bleeding, within 8 hours of injury." | 6.78 | Development and validation of a prognostic model to predict death in patients with traumatic bleeding, and evaluation of the effect of tranexamic acid on mortality according to baseline risk: a secondary analysis of a randomised controlled trial. ( Perel, P; Prieto-Merino, D; Roberts, I; Shakur, H, 2013) |
"Compared to the CRASH-2 trial, adult trauma patients receiving TXA identified in our systematic review had a lower incidence of mortality at 28 or 30 days, but a higher incidence of in-hospital thrombotic events." | 6.61 | Mortality and Thrombosis in Injured Adults Receiving Tranexamic Acid in the Post-CRASH-2 Era. ( Benipal, S; Nishijima, DK; Santamarina, JL; Vo, L, 2019) |
"Administration of TXA following traumatic injury was associated with MOF in the fibrinolysis shutdown and hyperfibrinolysis phenotypes and warrants continued evaluation." | 5.62 | Is Tranexamic Acid Associated With Mortality or Multiple Organ Failure Following Severe Injury? ( Betzold, RD; Chow, JH; Fedeles, BT; Grissom, TE; Koerner, K; Kozar, RA; Morrison, JJ; Renner, C; Richards, JE; Scalea, TM; Schlee, CS; Trinh, AT, 2021) |
"Tranexamic acid (TXA) has recently been used to treat bleeding in trauma by preventing plasmin generation to limit fibrinolysis." | 5.56 | Tranexamic acid is associated with reduced complement activation in trauma patients with hemorrhagic shock and hyperfibrinolysis on thromboelastography. ( Barrett, CD; Chandler, J; Ghasabyan, A; Moore, EE; Moore, HB; Vigneshwar, N; Yaffe, MB, 2020) |
" Tranexamic acid (TXA) is a lysine analogue frequently used in the setting of significant trauma with hemorrhage." | 5.51 | Effect of age on the efficacy of tranexamic acid: An analysis of heterogeneity of treatment effect within the CRASH-2 dataset. ( Manoukian, MAC; Nishijima, DK; Tancredi, DJ, 2022) |
"The TXA-loaded trauma-targeted nanovesicles (T-tNVs) were evaluated in vitro in rat blood, and then in vivo in a liver trauma model in rats." | 5.51 | Trauma-targeted delivery of tranexamic acid improves hemostasis and survival in rat liver hemorrhage model. ( Banerjee, A; Girish, A; Hickman, DA; Huang, S; Luc, N; Ma, Y; Miyazawa, K; Sekhon, UDS; Sen Gupta, A; Sun, M, 2019) |
"Urgent treatment with tranexamic acid (TXA) reduces bleeding deaths but there is disagreement about which patients should be treated." | 5.22 | Effects of tranexamic acid treatment in severely and non-severely injured trauma patients. ( Ageron, FX; Roberts, I; Shakur-Still, H, 2022) |
"To examine whether the effect of tranexamic acid on the risk of death and thrombotic events in patients with traumatic bleeding varies according to baseline risk of death." | 5.16 | Effect of tranexamic acid on mortality in patients with traumatic bleeding: prespecified analysis of data from randomised controlled trial. ( Brohi, K; Coats, T; Hunt, BJ; Lecky, F; Perel, P; Prieto-Merino, D; Roberts, I; Shakur, H; Willett, K, 2012) |
" 20,211 adult trauma patients with, or at risk of, significant bleeding were randomly assigned within 8 h of injury to either tranexamic acid (loading dose 1 g over 10 min followed by infusion of 1 g over 8 h) or placebo." | 5.15 | The importance of early treatment with tranexamic acid in bleeding trauma patients: an exploratory analysis of the CRASH-2 randomised controlled trial. ( Afolabi, A; Brohi, K; Coats, T; Dewan, Y; Gando, S; Guyatt, G; Hunt, BJ; Morales, C; Perel, P; Prieto-Merino, D; Roberts, I; Shakur, H; Woolley, T, 2011) |
"Tranexamic acid can reduce bleeding in patients undergoing elective surgery." | 5.14 | Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a randomised, placebo-controlled trial. ( Bautista, R; Caballero, J; Coats, T; Dewan, Y; El-Sayed, H; Gogichaishvili, T; Gupta, S; Herrera, J; Hunt, B; Iribhogbe, P; Izurieta, M; Khamis, H; Komolafe, E; Marrero, MA; Mejía-Mantilla, J; Miranda, J; Morales, C; Olaomi, O; Olldashi, F; Perel, P; Peto, R; Ramana, PV; Ravi, RR; Roberts, I; Shakur, H; Yutthakasemsunt, S, 2010) |
"Tranexamic acid can reduce bleeding in patients undergoing elective surgery." | 5.14 | Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2) A randomised, placebo-controlled trial. ( McDonald, AH; Strachan, GG; Williams, EW; Williams-Johnson, JA, 2010) |
"Tranexamic acid (TXA) is an antifibrinolytic drug associated with improved survival among trauma patients with hemorrhage." | 5.12 | The impact of prehospital TXA on mortality among bleeding trauma patients: A systematic review and meta-analysis. ( Almuwallad, A; Cole, E; Davenport, R; Perkins, Z; Ross, J, 2021) |
" Tranexamic acid (TXA) is one of the most commonly used and widely researched antifibrinolytic agents; its role in postpartum hemorrhage, menorrhagia, trauma-associated hemorrhage, and surgical bleeding has been well defined." | 5.05 | The many roles of tranexamic acid: An overview of the clinical indications for TXA in medical and surgical patients. ( Al-Samkari, H; Cai, J; DeLoughery, TG; Olson, S; Raghunathan, V; Ribkoff, J; Shatzel, JJ, 2020) |
"Antifibrinolytic agent tranexamic acid (TXA) has a potential clinical benefit for in-hospital patients with severe bleeding but its effectiveness in pre-hospital settings remains unclear." | 4.98 | Efficacy of prehospital administration of tranexamic acid in trauma patients: A meta-analysis of the randomized controlled trials. ( Al-Thani, H; Asim, M; El-Menyar, A; Latifi, R; Sathian, B, 2018) |
"Following results from the CRASH-2 trial, tranexamic acid (TXA) gained considerable interest for the treatment of hemorrhage in trauma patients." | 4.95 | Tranexamic Acid Update in Trauma. ( Bochicchio, GV; Ramirez, RJ; Spinella, PC, 2017) |
"Tranexamic acid, an antifibrinolytic agent, reduces postoperative transfusion requirements but carries a poorly documented risk of thrombosis." | 4.89 | Trauma and severe bleeding. Tranexamic acid within one hour to reduce mortality. ( , 2013) |
"Tranexamic acid safely reduces mortality in bleeding trauma patients without increasing the risk of adverse events." | 4.88 | Antifibrinolytic drugs for acute traumatic injury. ( Coats, T; Ker, K; Roberts, I; Shakur, H, 2012) |
"In view of this efficacy and safety of this relatively cheap and simple drug, it may be recommended to put tranexamic acid in the first (maybe even prehospital) line of management of patients with severe traumatic hemorrhage." | 4.88 | Should antifibrinolytics be given in all patients with trauma? ( Levi, M, 2012) |
" Based on current evidence the elements of an evolving strategy in transfusion management and bleeding control are exposed to use of tranexamic acid, combination and ratios of blood products, use of fluids and viscoelastic testing, etc." | 4.12 | Massive transfusion in trauma: an evolving paradigm. ( Bouzat, P; Gauss, T; Moyer, JD, 2022) |
"Intravenous tranexamic acid (TXA) reduces bleeding deaths after injury and childbirth." | 4.02 | Pharmacokinetics of intramuscular tranexamic acid in bleeding trauma patients: a clinical trial. ( Davenport, R; Frimley, L; Gilliam, C; Grassin-Delyle, S; Jarman, H; Lamy, E; McGuinness, W; Moss, P; Picetti, R; Pott, J; Prowse, D; Pynn, H; Roberts, I; Shakur-Still, H; Tai, N; Thayne, A; Urien, S, 2021) |
"To determine if there is a significant association between administration of tranexamic acid (TXA) in severely bleeding, injured patients, and venous thromboembolism (VTE), myocardial infarction (MI), or cerebrovascular accident (CVA)." | 4.02 | The incidence of venous thromboembolic events in trauma patients after tranexamic acid administration: an EAST multicenter study. ( Albertson, S; Allen, R; Bernard, A; Bugaev, N; Carrick, M; Carter, K; Chang, G; Cullinane, DC; Estroff, J; Grigorian, A; Hamrick, A; Harrell, K; Hazelton, JP; Jain, G; Jeyamurugan, K; Kovar, A; Kutcher, M; Lee, A; Luo-Owen, X; Mount, M; Nahmias, J; Pascual, J; Quattrone, M; Quispe, JC; Ratnasekera, A; Rivas, L; Rodriguez, C; Sarani, B; Selevany, M; Smith, SR; Spalding, C; Sparks, A; Tamburrini, D; Tororello, G; Turay, D; Urban, S; Vella, M; Warner, A; Weinberger, J; Wright, F, 2021) |
"Tranexamic acid reduces surgical blood loss and reduces deaths from bleeding in trauma patients." | 4.02 | Validation of the BATT score for prehospital risk stratification of traumatic haemorrhagic death: usefulness for tranexamic acid treatment criteria. ( Ageron, FX; Coats, TJ; Darioli, V; Roberts, I, 2021) |
"Tranexamic acid (TXA) has been shown to decrease mortality in adult trauma patients with or at significant risk of hemorrhage when administered within 3 h of injury." | 3.91 | Evaluation of tranexamic acid in trauma patients: A retrospective quantitative analysis. ( Burgess, S; Ng, M; Perrott, J, 2019) |
"Tranexamic acid (TXA) is used as a hemostatic adjunct for hemorrhage control in the injured patient and reduces early preventable death." | 3.91 | Tranexamic acid administration is associated with an increased risk of posttraumatic venous thromboembolism. ( Brown, JB; Kutcher, ME; Myers, SP; Neal, MD; Peitzman, AB; Rosengart, MR; Sperry, JL, 2019) |
"To describe the use of tranexamic acid (TXA) in trauma care in England and Wales since the Clinical Randomization of an Antifibrinolytic in Significant Hemorrhage (CRASH-2) trial results were published in 2010." | 3.91 | Implementation of tranexamic acid for bleeding trauma patients: a longitudinal and cross-sectional study. ( Coats, TJ; Fragoso-Iñiguez, M; Roberts, I, 2019) |
" Tranexamic acid (TXA) blocks both the tPA-dependent generation of plasmin on blood clots as well as active plasmin binding to polymerized fibrin, and is commonly administered for bleeding in trauma to limit fibrinolysis." | 3.91 | Tranexamic acid mediates proinflammatory and anti-inflammatory signaling via complement C5a regulation in a plasminogen activator-dependent manner. ( Barrett, CD; Chapman, MP; Kong, YW; Lim, D; Moore, EE; Moore, HB; Sriram, G; Yaffe, MB, 2019) |
" We are planning a multicenter, randomized clinical trial evaluating tranexamic acid in children with hemorrhage." | 3.91 | Development of transfusion guidelines for injured children using a Modified Delphi Consensus Process. ( Galante, JM; Hewes, HA; Kuppermann, N; Meyers, SR; Nishijima, DK; Nuno, MA; Stanley, RM; Stephenson, JT; Thompson, KM; Trappey, AF, 2019) |
" Tranexamic acid administration was an independent risk factor for venous thromboembolism (odds ratio, 2." | 3.88 | Evaluation of Military Use of Tranexamic Acid and Associated Thromboembolic Events. ( Bradley, MJ; Elster, EA; Johnston, LR; Rodriguez, CJ, 2018) |
"We describe the case of a bleeding trauma patient who received tranexamic acid (TXA) during air transport who subsequently developed multiple intra-cardiac thrombi." | 3.88 | Left atrial thrombi following tranexamic acid in a bleeding trauma patient-A word of caution. ( Carroll, ND; Eastridge, BJ; Restrepo, CS; Stasik, CN, 2018) |
"It has been demonstrated that tranexamic acid (TXA), a synthetic derivative of lysine, alleviates lung damage in a trauma-hemorrhagic shock (T/HS) model." | 3.88 | Anti-inflammatory effect of tranexamic acid against trauma-hemorrhagic shock-induced acute lung injury in rats. ( Feng, C; Gao, Y; Jin, H; Li, T; Liu, Y; Teng, Y, 2018) |
"Tranexamic acid was associated with increased 6-hour survival but does not improve long-term outcomes in severely injured trauma patients with hemorrhage who develop hyperfibrinolysis." | 3.88 | Severely injured trauma patients with admission hyperfibrinolysis: Is there a role of tranexamic acid? Findings from the PROPPR trial. ( Bulger, EM; Holcomb, JB; Jehan, F; Joseph, B; Khan, M; OʼKeeffe, T; Schreiber, MA; Wade, CE, 2018) |
"The present study aimed to examine the association between tranexamic acid use and adverse effects (seizures, thromboembolism, and renal dysfunction) in a pediatric trauma population using a national inpatient database in Japan." | 3.88 | Safety of Tranexamic Acid During Pediatric Trauma: A Nationwide Database Study. ( Maeda, T; Matsui, H; Michihata, N; Miyata, S; Ohnishi, Y; Sasabuchi, Y; Yasunaga, H, 2018) |
" The California Prehospital Antifibrinolytic Therapy (Cal-PAT) study seeks to evaluate the safety and efficacy of tranexamic acid (TXA) use in the civilian prehospital setting in cases of traumatic hemorrhagic shock." | 3.88 | Tranexamic Acid in Civilian Trauma Care in the California Prehospital Antifibrinolytic Therapy Study. ( Borger, R; Burgett-Moreno, M; Dong, F; Jabourian, A; Kissel, S; Kwong, E; Lee, T; Ludi, D; Luo-Owen, X; Mousselli, M; Neeki, MM; Niknafs, N; O'Bosky, KR; Pennington, T; Powell, J; Rabiei, M; Sporer, K; Toy, J; Vaezazizi, R; Vara, R; Wong, D, 2018) |
"The use of TXA in the treatment of traumatic bleeding has the potential to prevent many premature deaths every year." | 3.86 | Avoidable mortality from giving tranexamic acid to bleeding trauma patients: an estimation based on WHO mortality data, a systematic literature review and data from the CRASH-2 trial. ( Edwards, P; Ker, K; Kiriya, J; Perel, P; Roberts, I; Shakur, H, 2012) |
"The California Prehospital Antifibrinolytic Therapy (Cal-PAT) study seeks to assess the safety and impact on patient mortality of tranexamic acid (TXA) administration in cases of trauma-induced hemorrhagic shock." | 3.85 | Efficacy and Safety of Tranexamic Acid in Prehospital Traumatic Hemorrhagic Shock: Outcomes of the Cal-PAT Study. ( Benson, P; Borger, R; Culhane, JT; Dong, F; Jabourian, A; Jabourian, N; Kissel, S; Kwong, E; Ludi, D; Mistry, J; Neeki, MM; O'Bosky, KR; Pennington, TW; Pitts, R; Powell, J; Schulz-Costello, K; Seiler, K; Sporer, K; Surrusco, MS; Toy, J; Vaezazizi, R; Van Stralen, D; Vara, R; Wong, D; Yoshida-McMath, C, 2017) |
" The aim of this study was to investigate the combined effect of transfusion ratios, tranexamic acid and products containing fibrinogen on the outcome of injured patients with bleeding." | 3.85 | Combined effect of therapeutic strategies for bleeding injury on early survival, transfusion needs and correction of coagulopathy. ( Baksaas-Aasen, K; Balvers, K; Brohi, K; Eaglestone, S; Gaarder, C; Goslings, JC; Johansson, PI; Juffermans, NP; Maegele, M; Ostrowski, SR; Stanworth, S; Stensballe, J; van Dieren, S, 2017) |
" The current European Management of Major Bleeding and Coagulopathy Following Trauma guidelines, published in 2013, recommend that tranexamic acid (TXA) be administered as early as possible to inhibit hyperfibrinolysis (grade of recommendation (GoR 1A))." | 3.85 | [Tranexamic acid in the German emergency medical service : A national survey]. ( Balzer, F; Casu, S; Greb, I; Henkelmann, A; Kaufner, L; von Heymann, C; Weber, CF; Zacharowski, K; Zickenrott, V, 2017) |
"Based upon the results of CRASH-2, early administration of antifibrinolytic tranexamic acid (TXA) is recommended in bleeding trauma patients or trauma patients presumed to bleed." | 3.83 | [Uncritical use of tranexamic acid in trauma patients : Do no further harm!] ( Maegele, M, 2016) |
" The CRASH-2 trial demonstrated that early administration of tranexamic acid, ideally within 3 hours, can reduce mortality from trauma-associated bleeding by up to 32%." | 3.81 | Time since injury is the major factor in preventing tranexamic acid use in the trauma setting: An observational cohort study from a major trauma centre in a middle-income country. ( Chowdhury, S; Edu, S; Navsaria, PH; Nicol, AJ; Thurston, B, 2015) |
"Accumulating evidence established the benefit of tranexamic acid (TXA) for traumatic bleeding in the hospital setting." | 3.80 | Tranexamic acid at the point of injury: the Israeli combined civilian and military experience. ( Abramovich, A; Benov, A; Gendler, S; Glassberg, E; Nadler, R; Strugo, R, 2014) |
" Our purposes were to study the efficacy of tranexamic acid (TXA) and prothrombin complex concentrate (PCC) on a traumatic coagulopathy with a severe native metabolic acidosis and compare the efficacy of PCC versus fresh frozen plasma (FFP) to reverse a dilutional coagulopathy." | 3.79 | The effects of tranexamic acid and prothrombin complex concentrate on the coagulopathy of trauma: an in vitro analysis of the impact of severe acidosis. ( Eckert, M; Izenberg, S; Martin, MJ; McVay, D; Nelson, D; Porta, CR; Salgar, S, 2013) |
" Reducing injection pain of local anesthetics, reducing irradiation by using alternative diagnostic tools in appendicitis suspicion, and identification of trauma patients who benefit from tranexamic acid administration are other illustrations of the efforts to improve efficacy, safety and comfort in the management of emergency patients." | 3.78 | [Emergency medicine: updates 2011]. ( Carron, PN; Dami, F; Grosgurin, O; Marti, C; Rutschmann, O; Rutz, P, 2012) |
"The early administration of tranexamic acid (TXA) to bleeding trauma patients reduces all-cause mortality without increasing the risk of vascular occlusive events." | 3.78 | Tranexamic acid: less bleeding and less thrombosis? ( Godier, A; Hunt, BJ; Roberts, I, 2012) |
" This series of studies tested whether these drugs (aprotinin, desmopressin, tranexamic acid, epsilon-aminocaproic acid) could reduce bleeding due to traumatic injuries in two models of uncontrolled hemorrhage in rats." | 3.73 | Efficacy of FDA-approved hemostatic drugs to improve survival and reduce bleeding in rat models of uncontrolled hemorrhage. ( Cortez, DS; Dick, EJ; Pusateri, AE; Ryan, KL, 2006) |
"We randomly assigned adults with major trauma who were at risk for trauma-induced coagulopathy to receive tranexamic acid (administered intravenously as a bolus dose of 1 g before hospital admission, followed by a 1-g infusion over a period of 8 hours after arrival at the hospital) or matched placebo." | 3.30 | Prehospital Tranexamic Acid for Severe Trauma. ( Bernard, SA; Burns, B; Cameron, PA; Dicker, B; Forbes, AB; Gantner, DC; Gruen, RL; Hurford, S; Maegele, M; Martin, CA; Mazur, SM; McArthur, CJ; Medcalf, RL; Mitra, B; Murray, LJ; Myles, PS; Ng, SJ; Pitt, V; Rashford, S; Reade, MC; Swain, AH; Trapani, T; Young, PJ, 2023) |
" Individual conclusions regarding optimal dosing of TXA can be made within each injury group." | 3.01 | The design of a Bayesian adaptive clinical trial of tranexamic acid in severely injured children. ( Casper, TC; Dean, JM; Kuppermann, N; Lewis, RJ; McGlothlin, A; Nishijima, DK; VanBuren, JM, 2021) |
"Hemorrhage and trauma-induced coagulopathy cause significant morbidity and mortality in trauma patients." | 3.01 | Alternative blood products in trauma. ( Jan, KM; Mohapatra, S; Moon, TS, 2023) |
"Hemorrhage is a leading cause of death after trauma and childbirth." | 2.94 | Risk factors for blood transfusion in traumatic and postpartum hemorrhage patients: Analysis of the CRASH-2 and WOMAN trials. ( Bates, I; Bello, A; Chaudhri, R; Kolin, DA; Roberts, I; Shakur-Still, H, 2020) |
"In trauma patients with severe injury, 4 g intravenous bolus dosing of TXA has minimal immunomodulatory effects with respect to leukocyte phenotypes and circulating cytokine levels." | 2.94 | The Immunologic Effect of Early Intravenous Two and Four Gram Bolus Dosing of Tranexamic Acid Compared to Placebo in Patients With Severe Traumatic Bleeding (TAMPITI): A Randomized, Double-Blind, Placebo-Controlled, Single-Center Trial. ( Baty, J; Bochicchio, GV; Bochicchio, K; Cap, AP; Coleoglou Centeno, AA; Fuchs, A; Horn, CB; Levy, JH; Meledeo, MA; Pusateri, AE; Reese, S; Schuerer, D; Shea, SM; Spinella, PC; Thomas, KA; Turnbull, IR, 2020) |
"Bleeding is an important cause of death in trauma victims." | 2.90 | Introduction of a standardised protocol, including systematic use of tranexamic acid, for management of severe adult trauma patients in a low-resource setting: the MSF experience from Port-au-Prince, Haiti. ( Benedetti, G; Edema, N; Jachetti, A; Massénat, RB; Trelles, M; Van Den Bergh, R; Woolley, SC, 2019) |
"Future trauma trials that evaluate tranexamic acid use should also consider functional status as an important outcome." | 2.90 | The Effect of Tranexamic Acid on Functional Outcomes: An Exploratory Analysis of the CRASH-2 Randomized Controlled Trial. ( Kuppermann, N; Nishijima, DK; Roberts, I; Tancredi, DJ; VanBuren, JM, 2019) |
"The evidence gap in mature civilian trauma systems is limiting the widespread use of TXA and its potential benefits on survival." | 2.80 | Tranexamic acid use in severely injured civilian patients and the effects on outcomes: a prospective cohort study. ( Brohi, K; Cole, E; Davenport, R; Willett, K, 2015) |
"The trial included 20,127 trauma patients with significant bleeding from 274 hospitals in 40 countries." | 2.79 | Red blood cell transfusion and mortality in trauma patients: risk-stratified analysis of an observational study. ( Altman, DG; Clayton, T; Croft, P; Douglas, I; Hemingway, H; Hingorani, A; Morley, KI; Perel, P; Riley, R; Roberts, I; Timmis, A; Van der Windt, D, 2014) |
"The trial included 20,127 trauma patients with, or at risk of, significant bleeding, within 8 hours of injury." | 2.78 | Development and validation of a prognostic model to predict death in patients with traumatic bleeding, and evaluation of the effect of tranexamic acid on mortality according to baseline risk: a secondary analysis of a randomised controlled trial. ( Perel, P; Prieto-Merino, D; Roberts, I; Shakur, H, 2013) |
"Trauma is a major source of morbidity and mortality for children worldwide; life-threatening hemorrhage is a primary cause of preventable death." | 2.72 | Hemostatic Resuscitation in Children. ( Leeper, C; Ramos-Jimenez, RG, 2021) |
"Nine studies, comprising of 1218 trauma patients and 1432 device insertions, were included." | 2.72 | Intraosseous access in the resuscitation of trauma patients: a literature review. ( De'Ath, HD; Perkins, Z; Tyler, JA, 2021) |
"A quality assurance review of eligible trauma patients across the province was performed using a convenience sample." | 2.72 | Assessing the clinical utilization of tranexamic acid by paramedics for patients with major trauma (ACUTE). ( Acker, J; Jenneson, S; Mabasa, VH; Su, G; Tallon, JM; Wan, W; Wong, D, 2021) |
"Tranexamic acid (TXA) is an antifibrinolytic agent used to prevent traumatic exsanguination." | 2.66 | The Use of Tranexamic Acid (TXA) for the Management of Hemorrhage in Trauma Patients in the Prehospital Environment: Literature Review and Descriptive Analysis of Principal Themes. ( Jesulola, E; Morris, D; Stansfield, R, 2020) |
"Special trauma populations at particularly high risk are also reviewed, including the geriatric population, as well as unstable pelvic fractures, which are each at increased risk for poor outcomes, and deserve special attention." | 2.66 | Limiting Blood Loss in Orthopaedic Trauma: Strategies and Effects. ( Leighton, JL; Schneider, P; You, D, 2020) |
"Transfusion therapy in hemorrhaging trauma patients is associated with the development of thromboembolic events." | 2.66 | The impact of blood product ratio and procoagulant therapy on the development of thromboembolic events in severely injured hemorrhaging trauma patients. ( Goslings, JC; Juffermans, NP; Schalkers, DV; Wirtz, MR, 2020) |
"Acute blood loss in trauma requires quick identification and action to restore circulating volume and save the patient." | 2.66 | Massive transfusion protocol in adult trauma population. ( Boneva, D; Elkbuli, A; McKenney, M; Meneses, E, 2020) |
"TXA concentrations of 10-15 mg/l may be suitable targets for pharmacokinetic studies, although TXA concentrations above 5 mg/l may also be effective." | 2.61 | What concentration of tranexamic acid is needed to inhibit fibrinolysis? A systematic review of pharmacodynamics studies. ( Medcalf, RL; Picetti, R; Roberts, I; Shakur-Still, H; Standing, JF, 2019) |
" Recent data on TXA's use in spine surgery suggest that TXA remains both efficacious and safe, although the ideal dosing and timing of administration is still a point of disagreement." | 2.61 | The Use of Tranexamic Acid to Reduce Surgical Blood Loss: A Review Basic Science, Subspecialty Studies, and The Evolution of Use in Spine Deformity Surgery. ( Kark, J; Slattery, C; Verma, K; Wagner, T, 2019) |
"The improved understanding of trauma-induced coagulopathy in adults has led to an evolution in the strategies of damage-control resuscitation." | 2.61 | Pediatric trauma-related coagulopathy: Balanced resuscitation, goal-directed therapy and viscoelastic assays. ( Drucker, NA; Newton, C; Wang, SK, 2019) |
"Compared to the CRASH-2 trial, adult trauma patients receiving TXA identified in our systematic review had a lower incidence of mortality at 28 or 30 days, but a higher incidence of in-hospital thrombotic events." | 2.61 | Mortality and Thrombosis in Injured Adults Receiving Tranexamic Acid in the Post-CRASH-2 Era. ( Benipal, S; Nishijima, DK; Santamarina, JL; Vo, L, 2019) |
"Uncontrolled hemorrhage and subsequent trauma-induced coagulopathy (TIC) are still the principle causes for preventable death after trauma and early detection and aggressive management have been associated with reduced mortality." | 2.55 | Updated concepts on the pathophysiology and the clinical management of trauma hemorrhage and coagulopathy. ( Gu, ZT; Huang, QB; Maegele, M; Yang, H, 2017) |
"In patients with orthopaedic trauma, TXA reduces the risk of blood transfusion, reduces perioperative blood loss, and has no significant effect on the risk of symptomatic thromboembolic events." | 2.55 | Tranexamic Acid in Orthopaedic Trauma Surgery: A Meta-Analysis. ( Boone, MD; Gausden, EB; Lorich, DG; OʼGara, B; Qudsi, R; Ruzbarsky, JJ, 2017) |
"Tranexamic acid has gained recent interest in orthopedics and trauma surgery because of its demonstrated benefit in several clinical trials." | 2.53 | Application of Tranexamic Acid in Trauma and Orthopedic Surgery. ( Haydel, C; Jennings, JD; Solarz, MK, 2016) |
"Paediatric trauma is the leading cause of mortality in children." | 2.53 | Paediatric trauma resuscitation: an update. ( Giannoudis, PV; Tosounidis, TH, 2016) |
"Whereas in DIC associated with trauma, since balance between coagulation and fibrinolysis collapses drastically in a short period, both anticoagulantion therapy and antifibrinolytic therapy can be utilized depending on clinical conditions." | 2.53 | [Anti DIC therapy]. ( Sakamoto, Y; Yahata, M, 2016) |
"The use of tranexamic acid in trauma was supported by "high" quality evidence according to the GRADE classification but was downgraded to "moderate" for external validity issues." | 2.53 | Blood Component Therapy and Coagulopathy in Trauma: A Systematic Review of the Literature from the Trauma Update Group. ( Chiara, O; Chieregato, A; Coniglio, C; Cortegiani, A; De Blasio, E; Fossi, F; Gianesello, L; Gordini, G; Grossi, S; Mengoli, F; Orzalesi, V; Pellegrini, C; Poole, D; Russo, E; Volpi, A, 2016) |
"In most trauma centres, coagulation therapy is established with transfusion of high volumes of fresh frozen plasma." | 2.52 | Management of traumatic haemorrhage--the European perspective. ( Schlimp, CJ; Schöchl, H; Voelckel, W, 2015) |
" Additionally, risk of thromboembolism, dosing regimens, and timing of dosing are assessed." | 2.52 | Tranexamic acid: from trauma to routine perioperative use. ( Pittet, JF; Sikorski, RA; Simmons, J, 2015) |
"Uncontrolled bleeding is an important cause of death in trauma victims." | 2.52 | Antifibrinolytic drugs for acute traumatic injury. ( Coats, TJ; Ker, K; Roberts, I; Shakur, H, 2015) |
"Tranexamic acid (TXA) has recently been shown to reduce mortality in trauma patients when administered upon hospital admission, and available data suggest that early dosing confers maximum benefit." | 2.52 | Tranexamic acid as part of remote damage-control resuscitation in the prehospital setting: A critical appraisal of the medical literature and available alternatives. ( Ausset, S; Cap, AP; Glassberg, E; Hoffmann, C; Nadler, R; Plang, S; Sailliol, A; Sunde, G, 2015) |
"Herein, we explore the underpinnings of trauma associated coagulopathy, the basic science behind the role of fibrinogen in acute traumatic coagulopathy, and the rationale behind and the data derived from management of hypofibrinogenemia as well as hyperfibrinolysis." | 2.50 | Role of fibrinogen in massive injury. ( Kaplan, LJ; Maung, AA, 2014) |
"The coagulopathy induced by trauma is independently associated with mortality, increased transfusion requirements, multiple organ dysfunction, infections, increased intensive care unit (ICU) length of stay, and costs." | 2.50 | A systematic review of antifibrinolytics and massive injury. ( Faraoni, D; Van Der Linden, P, 2014) |
"Fibrinogen depletes early after severe trauma; therefore, it seems to be reasonable to maintain plasma fibrinogen as early as possible." | 2.50 | Tranexamic acid, fibrinogen concentrate, and prothrombin complex concentrate: data to support prehospital use? ( Maegele, M; Schlimp, CJ; Schöchl, H, 2014) |
"Bleeding in trauma carries a high mortality and is increased in case of coagulopathy." | 2.50 | Viscoelastic guidance of resuscitation. ( Johansson, PI; Ostrowski, SR; Stensballe, J, 2014) |
"Bleeding and coagulopathy after trauma increases mortality in both adults and children." | 2.50 | Tranexamic acid in pediatric trauma: why not? ( Ackery, AD; Beno, S; Callum, J; Rizoli, S, 2014) |
"Diagnosis and treatment of trauma-induced coagulopathy (TIC) presents a challenge for trauma care providers." | 2.49 | Potential value of pharmacological protocols in trauma. ( Schlimp, CJ; Schöchl, H; Voelckel, W, 2013) |
"Future treatment of trauma-induced coagulopathy may be based on systemic antifibrinolytics, local haemostatics and individualized point-of-care-guided rational use of coagulation factor concentrates such as fibrinogen, prothrombin complex concentrate, recombinant factor VIIa and factor XIII." | 2.48 | Emerging treatment strategies for trauma-induced coagulopathy. ( Fries, D; Sorensen, B, 2012) |
"The management of trauma patients has matured significantly since a systematic approach to trauma care was introduced nearly a half century ago." | 2.48 | Review article: update in trauma anesthesiology: perioperative resuscitation management. ( Tobin, JM; Varon, AJ, 2012) |
"Current evidence in trauma resuscitation indicates a potential role for coagulation factor concentrates and other haemostatic agents in correcting trauma-induced coagulopathy." | 2.48 | Coagulation management. ( Grottke, O, 2012) |
"Uncontrolled bleeding is an important cause of death in trauma victims." | 2.47 | Antifibrinolytic drugs for acute traumatic injury. ( Coats, T; Ker, K; Roberts, I; Shakur, H, 2011) |
"Tranexamic acid (TXA) is an antifibrinolytic that inhibits both plasminogen activation and plasmin activity, thus preventing clot break-down rather than promoting new clot formation." | 2.47 | Tranexamic acid for trauma patients: a critical review of the literature. ( Aden, J; Baer, DG; Blackbourne, LH; Cap, AP; Orman, JA; Ryan, K, 2011) |
"Hemorrhage is the leading cause of preventable death after injury." | 1.91 | Time to early resuscitative intervention association with mortality in trauma patients at risk for hemorrhage. ( Brown, JB; Claridge, JA; Daley, BJ; Deeb, AP; Eastridge, BJ; Guyette, FX; Harbrecht, BG; Joseph, B; Miller, RS; Nirula, R; Phelan, HA; Sperry, JL; Vercruysse, GA, 2023) |
"Pediatric trauma patients less than 18 years old." | 1.91 | Prehospital Tranexamic Acid Administration in Pediatric Trauma Patients: A Propensity-Matched Analysis of the Israeli Defense Forces Registry. ( Ahimor, A; Almog, O; Avital, G; Benov, A; Gelikas, S; Gendler, S; Glassberg, E; Lipsky, AM; Mozer Glassberg, Y; Nadler, R; Radomislensky, I; Talmy, T; Yazer, MH, 2023) |
"Second, we examined data from the Trauma and Audit Research Network (TARN) to explore sex differences in the receipt of TXA." | 1.72 | Use of tranexamic acid in major trauma: a sex-disaggregated analysis of the Clinical Randomisation of an Antifibrinolytic in Significant Haemorrhage (CRASH-2 and CRASH-3) trials and UK trauma registry (Trauma and Audit Research Network) data. ( Ageron, FX; Brenner, A; Nutbeam, T; Roberts, I; Shakur-Still, H; Weekes, L, 2022) |
" The median dosage was 16 mg/kg (13-19 mg/kg)." | 1.72 | Prehospital Tranexamic Acid in Major Pediatric Trauma Within a Physician-Led Emergency Medical Services System: A Multicenter Retrospective Study. ( Benhamed, A; Bouchut, JC; Claustre, C; Courtil-Teyssedre, S; David, JS; El Khoury, C; Fraticelli, L; Gossiome, A; Jacquet, L; Javouhey, E; Mercier, E; Taverna, XJ; Tazarourte, K, 2022) |
"Military neck injuries are a significant cause of substantial disability and result in incompatibility with combat duties in previously healthy soldiers." | 1.62 | Neck injuries - israel defense forces 20 years' experience. ( Abuhasira, S; Benov, A; Chen, J; Glick, Y; Mizrachi, A; Nadler, R; Radomislensky, I; Tsur, AM; Tsur, N, 2021) |
"Ninety-five patients received TXA for traumatic injuries, 42." | 1.62 | Unjustified Administration in Liberal Use of Tranexamic Acid in Trauma Resuscitation. ( Adams, CA; Jikaria, N; Kheirbek, T; Lueckel, SN; Martin, TJ; Monaghan, SF; Murray, B; Stephen, AH, 2021) |
"Administration of TXA following traumatic injury was associated with MOF in the fibrinolysis shutdown and hyperfibrinolysis phenotypes and warrants continued evaluation." | 1.62 | Is Tranexamic Acid Associated With Mortality or Multiple Organ Failure Following Severe Injury? ( Betzold, RD; Chow, JH; Fedeles, BT; Grissom, TE; Koerner, K; Kozar, RA; Morrison, JJ; Renner, C; Richards, JE; Scalea, TM; Schlee, CS; Trinh, AT, 2021) |
"During the period studied, 53 trauma patients requiring activation of the MTP were identified." | 1.62 | Use of tranexamic acid in trauma patients requiring massive transfusion protocol activation: a reassessment of prescribing behaviours in a major trauma centre in New Zealand. ( Chapman, NG; Nicholas, ERV, 2021) |
"Tranexamic acid (TXA) has shown to be beneficial in patients in hemorrhagic shock, although widespread adoption might result in incorrect TXA administration leading to increased morbidity and mortality." | 1.62 | Does Liberal Prehospital and In-Hospital Tranexamic Acid Influence Outcome in Severely Injured Patients? A Prospective Cohort Study. ( Leenen, LPH; van Wessem, KJP, 2021) |
"An academic level 1 trauma centre in the Lyon Region, from March 2011 to December 2016." | 1.56 | Fibrinolytic shutdown diagnosed with rotational thromboelastometry represents a moderate form of coagulopathy associated with transfusion requirement and mortality: A retrospective analysis. ( Bouzat, P; David, JS; Geay-Baillat, AM; Inaba, K; Incagnoli, P; Lambert, A; Maegele, M; Taverna, XJ, 2020) |
"After major trauma, there seems to be an early 'antifibrinolytic gap' with the natural antifibrinolytic system lagging several hours behind the natural profibrinolytics." | 1.56 | Biological mechanisms and individual variation in fibrinolysis after major trauma. ( Coats, TJ; Morsy, M, 2020) |
" Secondary outcomes included total blood products transfused, hospital length of stay (LOS), intensive care unit LOS, and adverse events." | 1.56 | Safety and Efficacy of Hospital Utilization of Tranexamic Acid in Civilian Adult Trauma Resuscitation. ( Borger, R; Chandwani, D; Comunale, ME; Dong, F; Inaba, K; Lowe, A; Neeki, MM; Powell, J; Quispe, J; Rabiei, M; Salameh, J; Toy, J; Vara, R; Wong, D, 2020) |
"Tranexamic acid (TXA) has recently been used to treat bleeding in trauma by preventing plasmin generation to limit fibrinolysis." | 1.56 | Tranexamic acid is associated with reduced complement activation in trauma patients with hemorrhagic shock and hyperfibrinolysis on thromboelastography. ( Barrett, CD; Chandler, J; Ghasabyan, A; Moore, EE; Moore, HB; Vigneshwar, N; Yaffe, MB, 2020) |
"Tranexamic acid has been proven to reduce all causes of mortality and mortality due to bleeding." | 1.51 | Administration of tranexamic acid for victims of severe trauma within pre-hospital care ambulance services (PHCAS) in Malaysia. ( Ahmad Ibrahim, KB; Ahmad Tajuddin, MN; Aik Howe, T; Anandakumar, K; Fatahul Laham, M; Fitzgerald, M; Kiat Kee, G; Mathew, J; Md Saed, M; Mohd Amin, M; Mohd Idzwan, Z; Mohd Khairizam, MY; Nurul Azlean, N; Ridzuan, MI; Sabariah Faizah, J; Shah Jahan, MY; Shamila, MA, 2019) |
"Hemorrhage is the leading cause of potentially survivable deaths in combat." | 1.51 | An Analysis of Adherence to Tactical Combat Casualty Care Guidelines for the Administration of Tranexamic Acid. ( April, MD; Carius, BM; Fisher, AD; Maddry, JK; Naylor, JF; Schauer, SG, 2019) |
"Adult major trauma patients with, or at risk of, active bleeding who were managed according to the MTP during the years 2011-2012, or the ECS protocol during the years 2013-2014 and were considered at risk of multiple transfusions, were enrolled." | 1.51 | Early coagulation support protocol: A valid approach in real-life management of major trauma patients. Results from two Italian centres. ( Antonelli, M; Barelli, R; Bianchi, M; Bocci, MG; Caricato, A; Cingolani, E; Cutuli, SL; De Candia, E; De Pascale, G; Dell'Anna, AM; Fiore, V; Grieco, DL; Maresca, M; Mercurio, G; Nardi, G; Palma, A; Rondinelli, MB; Tersali, A; Veronesi, G, 2019) |
"Tranexamic acid (TXA) has been shown to reduce mortality in the treatment of traumatic hemorrhage." | 1.51 | Prehospital Tranexamic Acid Administration During Aeromedical Transport After Injury. ( Boudreau, RM; Day, GM; Deshpande, KK; Goodman, MD; Harger, N; Hinckley, WR; Makley, AT; Pritts, TA, 2019) |
"We prospectively recruited hemorrhaging trauma patients in six level-1 trauma centres in Europe." | 1.51 | Towards patient-specific management of trauma hemorrhage: the effect of resuscitation therapy on parameters of thromboelastometry. ( Baksaas-Aasen, K; Balvers, K; Brohi, K; Gaarder, C; Goslings, JC; Johansson, PI; Juffermans, NP; Maegele, M; Naess, PA; Stanworth, S; Stensballe, J; van Dieren, S; Wirtz, MR, 2019) |
"The TXA-loaded trauma-targeted nanovesicles (T-tNVs) were evaluated in vitro in rat blood, and then in vivo in a liver trauma model in rats." | 1.51 | Trauma-targeted delivery of tranexamic acid improves hemostasis and survival in rat liver hemorrhage model. ( Banerjee, A; Girish, A; Hickman, DA; Huang, S; Luc, N; Ma, Y; Miyazawa, K; Sekhon, UDS; Sen Gupta, A; Sun, M, 2019) |
"Objective Multidisciplinary trauma teams are the standard of care in the USA, but staffing differences and lack of advanced trauma life support training hinder replication of this system in Chinese hospitals." | 1.48 | Effect of team training on efficiency of trauma care in a Chinese hospital. ( Cai, X; Hong, Y, 2018) |
"MODS was compared between groups according to biomarker dynamics: persistently abnormal; abnormal to normal; and persistently normal." | 1.48 | Endotheliopathy of Trauma is an on-Scene Phenomenon, and is Associated with Multiple Organ Dysfunction Syndrome: A Prospective Observational Study. ( Belli, A; Bishop, J; Davies, DJ; Harrison, P; Hazeldine, J; Lord, JM; Midwinter, MJ; Naumann, DN, 2018) |
"Tranexamic acid was administered at a median (IQR [range]) time of 43 (30-55 [5-135]) min after trauma." | 1.48 | Optimisation of the dosage of tranexamic acid in trauma patients with population pharmacokinetic analysis. ( Albrecht, R; Grassin-Delyle, S; Mueller, S; Spahn, DR; Stein, P; Theusinger, OM; Urien, S, 2018) |
"Tranexamic acid (TXA) use in severe trauma remains controversial notably because of concerns of the applicability of the CRASH-2 study findings in mature trauma systems." | 1.48 | Tranexamic acid in severe trauma patients managed in a mature trauma care system. ( Abback, P; Ausset, S; Boutonnet, M; Cap, AP; Follin, A; Harrois, A; Imbert, N; Le Saché, F; Trichereau, J, 2018) |
"The onset of acute traumatic coagulopathy in trauma patients exacerbates hemorrhaging and dramatically increases mortality." | 1.48 | Computational Model for Hyperfibrinolytic Onset of Acute Traumatic Coagulopathy. ( Brummel-Ziedins, K; Buoni, M; Cohen, M; Orfeo, T; Petzold, L; Wu, S; Wu, TB, 2018) |
"During the period studied, 27 adult trauma patients who required activation of the MTP were identified." | 1.48 | Use of tranexamic acid in trauma patients requiring massive transfusion protocol activation: an audit in a major trauma centre in New Zealand. ( Chapman, N, 2018) |
"We hypothesize that trauma patients who present to the hospital with physiological levels of fibrinolysis will have increased mortality if they receive TXA." | 1.46 | Tranexamic acid is associated with increased mortality in patients with physiological fibrinolysis. ( Einersen, PM; Huebner, BR; Moore, EE; Moore, HB; Nunns, GR; Sauaia, A; Silliman, CC; Stettler, GR, 2017) |
"Tranexamic acid (TXA) has been previously reported to have a mortality benefit in civilian and combat-related trauma, and was thus added to the Joint Theater Trauma System Damage Control Resuscitation Clinical Practice Guideline." | 1.46 | Military use of tranexamic acid in combat trauma: Does it matter? ( Bailey, JA; Cap, AP; Gross, KR; Howard, JT; Stockinger, ZT, 2017) |
"Tranexamic acid (TXA) has been shown to reduce mortality from severe haemorrhage." | 1.43 | Tranexamic acid in life-threatening military injury and the associated risk of infective complications. ( Carson, ML; Lewis, CJ; Li, P; Murray, CK; Ross, JD; Stewart, L; Tribble, DR; Weintrob, AC, 2016) |
" Additional work is needed to identify appropriate indications for TXA and provide dosage guidelines among children with a variety of conditions, including trauma." | 1.43 | Tranexamic Acid Use in United States Children's Hospitals. ( Faraoni, D; Galante, J; Goobie, SM; Holmes, JF; Kuppermann, N; Lee, L; Monuteaux, MC; Nishijima, DK, 2016) |
"Primarily admitted trauma patients (2012 until 2014) who were treated with TXA during the prehospital phase were matched with patients who had not received prehospital TXA, applying propensity score-based matching." | 1.43 | Prehospital administration of tranexamic acid in trauma patients. ( Böhmer, AB; Bouillon, B; Gäßler, M; Lefering, R; Ruppert, M; Wafaisade, A, 2016) |
"Tranexamic acid was considered in MTP trauma patients who arrived at the medical center within 8 hours of traumatic injury, were 15 years of age or older, and weighed at least 40 kg." | 1.42 | Addition of tranexamic acid to a traumatic injury massive transfusion protocol. ( Burke, PA; Farrell, NM; Huiras, P; Wing, HA, 2015) |
" Standard adult dosing of TXA was used in all patients." | 1.40 | Tranexamic acid administration to pediatric trauma patients in a combat setting: the pediatric trauma and tranexamic acid study (PED-TRAX). ( Eckert, MJ; Izenberg, S; Martin, MJ; Nelson, DW; Tyner, SD; Wertin, TM, 2014) |
"The aim of the study was to create a trauma coagulopathy model (TCM) with a hyperfibrinolysis thrombelastography (TEG) pattern similar to injured patients and test the effects of different resuscitation fluids and antifibrinolytics on fibrinolysis." | 1.39 | Influence of resuscitation fluids, fresh frozen plasma and antifibrinolytics on fibrinolysis in a thrombelastography-based, in-vitro, whole-blood model. ( Cotton, BA; Holcomb, JB; Kostousov, V; Matijevic, N; Wade, CE; Wang, YW, 2013) |
"and U." | 1.39 | Association of cryoprecipitate and tranexamic acid with improved survival following wartime injury: findings from the MATTERs II Study. ( Dubose, JJ; Jansen, JO; Midwinter, MJ; Morrison, JJ; Rasmussen, TE; Ross, JD, 2013) |
"It is present in 2-8% of trauma patients and associated with shock and increased mortality." | 1.37 | [Hyperfibrinolysis as the cause of haemorrhage and increased mortality in trauma patients]. ( Afshari, A; Johansson, PI; Stensballe, J; Wikkelsø, AJ, 2011) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 2 (0.93) | 18.7374 |
1990's | 0 (0.00) | 18.2507 |
2000's | 7 (3.24) | 29.6817 |
2010's | 153 (70.83) | 24.3611 |
2020's | 54 (25.00) | 2.80 |
Authors | Studies |
---|---|
Gauss, T | 1 |
Moyer, JD | 1 |
Bouzat, P | 2 |
Ramos-Jimenez, RG | 1 |
Leeper, C | 1 |
Rossetto, A | 1 |
Vulliamy, P | 2 |
Lee, KM | 1 |
Brohi, K | 6 |
Davenport, R | 4 |
VanBuren, JM | 2 |
Casper, TC | 1 |
Nishijima, DK | 7 |
Kuppermann, N | 4 |
Lewis, RJ | 1 |
Dean, JM | 1 |
McGlothlin, A | 1 |
Manoukian, MAC | 1 |
Tancredi, DJ | 2 |
Roberts, I | 30 |
Shakur-Still, H | 7 |
Nutbeam, T | 1 |
Weekes, L | 1 |
Brenner, A | 1 |
Ageron, FX | 4 |
Gossiome, A | 1 |
Claustre, C | 1 |
Fraticelli, L | 1 |
Jacquet, L | 1 |
Bouchut, JC | 1 |
Javouhey, E | 1 |
Courtil-Teyssedre, S | 1 |
Taverna, XJ | 2 |
David, JS | 4 |
Mercier, E | 1 |
Tazarourte, K | 1 |
El Khoury, C | 1 |
Benhamed, A | 1 |
Borgman, MA | 1 |
Cazes, N | 1 |
Balaz, PA | 1 |
Renard, A | 1 |
Boutillier du Retail, C | 1 |
Deeb, AP | 1 |
Guyette, FX | 1 |
Daley, BJ | 1 |
Miller, RS | 1 |
Harbrecht, BG | 1 |
Claridge, JA | 1 |
Phelan, HA | 1 |
Eastridge, BJ | 2 |
Joseph, B | 2 |
Nirula, R | 1 |
Vercruysse, GA | 1 |
Sperry, JL | 2 |
Brown, JB | 2 |
Jan, KM | 1 |
Mohapatra, S | 1 |
Moon, TS | 1 |
Gendler, S | 2 |
Gelikas, S | 1 |
Talmy, T | 1 |
Lipsky, AM | 1 |
Avital, G | 1 |
Nadler, R | 5 |
Radomislensky, I | 2 |
Ahimor, A | 1 |
Glassberg, E | 4 |
Mozer Glassberg, Y | 1 |
Almog, O | 1 |
Yazer, MH | 2 |
Benov, A | 4 |
Gruen, RL | 7 |
Mitra, B | 4 |
Bernard, SA | 1 |
McArthur, CJ | 1 |
Burns, B | 1 |
Gantner, DC | 1 |
Maegele, M | 7 |
Cameron, PA | 2 |
Dicker, B | 1 |
Forbes, AB | 1 |
Hurford, S | 1 |
Martin, CA | 1 |
Mazur, SM | 1 |
Medcalf, RL | 4 |
Murray, LJ | 1 |
Myles, PS | 1 |
Ng, SJ | 1 |
Pitt, V | 2 |
Rashford, S | 1 |
Reade, MC | 5 |
Swain, AH | 1 |
Trapani, T | 1 |
Young, PJ | 1 |
Shah Jahan, MY | 1 |
Shamila, MA | 1 |
Nurul Azlean, N | 1 |
Mohd Amin, M | 1 |
Anandakumar, K | 1 |
Ahmad Ibrahim, KB | 1 |
Ahmad Tajuddin, MN | 1 |
Aik Howe, T | 1 |
Md Saed, M | 1 |
Fatahul Laham, M | 1 |
Ridzuan, MI | 1 |
Mohd Idzwan, Z | 1 |
Mohd Khairizam, MY | 1 |
Mathew, J | 1 |
Fitzgerald, M | 2 |
Sabariah Faizah, J | 1 |
Kiat Kee, G | 1 |
Walsh, K | 1 |
O'Keeffe, F | 1 |
Moore, HB | 9 |
Moore, BA | 1 |
Sauaia, A | 6 |
Moore, EE | 10 |
Lambert, A | 1 |
Incagnoli, P | 1 |
Geay-Baillat, AM | 1 |
Inaba, K | 4 |
Jachetti, A | 1 |
Massénat, RB | 1 |
Edema, N | 1 |
Woolley, SC | 1 |
Benedetti, G | 1 |
Van Den Bergh, R | 1 |
Trelles, M | 1 |
Fisher, AD | 1 |
Carius, BM | 1 |
April, MD | 1 |
Naylor, JF | 1 |
Maddry, JK | 1 |
Schauer, SG | 1 |
Bocci, MG | 1 |
Nardi, G | 1 |
Veronesi, G | 1 |
Rondinelli, MB | 1 |
Palma, A | 1 |
Fiore, V | 1 |
De Candia, E | 1 |
Bianchi, M | 1 |
Maresca, M | 1 |
Barelli, R | 1 |
Tersali, A | 1 |
Dell'Anna, AM | 1 |
De Pascale, G | 1 |
Cutuli, SL | 1 |
Mercurio, G | 1 |
Caricato, A | 1 |
Grieco, DL | 1 |
Antonelli, M | 1 |
Cingolani, E | 1 |
Cai, J | 1 |
Ribkoff, J | 1 |
Olson, S | 1 |
Raghunathan, V | 1 |
Al-Samkari, H | 1 |
DeLoughery, TG | 1 |
Shatzel, JJ | 1 |
Hu, M | 1 |
Liu, ZB | 1 |
Bi, G | 1 |
Coats, TJ | 4 |
Morsy, M | 1 |
Stansfield, R | 1 |
Morris, D | 1 |
Jesulola, E | 1 |
Tyler, JA | 1 |
Perkins, Z | 2 |
De'Ath, HD | 1 |
Neeki, MM | 3 |
Dong, F | 3 |
Toy, J | 3 |
Salameh, J | 1 |
Rabiei, M | 2 |
Powell, J | 4 |
Vara, R | 3 |
Wong, D | 4 |
Comunale, ME | 1 |
Lowe, A | 1 |
Chandwani, D | 1 |
Quispe, J | 1 |
Borger, R | 3 |
Draxler, DF | 1 |
Barrett, CD | 4 |
Yaffe, MB | 4 |
Briggs, GD | 1 |
Balogh, ZJ | 1 |
Walsh, M | 2 |
Grisoli, A | 1 |
Zackariya, N | 1 |
Thomas, AV | 1 |
Sualeh, A | 1 |
Wu, TB | 2 |
Orfeo, T | 2 |
Sumislawski, JJ | 1 |
Cohen, MJ | 5 |
Petzold, LR | 1 |
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Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
Efficacy of Local Hemostatic Management in Implant Surgery in Anticoagulated Patients on Warfarin: a Randomized Clinical Study[NCT04846114] | 71 participants (Actual) | Interventional | 2016-03-31 | Completed | |||
TRACE STUDY: A Randomized Controlled Trial Using Tranexamic Acid in the Treatment of Subdural Hematoma[NCT05713630] | Phase 3 | 130 participants (Anticipated) | Interventional | 2024-03-31 | Not yet recruiting | ||
Usage of Tranexamic Acid During Colonic Endoscopic Resection Procedures for Reduction Intraprocedural and Postprocedural Bleeding[NCT05345613] | Phase 4 | 200 participants (Anticipated) | Interventional | 2022-05-01 | Recruiting | ||
Tranexamic Acid for the Treatment of Postpartum Haemorrhage: An International Randomised, Double Blind, Placebo Controlled Trial[NCT00872469] | Phase 3 | 20,060 participants (Actual) | Interventional | 2009-05-31 | Completed | ||
A Large Randomised Placebo Controlled Trial Among Trauma Patients With, or at Risk of, Significant Haemorrhage, of the Effects of Antifibrinolytic Treatment on Death and Transfusion Requirement[NCT00375258] | Phase 3 | 20,211 participants (Actual) | Interventional | 2005-05-31 | Completed | ||
Pharmacokinetics of Intramuscular Tranexamic Acid in Trauma Patients: a Clinical Trial[NCT03875937] | Phase 1/Phase 2 | 31 participants (Actual) | Interventional | 2019-09-17 | Completed | ||
Tranexamic Acid Mechanisms and Pharmacokinetics in Traumatic Injury (TAMPITI TRIAL)[NCT02535949] | Phase 2 | 150 participants (Actual) | Interventional | 2016-02-29 | Completed | ||
"External Validation of the Clinical Pre-hospital Red- Flag Alert for Activation of Intra-hospital Hemorrhage Control Response in Blunt Trauma. A Prospective Multicentric Study"[NCT05820217] | 630 participants (Anticipated) | Observational | 2023-05-10 | Not yet recruiting | |||
Evaluation of the Safety and Efficacy of the Second Dose of Tranexamic Acid Administration of Trauma Patients: A Randomized, Double-blind Controlled Clinical Trial[NCT03846973] | Phase 3 | 220 participants (Actual) | Interventional | 2018-12-02 | Completed | ||
Tranexamic Acid in Prehospital and In Hospital Civilian Trauma Care in Antifibrinolytic Therapy Study[NCT03469947] | Phase 3 | 200 participants (Actual) | Interventional | 2015-03-31 | Active, not recruiting | ||
Efficacy of Tranexamic Acid (TXA) in Humerus ORIF[NCT05802238] | Phase 2 | 130 participants (Anticipated) | Interventional | 2023-04-12 | Recruiting | ||
Post-Injury Platelet Biology: Mechanisms and Outcomes[NCT03682757] | 367 participants (Actual) | Observational | 2018-09-20 | Completed | |||
Evaluation of a Transfusion Therapy Using Whole Blood Versus Fractionated Blood Products in the Management of Coagulopathy in Patients Admitted to Hospital for Acute Traumatic Hemorrhage[NCT04431999] | Phase 3 | 200 participants (Anticipated) | Interventional | 2021-12-04 | Recruiting | ||
Precise Application of Topical Tranexamic Acid to Enhance Endoscopic Hemostasis for Peptic Ulcer Bleeding: A Randomized Controlled Study[NCT05248321] | 60 participants (Actual) | Interventional | 2022-03-24 | Completed | |||
Traumatic Injury Clinical Trial Evaluating Tranexamic Acid in Children (TIC-TOC): A Pilot and Feasibility Study[NCT02840097] | Phase 2 | 31 participants (Actual) | Interventional | 2019-03-04 | Completed | ||
Traumatic Injury Clinical Trial Evaluating Tranexamic Acid in Children (TIC-TOC): An Efficacy Study[NCT04387305] | Phase 3 | 2,000 participants (Anticipated) | Interventional | 2024-10-01 | Not yet recruiting | ||
Evaluation of the Minimum Concentration of Tranexamic Acid Required to Inhibit Fibrinolysis in a Population of Pregnant Women at Term.[NCT02579941] | 40 participants (Actual) | Interventional | 2015-11-30 | Completed | |||
Prophylactic Use of Topical Tranexamic Acid to Aid Surgical Haemostasis During Caesarean Sections in Parturients With Moderate to High Risk of Bleeding[NCT02492087] | Phase 3 | 84 participants (Anticipated) | Interventional | 2015-08-31 | Recruiting | ||
Tranexamic Acid's Effects in Patients Undergoing Laparoscopic Radical Prostatectomy: a Randomized, Double-blind, Placebo-controlled Trial[NCT05816668] | Phase 3 | 122 participants (Anticipated) | Interventional | 2023-04-30 | Not yet recruiting | ||
A Multi-centre Randomised, Double-blinded, Placebo-controlled Trial of Pre-hospital Treatment With Tranexamic Acid for Severely Injured Patients at Risk of Acute Traumatic Coagulopathy.[NCT02187120] | Phase 3 | 1,310 participants (Actual) | Interventional | 2014-07-28 | Completed | ||
Recombinant Activated Factor VII (rFVIIa/ NovoSeven®) in the Management of Massive Bleeding in Hospital Universiti Sains Malaysia[NCT03251547] | 76 participants (Actual) | Observational | 2017-08-21 | Completed | |||
The Relationship Between the Use of a Continuous a Zero-heat Flux Temperature Monitor on Initial Discharge Hypothermia Rate Among Severely Injured Trauma Patients: a Randomized Controlled Trial. (RUZIT Trial)[NCT03313258] | 0 participants (Actual) | Interventional | 2018-07-01 | Withdrawn (stopped due to PI left institution) | |||
The Effect of Red Blood Cells Transfusion in Trauma Patients: A Risk Stratified Analysis[NCT01746953] | 20,211 participants (Actual) | Observational | 2005-05-31 | Completed | |||
Pilot RCT: Use of Tranexamic Acid (TXA) in Post Mastectomy Patients for Seroma and Hematoma Prevention[NCT03738527] | Phase 4 | 100 participants (Anticipated) | Interventional | 2019-10-07 | Recruiting | ||
Randomized Control Trial Investigating for Prophylactic Tranexamic Acid Use at Time of Minimally Invasive Myomectomies[NCT04311073] | Phase 3 | 50 participants (Anticipated) | Interventional | 2020-06-20 | Recruiting | ||
Efficacy of Intraoperative Use of Tranexamic Acid in Reducing Blood Loss During Telescoping Nail Application in Osteogenesis Imperfecta - Randomized Control Trials[NCT05321199] | 20 participants (Actual) | Interventional | 2022-05-01 | Completed | |||
Comparative Study For Role Of Different Prophylactic Doses Of Intravenous Tranexamic Acid In Reducing Blood Loss At Caesarean Section: A Randomised Controlled Trial[NCT02739815] | Phase 4 | 200 participants (Actual) | Interventional | 2016-04-30 | Completed | ||
Tranexamic Acid Versus Novel Uterine Cooling Technique in Reducing Blood Loss and Incidence of Postpartum Hemorrhage at Caesarean Section[NCT02780245] | Phase 4 | 100 participants (Actual) | Interventional | 2016-06-30 | Completed | ||
Prophylactic Use of Tranexamic Acid for Preventing Postpartum Hemorrhage: A Randomized, Double-blinded, Placebo-controlled Pilot Trial[NCT03069859] | Phase 2 | 31 participants (Actual) | Interventional | 2018-03-06 | Active, not recruiting | ||
[NCT01938768] | 110 participants (Actual) | Observational | 2013-11-30 | Completed | |||
Peroperative Tranexamic Acid as Prophylaxis of Haemorrhage in Benign Hysterectomy - a Randomized, Placebo-controlled Trial[NCT01940419] | Phase 4 | 332 participants (Actual) | Interventional | 2013-04-30 | Completed | ||
IV Tranexamic Acid Prior to Hysterectomy for Reduction of Intraoperative Blood Loss: A Randomized Placebo-Controlled Trial[NCT02911831] | Early Phase 1 | 71 participants (Actual) | Interventional | 2016-11-30 | Completed | ||
The Effect of Local Tranexamic Acid on Post-operative Edema and Ecchymosis in Eyelid Surgery[NCT04951128] | Phase 4 | 50 participants (Anticipated) | Interventional | 2021-08-01 | Not yet recruiting | ||
Range of Motion and Function Following Primary Repair of Traumatic Zone 1 or Zone 2 Digit Flexor Tendon Injuries - Impact of Tranexamic Acid Use - A Prospective Study[NCT04178655] | Early Phase 1 | 48 participants (Anticipated) | Interventional | 2019-11-30 | Not yet recruiting | ||
The Effect of Tranexamic Acid on Blood Loss and Transfusion Rates in Major Oncologic Surgery[NCT01980355] | 76 participants (Actual) | Interventional | 2012-06-12 | Completed | |||
Tranexamic Acid for the Prevention of Obstetrical Hemorrhage After Cesarean Delivery: A Randomized Controlled Trial[NCT03364491] | Phase 3 | 11,000 participants (Actual) | Interventional | 2018-03-15 | Completed | ||
Tranexamic Acid to Prevent OpeRation in Chronic Subdural Hematoma. A Double-blind, Placebo-controlled, Multicentre, Randomized Controlled Clinical Trial[NCT03582293] | Phase 3 | 140 participants (Anticipated) | Interventional | 2018-06-19 | Recruiting | ||
Pre-hospital Administration of Tranexamic Acid for Adults With Moderate and Severe Traumatic Brain Injury: a Randomized, Double-blinded, Placebo-controlled Trial[NCT02645552] | Phase 3 | 400 participants (Anticipated) | Interventional | 2016-01-31 | Not yet recruiting | ||
Single Centre Randomised Controlled Trial to Assess the Effect of the Addition of Twenty-four Hours of Oral Tranexamic Acid Post-operatively to a Single Intra-operative Intravenous Dose of Tranexamic Acid on Calculated Blood Loss Following Primary Hip and[NCT03690037] | Phase 4 | 1,089 participants (Actual) | Interventional | 2016-07-07 | Completed | ||
Blood Loss Reduction After Total Knee Arthroplasty. A Comparison Between Topical Tranexamic Acid and Platelet Rich Plasma: Controlled Clinical Trial[NCT02650856] | Phase 3 | 40 participants (Actual) | Interventional | 2015-09-30 | Completed | ||
A Novel Technique Of Uterine Cooling During Repeated Cesarean Section For Reducing Blood Loss[NCT03793153] | 99 participants (Actual) | Interventional | 2018-12-19 | Completed | |||
The Use of Tranexamic Acid to Reduce Blood Loss in Acetabular Surgery[NCT02684851] | Phase 3 | 87 participants (Actual) | Interventional | 2012-10-31 | Completed | ||
The Impact of Topical Tranexamic Acid on Pre- and Post-operative Hemoglobin / Hematocrit in Isolated Operative Posterior Wall Acetabular Fractures: a Prospective, Randomized, Double-blinded, Multicenter Study[NCT05357079] | Early Phase 1 | 98 participants (Anticipated) | Interventional | 2017-08-25 | Recruiting | ||
Prevention of Postpartum Hemorrhage With Tranexamic Acid (TXA)[NCT03326596] | Phase 4 | 1,000 participants (Anticipated) | Interventional | 2018-04-20 | Recruiting | ||
The Effects of the Timing of Tranexamic Acid Administration on Blood Loss in Hip Fractures.[NCT04488367] | Early Phase 1 | 120 participants (Anticipated) | Interventional | 2020-07-06 | Recruiting | ||
The Use of Tranexamic Acid to Reduce Perioperative Blood Loss During High Risk Spine Fusion Surgery[NCT01728636] | Phase 2 | 61 participants (Actual) | Interventional | 2013-01-15 | Completed | ||
The Effect of Tranexamic Acid (TXA) on Blood Loss in Burn Surgery - A Randomized, Double-Blinded Placebo-Controlled Trial[NCT03113253] | Phase 4 | 121 participants (Actual) | Interventional | 2016-09-22 | Active, not recruiting | ||
Role of Tranexamic Acid for Reducing Blood Loss in Patients Undergoing Major Gastro-intestinal Surgery[NCT01655641] | Phase 2/Phase 3 | 118 participants (Anticipated) | Interventional | 2012-07-31 | Active, not recruiting | ||
Tranexamic Acid in Knee Joint Surgery - a Randomised Controlled Trial[NCT02278263] | Phase 4 | 150 participants (Actual) | Interventional | 2014-12-31 | Completed | ||
The Effect of Tranexamic Acid (TXA) on Blood Loss and Transfusion Rates in Burn Wound Surgery - A Randomized, Double-Blinded Placebo-Controlled Trial[NCT02753816] | 25 participants (Actual) | Interventional | 2016-04-30 | Terminated (stopped due to Study enrollment and goals unable to be reached.) | |||
Estimation of Coagulation Factor XIII Activity Based on the Initial Plasma Fibrinogen Level in Trauma[NCT03634215] | 357 participants (Actual) | Observational | 2018-09-01 | Completed | |||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
"Blood was drawn from patients at baseline (0 h, just before placebo or drug administration) and at 72 hours post placebo or drug administration. Leukocytes in these blood samples were stained with fluroescent antibodies specific for CD45, CD14, and HLA-DR, analyzed by flow cytometry, and the median fluorescen intensity (MFI) of HLA-DR signal was recorded for monocytes (CD45+CD14+). The fold change in HLA-DR expression from prior to placebo/drug administration to 72 h after placebo/drug administration (0 h : 72 h) was calculated as HLA-DR MFI72hours ÷ HLA-DR CD14 MFI0hours. Non-paramteric one-way ANOVA (Kruskal-Wallis test) was performed between each treatment group at the given time pont, and the p-value reported." (NCT02535949)
Timeframe: Samples Drawn through 72 hours after study initiation
Intervention | fold change (Median) |
---|---|
Tranexamic Acid 2 Gram | 0.503 |
Tranexamic Acid 4 Gram | 0.509 |
Placebo | 0.532 |
"Pharmacokinetic data was analyzed with NONMEM, using both the first-order and conditional non-Laplacian (with centering) estimation techniques. We considered two- and three-compartment models, parameterized in terms of both compartment volumes and clearances (distribution and elimination). We compared a basic model (in which pharmacokinetic parameters were independent of weight) to a model in which the pharmacokinetic parameters were assumed to be proportional to weight. The optimal model was selected on the basis of the objective function logarithm of the likelihood of the results) using standard criteria (NONMEM guide).~Equations from optimal model:~CL=109*((WT/70)**0.75) * (SCRint^-0.084) * ((NIRSInt)/96)^ -0.27 ) * ((PLTint)/130)^0.45) V1=1,160*(WT/70) * (TxTot)^0.03) Q=174*((WT/70)**0.75) V2=1080 *(WT/70)~CL equals clearance of TXA in mL/(min*70kg)." (NCT02535949)
Timeframe: 24 hours
Intervention | mL/(min*70kg) (Mean) |
---|---|
Tranexamic Acid 2 Gram and 4 Gram | 109 |
"Pharmacokinetic data was analyzed with NONMEM, using both the first-order and conditional non-Laplacian (with centering) estimation techniques. We considered two- and three-compartment models, parameterized in terms of both compartment volumes and clearances (distribution and elimination). We compared a basic model (in which pharmacokinetic parameters were independent of weight) to a model in which the pharmacokinetic parameters were assumed to be proportional to weight. The optimal model was selected on the basis of the objective function logarithm of the likelihood of the results) using standard criteria (NONMEM guide).~Equations from optimal model:~CL=109*((WT/70)**0.75) * (SCRint^-0.084) * ((NIRSInt)/96)^ -0.27 ) * ((PLTint)/130)^0.45) V1=1,160*(WT/70) * (TxTot)^0.03) Q=174*((WT/70)**0.75) V2=1080 *(WT/70)~Creatinine Count CL equals clearance (CL) affected by the covariate of Creatinine levels (SCRint). This value is unitless per NONMEM reporting." (NCT02535949)
Timeframe: 24 hours
Intervention | unitless (Mean) |
---|---|
Tranexamic Acid 2 Gram and 4 Gram | -0.084 |
All adverse events were totaled for each of the three study groups based on the number of incidents. (NCT02535949)
Timeframe: Hospital Discharge (average 10 days)
Intervention | events (Number) |
---|---|
Tranexamic Acid 2 Gram | 168 |
Tranexamic Acid 4 Gram | 264 |
Placebo | 138 |
The incidence of seizures at 24 hours in all three study groups. Number of participants with seizures are reported (NCT02535949)
Timeframe: 24 hours following TXA
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid 2 Gram | 0 |
Tranexamic Acid 4 Gram | 1 |
Placebo | 0 |
The number of events per group for the incidence of thromboembolic events (DVT, MI, PE, Stroke) in all three study groups. (NCT02535949)
Timeframe: Hospital Discharge (average 10 days)
Intervention | events (Number) |
---|---|
Tranexamic Acid 2 Gram | 13 |
Tranexamic Acid 4 Gram | 16 |
Placebo | 6 |
"Pharmacokinetic data was analyzed with NONMEM, using both the first-order and conditional non-Laplacian (with centering) estimation techniques. We considered two- and three-compartment models, parameterized in terms of both compartment volumes and clearances (distribution and elimination). We compared a basic model (in which pharmacokinetic parameters were independent of weight) to a model in which the pharmacokinetic parameters were assumed to be proportional to weight. The optimal model was selected on the basis of the objective function logarithm of the likelihood of the results) using standard criteria (NONMEM guide).~Equations from optimal model:~CL=109*((WT/70)**0.75) * (SCRint^-0.084) * ((NIRSInt)/96)^ -0.27 ) * ((PLTint)/130)^0.45) V1=1,160*(WT/70) * (TxTot)^0.03) Q=174*((WT/70)**0.75) V2=1080 *(WT/70)~Near Infrared Spectroscopy CL equals clearance (CL) affected by the covariate of Near Infrared Spectroscopy (NIRSint). This value is unitless per NONMEM reporting." (NCT02535949)
Timeframe: 24 hours
Intervention | unitless (Mean) |
---|---|
Tranexamic Acid 2 Gram and 4 Gram | -0.27 |
"Pharmacokinetic data was analyzed with NONMEM, using both the first-order and conditional non-Laplacian (with centering) estimation techniques. We considered two- and three-compartment models, parameterized in terms of both compartment volumes and clearances (distribution and elimination). We compared a basic model (in which pharmacokinetic parameters were independent of weight) to a model in which the pharmacokinetic parameters were assumed to be proportional to weight. The optimal model was selected on the basis of the objective function logarithm of the likelihood of the results) using standard criteria (NONMEM guide).~Equations from optimal model:~CL=109*((WT/70)**0.75) * (SCRint^-0.084) * ((NIRSInt)/96)^ -0.27 ) * ((PLTint)/130)^0.45) V1=1,160*(WT/70) * (TxTot)^0.03) Q=174*((WT/70)**0.75) V2=1080 *(WT/70)~Platelet Count CL equals clearance (CL) affected by the covariate of Platelet Count (PLTint). This value is unitless per NONMEM reporting." (NCT02535949)
Timeframe: 24 hours
Intervention | unitless (Mean) |
---|---|
Tranexamic Acid 2 Gram and 4 Gram | 0.45 |
"Pharmacokinetic data was analyzed with NONMEM, using both the first-order and conditional non-Laplacian (with centering) estimation techniques. We considered two- and three-compartment models, parameterized in terms of both compartment volumes and clearances (distribution and elimination). We compared a basic model (in which pharmacokinetic parameters were independent of weight) to a model in which the pharmacokinetic parameters were assumed to be proportional to weight. The optimal model was selected on the basis of the objective function logarithm of the likelihood of the results) using standard criteria (NONMEM guide).~Equations from optimal model:~CL=109*((WT/70)**0.75) * (SCRint^-0.084) * ((NIRSInt)/96)^ -0.27 ) * ((PLTint)/130)^0.45) V1=1,160*(WT/70) * (TxTot)^0.03) Q=174*((WT/70)**0.75) V2=1080 *(WT/70)~Q equals intercompartmental clearance in L/70kg." (NCT02535949)
Timeframe: 24 hours
Intervention | L/70kg (Mean) |
---|---|
Tranexamic Acid 2 Gram and 4 Gram | 174 |
"Pharmacokinetic data was analyzed with NONMEM, using both the first-order and conditional non-Laplacian (with centering) estimation techniques. We considered two- and three-compartment models, parameterized in terms of both compartment volumes and clearances (distribution and elimination). We compared a basic model (in which pharmacokinetic parameters were independent of weight) to a model in which the pharmacokinetic parameters were assumed to be proportional to weight. The optimal model was selected on the basis of the objective function logarithm of the likelihood of the results) using standard criteria (NONMEM guide).~Equations from optimal model:~CL=109*((WT/70)**0.75) * (SCRint^-0.084) * ((NIRSInt)/96)^ -0.27 ) * ((PLTint)/130)^0.45) V1=1,160*(WT/70) * (TxTot)^0.03) Q=174*((WT/70)**0.75) V2=1080 *(WT/70)~Total Transfusion Volume CL equals clearance (CL) affected by the covariate of Total Transfusion Volume (TxTot). This value is unitless per NONMEM reporting." (NCT02535949)
Timeframe: 24 hours
Intervention | unitless (Mean) |
---|---|
Tranexamic Acid 2 Gram and 4 Gram | 0.03 |
"Pharmacokinetic data was analyzed with NONMEM, using both the first-order and conditional non-Laplacian (with centering) estimation techniques. We considered two- and three-compartment models, parameterized in terms of both compartment volumes and clearances (distribution and elimination). We compared a basic model (in which pharmacokinetic parameters were independent of weight) to a model in which the pharmacokinetic parameters were assumed to be proportional to weight. The optimal model was selected on the basis of the objective function logarithm of the likelihood of the results) using standard criteria (NONMEM guide).~Equations from optimal model:~CL=109*((WT/70)**0.75) * (SCRint^-0.084) * ((NIRSInt)/96)^ -0.27 ) * ((PLTint)/130)^0.45) V1=1,160*(WT/70) * (TxTot)^0.03) Q=174*((WT/70)**0.75) V2=1080 *(WT/70)~V1 equals central volume in L/70kg." (NCT02535949)
Timeframe: 24 hours
Intervention | L/70kg (Mean) |
---|---|
Tranexamic Acid 2 Gram and 4 Gram | 1160 |
"Pharmacokinetic data was analyzed with NONMEM, using both the first-order and conditional non-Laplacian (with centering) estimation techniques. We considered two- and three-compartment models, parameterized in terms of both compartment volumes and clearances (distribution and elimination). We compared a basic model (in which pharmacokinetic parameters were independent of weight) to a model in which the pharmacokinetic parameters were assumed to be proportional to weight. The optimal model was selected on the basis of the objective function logarithm of the likelihood of the results) using standard criteria (NONMEM guide).~Equations from optimal model:~CL=109*((WT/70)**0.75) * (SCRint^-0.084) * ((NIRSInt)/96)^ -0.27 ) * ((PLTint)/130)^0.45) V1=1,160*(WT/70) * (TxTot)^0.03) Q=174*((WT/70)**0.75) V2=1080 *(WT/70)~V2 equals Peripheral Volume in L/70kg." (NCT02535949)
Timeframe: 24 hours
Intervention | L/70kg (Mean) |
---|---|
Tranexamic Acid 2 Gram and 4 Gram | 1080 |
"To evaluate the effects of TXA on immune function parameters we will, in a RCT, analyze samples from 150 patients (50 in each study group), at multiple time points. Parameters are:~a. Cytokines measured from time 0 to 72 hours." (NCT02535949)
Timeframe: Samples Drawn through 72 hours after study initiation
Intervention | pg/mL (Median) | |||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ITAC hour 0 | ITAC hour 72 | GM-CSF hour 0 | GM-CSF hour 72 | Factalkine hour 0 | Factalkine hour 72 | IFNgamma hour 0 | IFNgamma hour 72 | IL-10 hour 0 | IL-10 hour 72 | MIP-3a hour 0 | MIP-3a hour 72 | IL-12p70 hour 0 | IL-12p70 hour 72 | IL-13 hour 0 | IL-13 hour 72 | IL -17A hour 0 | IL-17A hour 72 | IL-1beta hour 0 | IL-1beta hour 72 | IL-2 hour 0 | IL-2 hour 72 | IL-21 hour 0 | IL-21 hour 72 | IL-4 hour 0 | IL-4 hour 72 | IL-23 hour 0 | IL-23 hour 72 | IL-5 hour 0 | IL-5 hour 72 | IL-6 hour 0 | IL-6 hour 72 | IL-7 hour 0 | IL-7 hour 72 | IL-8 hour 0 | IL-8 hour 72 | MIP-1alpha hour 0 | MIP-1alpha hour 72 | MIP-beta hour 0 | MIP-beta hour 72 | TNFa hour 0 | TNFa hour 72 | |
Placebo | 29.34 | 21.58 | 64.69 | 61.41 | 141.8 | 100.51 | 17.47 | 12.98 | 105.07 | 32.38 | 22.95 | 31.54 | 8.78 | 7.58 | 9.08 | 10.28 | 18.73 | 14 | 3.9 | 3.11 | 4.01 | 4.12 | 7.02 | 5.51 | 58.16 | 35.53 | 406.46 | 399.74 | 9.06 | 8.32 | 63.56 | 41.9 | 16.52 | 16.8 | 13.78 | 17.64 | 27.85 | 25.47 | 35.44 | 28.15 | 16.4 | 16.16 |
Tranexamic Acid 2 Gram | 34.24 | 25.67 | 67.79 | 69.22 | 223.61 | 174.91 | 23.46 | 17.89 | 115.98 | 31.76 | 22.95 | 38.49 | 9.5 | 9.67 | 11.8 | 11.11 | 21.51 | 20.06 | 4.17 | 4.15 | 4.17 | 4.26 | 6.28 | 6.44 | 69.45 | 49.99 | 724.45 | 589.73 | 9.3 | 8.68 | 54.48 | 73.97 | 18.53 | 18.47 | 15.25 | 26.9 | 32.57 | 28.57 | 44.91 | 36.78 | 19.16 | 19.38 |
Tranexamic Acid 4 Gram | 32.75 | 21.69 | 67.58 | 52.88 | 146.23 | 124.23 | 17.59 | 14.79 | 84.39 | 42.39 | 21.94 | 27.61 | 8.64 | 9.45 | 11.11 | 10.27 | 15.05 | 16.67 | 3.75 | 3.44 | 4.29 | 3.49 | 6.13 | 6.95 | 58.24 | 40.5 | 428.26 | 351.47 | 9.48 | 8.05 | 39.7 | 67.95 | 15.33 | 16.24 | 13.59 | 23.05 | 30.98 | 27.24 | 37.66 | 29.02 | 16.4 | 20.09 |
"To evaluate the effects of TXA on immune function parameters we will, in a RCT, analyze samples from 150 patients (50 in each study group), at multiple time points. Parameters are:~a. Flow cytometric analyses on leukocytes measured from time 0 to 72 hours." (NCT02535949)
Timeframe: Samples Drawn through 72 hours after study initiation
Intervention | Fold Change (Median) | |
---|---|---|
CD 11b+ | CD 16+ | |
Placebo | 0.844 | 0.817 |
Tranexamic Acid 2 Gram | 0.875 | 0.917 |
Tranexamic Acid 4 Gram | 0.967 | 0.870 |
Total volume of packed red blood cells, platelets, fresh frozen plasma, and cryoprecipitate (NCT02840097)
Timeframe: First 48 hours after randomization
Intervention | ml (Mean) |
---|---|
Tranexamic Acid Dose A | 367.4 |
Tranexamic Acid Dose B | 150.4 |
Placebo | 303.6 |
Intracranial hemorrhage progression on cranial computed tomography (CT) imaging; hemorrhage will be measured using the ABC/2 volume estimation and relative to the total brain volume (calculated by the XYZ/2 volume estimation); more intracranial hemorrhage progression represents a worse outcome. Change is calculated as the difference between the baseline and repeat cranial CT imaging. The repeat CT is conducted 24 hours (±6 hours) after the baseline CT. (NCT02840097)
Timeframe: 24 hours (±6 hours)
Intervention | Proportional change (Mean) |
---|---|
Tranexamic Acid Dose A | 0.003 |
Tranexamic Acid Dose B | 0.001 |
Placebo | 0.003 |
Any non-cerebral venous or arterial thrombosis on standard diagnostic imaging post-randomization (NCT02840097)
Timeframe: Day 7 of hospitalization or hospital discharge (whichever comes first)
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid Dose A | 0 |
Tranexamic Acid Dose B | 0 |
Placebo | 0 |
Clinical or electroencephalogram-documented (NCT02840097)
Timeframe: 24 hours after receiving drug
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid Dose A | 0 |
Tranexamic Acid Dose B | 0 |
Placebo | 1 |
Neurocognitive functioning and quality-of-life measures; range from 0 to 100 quality of life units with higher scores representing better outcomes. Measurements occur at 1 week, 1 month, 3 months, and 6 months to generate an area under the curve of quality of life units. (NCT02840097)
Timeframe: 6 months
Intervention | Quality of life units * months (Mean) |
---|---|
Tranexamic Acid Dose A | 64.9 |
Tranexamic Acid Dose B | 60.2 |
Placebo | 67.2 |
Test of working memory; higher scores represent a better outcome, range from 0 to infinity (NCT02840097)
Timeframe: 1 week, 1 month, 3 months, and 6 months
Intervention | score on a scale (Mean) | |||||||
---|---|---|---|---|---|---|---|---|
Total forward digit span, 1 week | Total backward digit span, 1 week | Total forward digit span, 1 month | Total backward digit span, 1 month | Total forward digit span, 3 months | Total backward digit span, 3 months | Total forward digit span, 6 months | Total backward digit span, 6 months | |
Placebo | 8.8 | 7.3 | 7.5 | 5.3 | 8.6 | 6.5 | 8.4 | 5.8 |
Tranexamic Acid Dose A | 8.4 | 6.0 | 7.2 | 6.2 | 9.1 | 8.7 | 11.7 | 10.4 |
Tranexamic Acid Dose B | 8.4 | 6.0 | 7.9 | 6.2 | 10.4 | 7.8 | 10.0 | 6.0 |
Global functioning; range is 1 to 8 with higher scores representing better outcomes; 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, 8=upper good recovery (NCT02840097)
Timeframe: 1 week, 1 month, 3 months, and 6 months
Intervention | score on a scale (Mean) | |||
---|---|---|---|---|
1 week | 1 month | 3 months | 6 months | |
Placebo | 5.3 | 4.5 | 4.2 | 4.3 |
Tranexamic Acid Dose A | 4.6 | 4.9 | 3.8 | 3.7 |
Tranexamic Acid Dose B | 5.2 | 5.1 | 4.6 | 2.9 |
Neurocognitive functioning and quality-of-life measures; range from 0 to 100 with higher scores representing better outcomes (NCT02840097)
Timeframe: 1 week, 1 month, 3 months, and 6 months
Intervention | units on a scale (Mean) | |||
---|---|---|---|---|
1 week | 1 month | 3 months | 6 months | |
Placebo | 57.9 | 60.5 | 68.9 | 68.9 |
Tranexamic Acid Dose A | 43.7 | 57.0 | 77.3 | 81.6 |
Tranexamic Acid Dose B | 52.4 | 61.5 | 77.5 | 84.3 |
Surgical blood loss estimation (NCT01980355)
Timeframe: From time of surgery to 90 days post hospital discharge
Intervention | mL (Median) |
---|---|
Tranexamic Acid | 450 |
Placebo | 365 |
To determine the impact of perioperative administration of tranexamic acid on blood loss and transfusion rates in major oncologic surgery (NCT01980355)
Timeframe: From time of surgery to 90 days post hospital discharge
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid | 8 |
Placebo | 5 |
[Key secondary outcome] Change in hemoglobin from the most recent measured before delivery to lowest measured in the 48 hours after delivery (NCT03364491)
Timeframe: from 4 weeks before delivery to 48 hours postpartum
Intervention | grams per deciliter (Mean) |
---|---|
Tranexamic Acid | -1.8 |
Placebo | -1.9 |
Mother's length of stay from delivery to discharge (NCT03364491)
Timeframe: Until hospital discharge, an average of 3 days
Intervention | days (Median) |
---|---|
Tranexamic Acid | 3 |
Placebo | 3 |
(NCT03364491)
Timeframe: within 6 weeks postpartum
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid | 35 |
Placebo | 32 |
This is the number of mothers who were treated with any amount of open-label TXA (not blinded study drug) or another antifibrinolytic (eg., Amicar) (NCT03364491)
Timeframe: within 7 days postpartum
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid | 108 |
Placebo | 109 |
This is the number of mothers who required any of the following types of surgical procedures to control bleeding: laparotomy, evacuation of hematoma, hysterectomy, uterine packing, intrauterine balloon tamponade, interventional radiology (NCT03364491)
Timeframe: within 7 days postpartum
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid | 233 |
Placebo | 231 |
[Key secondary outcome] This is the number of mothers who received treatments and interventions to control bleeding such as: uterotonics such as prostaglandins or methergine, but excluding oxytocin; open label TXA or other antifibrinolytics; transfusion of 1 or more units of fresh frozen plasma, cryoprecipitate, or platelets or administration of any factor concentrates; laparotomy, evacuation of hematoma, hysterectomy, uterine packing, intrauterine balloon tamponade, interventional radiology (NCT03364491)
Timeframe: within 7 days postpartum
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid | 892 |
Placebo | 986 |
Participants were categorized according to the amount of packed red blood cells or whole blood transfused, either as 0 to 3 units, or 4 or more units (NCT03364491)
Timeframe: within 7 days postpartum
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid | 20 |
Placebo | 19 |
This is the number of mothers who received during the first 7 days after delivery a transfusion of 1 or more units of fresh frozen plasma, cryoprecipitate, or platelets, or received any factor concentrates (NCT03364491)
Timeframe: within 7 days postpartum
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid | 29 |
Placebo | 31 |
This is the number of mothers who were treated with uterotonics such as prostaglandins or methergine, but excluding oxytocin, from delivery through 48 hours after delivery. (NCT03364491)
Timeframe: within 48 hours postpartum
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid | 649 |
Placebo | 732 |
[Key secondary outcome] This is the number of mothers who experienced a thromboembolic event, ischemic stroke, or myocardial infarction during the 6 weeks after delivery. (NCT03364491)
Timeframe: within 6 weeks postpartum
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid | 12 |
Placebo | 13 |
[Major secondary outcome] The surgeon or anesthesiologist estimated the blood loss during the delivery in milliliters, which was recorded in the anesthesia record and/or operative report (NCT03364491)
Timeframe: From skin incision to transfer from operating room, average of 1 hour
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid | 339 |
Placebo | 368 |
Participants were monitored from delivery until hospital discharge or 7 days after delivery (postpartum), whichever is sooner. This is the number of mothers who died for any reason, or had a blood transfusion of 1 or more units (of packed red blood cells, including whole blood or cell saver). (NCT03364491)
Timeframe: by hospital discharge or by 7 days postpartum, whichever is sooner
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid | 201 |
Placebo | 233 |
[Key Secondary Outcome] This is the number of mothers who experienced any of the following infectious complications in the 6 weeks after delivery: endometritis, surgical site infection, pelvic abscess (NCT03364491)
Timeframe: within 6 weeks postpartum
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid | 162 |
Placebo | 125 |
This is the number of mothers who experienced seizure activity, confirmed by central review, whose onset is after enrollment (NCT03364491)
Timeframe: within 6 weeks postpartum
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid | 2 |
Placebo | 0 |
The blood quantification will be taken at 6am every day. (NCT02650856)
Timeframe: up to 2nd day post operative (24 and 48 hrs)
Intervention | mL (Mean) | |
---|---|---|
24 hours | 48 hours | |
Group 1 Tranexamic Acid | 246.4 | 120.8 |
Group 2 Platelet Rich Plasma | 263.2 | 140.2 |
The blood test will be taken at 6am every day. Using the same laboratory parameters. (NCT02650856)
Timeframe: up to 3rd day post operative (Baseline, 24, 48 and 72hrs)
Intervention | percentage of Hematocrite (Mean) | |||
---|---|---|---|---|
Baseline | 24 hours | 48 hours | 72 hours | |
Group 1 Tranexamic Acid | 41.7 | 31.6 | 29.1 | 28.6 |
Group 2 Platelet Rich Plasma | 41.5 | 29.8 | 27.7 | 27.3 |
The blood test will be taken at 6am every day. Using the same laboratory parameters. (NCT02650856)
Timeframe: up to 3rd day post operative (Baseline, 24, 48 and 72hrs)
Intervention | g/dL (Mean) | |||
---|---|---|---|---|
Baseline | 24 hours | 48 hours | 72 hours | |
Group 1 Tranexamic Acid | 13.6 | 10.3 | 9.5 | 9.3 |
Group 2 Platelet Rich Plasma | 13.6 | 9.9 | 9.2 | 9.1 |
Number of participant received allogenic blood transfusions. (NCT02684851)
Timeframe: post-operative
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic | 21 |
Placebo | 13 |
To measure average estimate perioperative blood loss (NCT02684851)
Timeframe: perioperative
Intervention | mL (Mean) |
---|---|
Tranexamic | 727.6 |
Placebo | 560.1 |
Do patients undergoing acetabular ORIF who receive tranexamic acid have a higher risk for thromboembolic events than patients who receive placebo? (NCT02684851)
Timeframe: 30 days
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic | 1 |
Placebo | 0 |
Average units packed red blood cells transfused among participants (NCT02684851)
Timeframe: perioperative
Intervention | Units of packed red blood cells (Mean) |
---|---|
Tranexamic | 2.65 |
Placebo | 2.36 |
Total additional blood products (fresh frozen plasma, cryoprecipitate, and platelets) transfused in the perioperative period measured in units. (NCT01728636)
Timeframe: 24 hours after skin incision
Intervention | Units (Mean) |
---|---|
Tranexamic Acid | 1 |
Placebo | 2 |
Estimated Intraoperative blood loss in milliliters (mLs) (NCT01728636)
Timeframe: Incision to skin closure (approximately 10 hours)
Intervention | Milliliters (Mean) |
---|---|
Tranexamic Acid | 1550 |
Placebo | 1600 |
Number of participants who experienced arterial or venous thromboembolism, neurologic complications (including stroke, seizure,and delirium), infections, and pulmonary renal or cardiac adverse outcomes (demand ischemia, myocardial infarction or new arrhythmia) before another operative procedure or hospital discharge. (NCT01728636)
Timeframe: Time of surgery to date of discharge from hospital (average 7 days)
Intervention | Participants (Count of Participants) |
---|---|
Tranexamic Acid | 9 |
Placebo | 9 |
Total operating room time from incision to closure of incision in minutes. (NCT01728636)
Timeframe: Minutes
Intervention | Minutes (Median) |
---|---|
Tranexamic Acid | 602 |
Placebo | 576 |
Total red blood cells transfused in the intraoperative period in (mL). Total RBC equal packed red blood cells and cell saver infusion. (NCT01728636)
Timeframe: Intraoperative period (approximately 12 hours)
Intervention | milliliters (Median) |
---|---|
Tranexamic Acid | 1140 |
Placebo | 1460 |
Total milligrams of intravenous tranexamic acid administered during the surgical procedure. (NCT01728636)
Timeframe: Intraoperative period
Intervention | milligrams (Median) |
---|---|
Tranexamic Acid | 1408 |
Placebo | 0 |
"The loss of haemoglobin (Hb) was then estimated according to the formula:~Hb(loss) = Blood volume (BV) x (Hbi-Hbe) x 0.001+Hbt~where Hb (loss) (g) is the amount of Hb lost, Hbi (g/L) the Hb concentration before surgery, Hbe (g/L) is the Hbe concentration on the third day after surgery, and Hbt (g) is the total amount of allogeneic Hb transfused. A unit of banked blood is considered to contain a minimum of 40g Hb (Blood component data sheet, New Zealand Blood Services [NZBS]). All units of blood are processed and stored in a nationally standardised manner. The blood loss (ml) was related to the patient's preoperative Hb value (g/L):~Blood loss =1000 x Hb(loss) /Hbi" (NCT02278263)
Timeframe: Post operative day 3
Intervention | mls (Mean) |
---|---|
Control | 1090 |
Intraarticular | 716 |
Systemic | 746 |
Day of surgery is counted as Day 0. (NCT02278263)
Timeframe: Average length of stay is expected to be 3 to 5 days
Intervention | days (Median) |
---|---|
Control | 4 |
Topical | 4 |
Systemic | 4 |
"Those patients receiving blood products. Standardised protocol is as follows:~The criterion for transfusion of blood products will be a haemoglobin < 80g/L or a haemoglobin <100g/L in a patient with ischaemic heart disease or with significant symptomatology" (NCT02278263)
Timeframe: Participants will be followed for the duration of their hospital stay expected to be an average of 3-5 days
Intervention | Participants (Count of Participants) |
---|---|
Control | 2 |
Topical | 1 |
Systemic | 0 |
Intravenous fluid (excluding blood transfusion) given during and first 24 hours after surgery (NCT02278263)
Timeframe: Day 1
Intervention | mls (Mean) |
---|---|
Control | 1765 |
Topical | 1613 |
Systemic | 1807 |
Rates of deep vein thrombosis (DVT) and pulmonary embolus (PE) in each group recorded as a percentage (NCT02278263)
Timeframe: Postoperatively within 30 days after surgery
Intervention | Participants (Count of Participants) | |
---|---|---|
DVT | PE | |
Control | 0 | 0 |
Systemic | 0 | 1 |
Topical | 0 | 2 |
Range of motion measured in degrees on postoperative days 1-3 (NCT02278263)
Timeframe: Days 1-3
Intervention | degrees (Mean) | ||
---|---|---|---|
Day 1 | Day 2 | Day 3 | |
Control | 57 | 71 | 75 |
Systemic | 58 | 72 | 78 |
Topical | 65 | 75 | 82 |
Range of motion measured in degrees for postoperative days 1 to 3 (NCT02278263)
Timeframe: Days 1-3
Intervention | degrees (Mean) | ||
---|---|---|---|
Day 1 | Day 2 | Day 3 | |
Control | 65 | 76 | 82 |
Systemic | 68 | 80 | 87 |
Topical | 74 | 81 | 87 |
To determine the impact of perioperative administration of Tranexamic Acid on transfusion rates in major burn surgeries. (NCT02753816)
Timeframe: First burn surgery to hospital discharge
Intervention | Patients with 1 or more transfusions (Number) |
---|---|
Tranexamic Acid | 2 |
Placebo | 3 |
To determine the impact of Tranexamic Acid on total hospital length of stay by comparing the hospital admission date and the hospital discharge date. This determination will take into account current burn size and location, procedures performed and their effect on wound healing and skin graft survival. (NCT02753816)
Timeframe: Hospital admission to hospital discharge
Intervention | Days (Median) |
---|---|
Tranexamic Acid | 23 |
Placebo | 9 |
To determine the impact of perioperative administration of Tranexamic Acid on blood loss in major burn surgeries. (NCT02753816)
Timeframe: Intraoperative, average 122 minutes
Intervention | mL (Median) |
---|---|
Tranexamic Acid | 100 |
Placebo | 325 |
69 reviews available for tranexamic acid and Wounds and Injuries
Article | Year |
---|---|
Hemostatic Resuscitation in Children.
Topics: Blood Transfusion; Child; Hemostatics; Humans; Resuscitation; Shock, Hemorrhagic; Tranexamic Acid; W | 2021 |
Effects of tranexamic acid treatment in severely and non-severely injured trauma patients.
Topics: Antifibrinolytic Agents; Glasgow Coma Scale; Hemorrhage; Humans; Tranexamic Acid; Wounds and Injurie | 2022 |
Alternative blood products in trauma.
Topics: Blood Coagulation Disorders; Fibrinogen; Hemorrhage; Hemostatics; Humans; Thrombelastography; Tranex | 2023 |
Geographical Variance in the Use of Tranexamic Acid for Major Trauma Patients.
Topics: Antifibrinolytic Agents; Drug Utilization; Emergency Medical Services; Global Health; Hemorrhage; Hu | 2019 |
The many roles of tranexamic acid: An overview of the clinical indications for TXA in medical and surgical patients.
Topics: Antifibrinolytic Agents; Blood Loss, Surgical; Female; Humans; Male; Menorrhagia; Postpartum Hemorrh | 2020 |
The many roles of tranexamic acid: An overview of the clinical indications for TXA in medical and surgical patients.
Topics: Antifibrinolytic Agents; Blood Loss, Surgical; Female; Humans; Male; Menorrhagia; Postpartum Hemorrh | 2020 |
The many roles of tranexamic acid: An overview of the clinical indications for TXA in medical and surgical patients.
Topics: Antifibrinolytic Agents; Blood Loss, Surgical; Female; Humans; Male; Menorrhagia; Postpartum Hemorrh | 2020 |
The many roles of tranexamic acid: An overview of the clinical indications for TXA in medical and surgical patients.
Topics: Antifibrinolytic Agents; Blood Loss, Surgical; Female; Humans; Male; Menorrhagia; Postpartum Hemorrh | 2020 |
The many roles of tranexamic acid: An overview of the clinical indications for TXA in medical and surgical patients.
Topics: Antifibrinolytic Agents; Blood Loss, Surgical; Female; Humans; Male; Menorrhagia; Postpartum Hemorrh | 2020 |
The many roles of tranexamic acid: An overview of the clinical indications for TXA in medical and surgical patients.
Topics: Antifibrinolytic Agents; Blood Loss, Surgical; Female; Humans; Male; Menorrhagia; Postpartum Hemorrh | 2020 |
The many roles of tranexamic acid: An overview of the clinical indications for TXA in medical and surgical patients.
Topics: Antifibrinolytic Agents; Blood Loss, Surgical; Female; Humans; Male; Menorrhagia; Postpartum Hemorrh | 2020 |
The many roles of tranexamic acid: An overview of the clinical indications for TXA in medical and surgical patients.
Topics: Antifibrinolytic Agents; Blood Loss, Surgical; Female; Humans; Male; Menorrhagia; Postpartum Hemorrh | 2020 |
The many roles of tranexamic acid: An overview of the clinical indications for TXA in medical and surgical patients.
Topics: Antifibrinolytic Agents; Blood Loss, Surgical; Female; Humans; Male; Menorrhagia; Postpartum Hemorrh | 2020 |
Efficacy and safety of tranexamic acid in orthopaedic trauma surgery: a meta-analysis.
Topics: Antifibrinolytic Agents; Blood Loss, Surgical; Blood Transfusion; Humans; Orthopedic Procedures; Tra | 2019 |
The Use of Tranexamic Acid (TXA) for the Management of Hemorrhage in Trauma Patients in the Prehospital Environment: Literature Review and Descriptive Analysis of Principal Themes.
Topics: Antifibrinolytic Agents; Emergency Medical Services; Humans; Shock, Hemorrhagic; Tranexamic Acid; Wo | 2020 |
Intraosseous access in the resuscitation of trauma patients: a literature review.
Topics: Analgesics; Anesthetics; Blood Transfusion; Catheters; Crystalloid Solutions; Equipment Design; Huma | 2021 |
Limiting Blood Loss in Orthopaedic Trauma: Strategies and Effects.
Topics: Blood Coagulation Disorders; Hemostasis; Humans; Orthopedic Procedures; Resuscitation; Shock, Hemorr | 2020 |
The impact of blood product ratio and procoagulant therapy on the development of thromboembolic events in severely injured hemorrhaging trauma patients.
Topics: Antifibrinolytic Agents; Blood Coagulation Factors; Blood Component Transfusion; Factor VIIa; Fibrin | 2020 |
Emergency Transfusions.
Topics: Antifibrinolytic Agents; Blood Grouping and Crossmatching; Blood Transfusion; Catheterization, Centr | 2020 |
Massive transfusion protocol in adult trauma population.
Topics: Adult; Antifibrinolytic Agents; Blood Coagulation Disorders; Blood Coagulation Factors; Blood Compon | 2020 |
The impact of prehospital TXA on mortality among bleeding trauma patients: A systematic review and meta-analysis.
Topics: Antifibrinolytic Agents; Emergency Medical Services; Hemorrhage; Humans; Randomized Controlled Trial | 2021 |
Assessing the clinical utilization of tranexamic acid by paramedics for patients with major trauma (ACUTE).
Topics: Allied Health Personnel; Antifibrinolytic Agents; British Columbia; Hemorrhage; Humans; Infant, Newb | 2021 |
Efficacy and safety of tranexamic acid in pediatric trauma patients: Evidence from meta-analysis.
Topics: Adolescent; Antifibrinolytic Agents; Child; Child, Preschool; Female; Humans; Male; Pediatrics; Tran | 2021 |
Plasminogen: an enigmatic zymogen.
Topics: Animals; Antifibrinolytic Agents; Brain; Conjunctivitis; Enzyme Activation; Fibrin; Fibrinolysin; Fi | 2021 |
Updated concepts on the pathophysiology and the clinical management of trauma hemorrhage and coagulopathy.
Topics: Blood Coagulation Disorders; Blood Transfusion; Hemorrhage; Humans; Practice Guidelines as Topic; Re | 2017 |
Tranexamic Acid in Orthopaedic Trauma Surgery: A Meta-Analysis.
Topics: Antifibrinolytic Agents; Blood Loss, Surgical; Case-Control Studies; Female; Humans; Male; Orthopedi | 2017 |
Damage control resuscitation in pediatric trauma.
Topics: Adolescent; Antifibrinolytic Agents; Blood Transfusion; Child; Child, Preschool; Female; Fluid Thera | 2018 |
Efficacy of prehospital administration of tranexamic acid in trauma patients: A meta-analysis of the randomized controlled trials.
Topics: Antifibrinolytic Agents; Dose-Response Relationship, Drug; Emergency Medical Services; Hemorrhage; H | 2018 |
What concentration of tranexamic acid is needed to inhibit fibrinolysis? A systematic review of pharmacodynamics studies.
Topics: Antifibrinolytic Agents; Female; Fibrinolysis; Humans; Male; Postpartum Hemorrhage; Pregnancy; Tissu | 2019 |
The Use of Tranexamic Acid to Reduce Surgical Blood Loss: A Review Basic Science, Subspecialty Studies, and The Evolution of Use in Spine Deformity Surgery.
Topics: Arthroplasty; Blood Loss, Surgical; Dose-Response Relationship, Drug; Humans; Spine; Tranexamic Acid | 2019 |
Pediatric trauma-related coagulopathy: Balanced resuscitation, goal-directed therapy and viscoelastic assays.
Topics: Antifibrinolytic Agents; Blood Coagulation Disorders; Blood Coagulation Tests; Blood Transfusion; Ch | 2019 |
What's new for trauma haemorrhage management?
Topics: Antifibrinolytic Agents; Blood Coagulation Disorders; Blood Transfusion; Hemorrhage; Hemostatic Tech | 2019 |
Mortality and Thrombosis in Injured Adults Receiving Tranexamic Acid in the Post-CRASH-2 Era.
Topics: Adult; Antifibrinolytic Agents; Humans; Incidence; Mortality; Thrombosis; Tranexamic Acid; Trauma Se | 2019 |
Antifibrinolytic drugs for acute traumatic injury.
Topics: Aminocaproic Acid; Antifibrinolytic Agents; Aprotinin; Blood Loss, Surgical; Blood Transfusion; Hemo | 2012 |
[Evolution of US military transfusion support for resuscitation of trauma and hemorrhagic shock].
Topics: Blood Coagulation Disorders; Blood Component Transfusion; Blood Transfusion; Forecasting; Hemostatic | 2013 |
Antifibrinolytic agents in current anaesthetic practice.
Topics: Aminocaproic Acid; Antifibrinolytic Agents; Aprotinin; Blood Loss, Surgical; Cardiac Surgical Proced | 2013 |
Antifibrinolytic agents in current anaesthetic practice.
Topics: Aminocaproic Acid; Antifibrinolytic Agents; Aprotinin; Blood Loss, Surgical; Cardiac Surgical Proced | 2013 |
Antifibrinolytic agents in current anaesthetic practice.
Topics: Aminocaproic Acid; Antifibrinolytic Agents; Aprotinin; Blood Loss, Surgical; Cardiac Surgical Proced | 2013 |
Antifibrinolytic agents in current anaesthetic practice.
Topics: Aminocaproic Acid; Antifibrinolytic Agents; Aprotinin; Blood Loss, Surgical; Cardiac Surgical Proced | 2013 |
Tranexamic acid in trauma: how should we use it?
Topics: Antifibrinolytic Agents; Hemorrhage; Humans; Thrombelastography; Tranexamic Acid; Treatment Outcome; | 2013 |
Role of fibrinogen in massive injury.
Topics: Afibrinogenemia; Animals; Antifibrinolytic Agents; Blood Component Transfusion; Fibrin; Fibrinogen; | 2014 |
Trauma and severe bleeding. Tranexamic acid within one hour to reduce mortality.
Topics: Antifibrinolytic Agents; Hemorrhage; Humans; Severity of Illness Index; Thrombosis; Time Factors; Tr | 2013 |
TXA: a difference-maker for trauma patients.
Topics: Antifibrinolytic Agents; Decision Making; Emergency Treatment; Hemorrhage; Humans; Tranexamic Acid; | 2013 |
Does the use of tranexamic acid improve trauma mortality?
Topics: Antifibrinolytic Agents; Hemorrhage; Humans; Tranexamic Acid; Wounds and Injuries | 2014 |
A systematic review of antifibrinolytics and massive injury.
Topics: Antifibrinolytic Agents; Blood Coagulation Disorders; Hemorrhage; Humans; Tranexamic Acid; Wounds an | 2014 |
Tranexamic acid, fibrinogen concentrate, and prothrombin complex concentrate: data to support prehospital use?
Topics: Antifibrinolytic Agents; Blood Coagulation; Blood Coagulation Factors; Blood Transfusion; Brain Inju | 2014 |
Viscoelastic guidance of resuscitation.
Topics: Blood Transfusion; Fibrinolysis; Hemostasis; Humans; Resuscitation; Thrombelastography; Tranexamic A | 2014 |
Tranexamic acid in pediatric trauma: why not?
Topics: Adult; Antifibrinolytic Agents; Child; Hemorrhage; Hospital Mortality; Humans; Multicenter Studies a | 2014 |
Tranexamic acid for trauma-related hemorrhage.
Topics: Antifibrinolytic Agents; Canada; Hemorrhage; Humans; Time Factors; Tranexamic Acid; Wounds and Injur | 2014 |
Damage Control Resuscitation.
Topics: Antifibrinolytic Agents; Blood Transfusion; Clinical Protocols; Crystalloid Solutions; Factor VIIa; | 2016 |
Management of traumatic haemorrhage--the European perspective.
Topics: Blood Coagulation Disorders; Europe; Hemorrhage; Humans; Platelet Transfusion; Thrombin; Tranexamic | 2015 |
Tranexamic acid: from trauma to routine perioperative use.
Topics: Antifibrinolytic Agents; Blood Coagulation Disorders; Hemostasis; Humans; Perioperative Care; Tranex | 2015 |
Antifibrinolytic drugs for acute traumatic injury.
Topics: Aminocaproic Acid; Antifibrinolytic Agents; Aprotinin; Blood Loss, Surgical; Blood Transfusion; Hemo | 2015 |
Postinjury fibrinolysis shutdown: Rationale for selective tranexamic acid.
Topics: Antifibrinolytic Agents; Blood Component Transfusion; Fibrinolysin; Fibrinolysis; Humans; Plasminoge | 2015 |
Tranexamic acid as part of remote damage-control resuscitation in the prehospital setting: A critical appraisal of the medical literature and available alternatives.
Topics: Antifibrinolytic Agents; Emergency Medical Services; Hemostatics; Humans; Resuscitation; Shock, Hemo | 2015 |
Extending evidence for the use of tranexamic acid from traumatic haemorrhage to other patients with major bleeding: do we need more than one haemorrhage protocol? The case of gastrointestinal bleeding.
Topics: Adult; Clinical Trials as Topic; Female; Gastrointestinal Hemorrhage; Humans; Male; Tranexamic Acid; | 2015 |
Tranexamic acid in trauma: how should we use it?
Topics: Animals; Antifibrinolytic Agents; Fibrinolysis; Hemorrhage; Humans; Patient Selection; Risk Assessme | 2015 |
Application of Tranexamic Acid in Trauma and Orthopedic Surgery.
Topics: Antifibrinolytic Agents; Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Knee; Humans; Or | 2016 |
Paediatric trauma resuscitation: an update.
Topics: Antifibrinolytic Agents; Blood Coagulation Disorders; Blood Transfusion; Child; Clinical Protocols; | 2016 |
[Anti DIC therapy].
Topics: Anticoagulants; Antifibrinolytic Agents; Antithrombins; Benzamidines; Disseminated Intravascular Coa | 2016 |
Tactical damage control resuscitation in austere military environments.
Topics: Antifibrinolytic Agents; Blood Coagulation Disorders; Blood Coagulation Factors; Blood Component Tra | 2016 |
Blood Component Therapy and Coagulopathy in Trauma: A Systematic Review of the Literature from the Trauma Update Group.
Topics: Antifibrinolytic Agents; Blood Coagulation Disorders; Blood Component Transfusion; Humans; Mortality | 2016 |
Blood products and procoagulants in traumatic bleeding: use and evidence.
Topics: Blood Coagulation Disorders; Hemorrhage; Hemostasis; Humans; Plasma; Randomized Controlled Trials as | 2016 |
Tranexamic Acid Update in Trauma.
Topics: Antifibrinolytic Agents; Hemorrhage; Humans; Tranexamic Acid; Wounds and Injuries | 2017 |
Tranexamic Acid for Trauma Resuscitation in the United States of America.
Topics: Humans; Tranexamic Acid; United States; Wounds and Injuries | 2017 |
[Haemostatic resuscitation in bleeding trauma patients].
Topics: Antifibrinolytic Agents; Blood Coagulation Disorders; Blood Transfusion; Critical Illness; Fluid The | 2016 |
Damage control resuscitation for patients with major trauma.
Topics: Acidosis; Blood Cells; Blood Coagulation Disorders; Calcium; Factor VIIa; Fibrinogen; Hemostasis; Hu | 2009 |
Antifibrinolytic drugs for acute traumatic injury.
Topics: Antifibrinolytic Agents; Aprotinin; Blood Loss, Surgical; Blood Transfusion; Hemorrhage; Humans; Ran | 2011 |
Tranexamic acid for trauma patients: a critical review of the literature.
Topics: Antifibrinolytic Agents; Clinical Trials as Topic; Hemorrhage; Humans; Injury Severity Score; Tranex | 2011 |
Avoidable mortality from giving tranexamic acid to bleeding trauma patients: an estimation based on WHO mortality data, a systematic literature review and data from the CRASH-2 trial.
Topics: Antifibrinolytic Agents; Demography; Emergency Treatment; Global Health; Humans; Risk Factors; Shock | 2012 |
Emerging treatment strategies for trauma-induced coagulopathy.
Topics: Acidosis; Anemia; Antifibrinolytic Agents; Bandages; Blood Coagulation Disorders; Blood Coagulation | 2012 |
Should antifibrinolytics be given in all patients with trauma?
Topics: Antifibrinolytic Agents; Clinical Trials as Topic; Emergency Medical Services; Hemorrhage; Humans; T | 2012 |
Review article: update in trauma anesthesiology: perioperative resuscitation management.
Topics: Anesthesia; Anesthesiology; Antifibrinolytic Agents; Blood Transfusion; Factor VIIa; Humans; Hypoten | 2012 |
Coagulation management.
Topics: Antifibrinolytic Agents; Blood Coagulation Disorders; Blood Coagulation Factors; Evidence-Based Medi | 2012 |
Tranexamic acid and trauma: current status and knowledge gaps with recommended research priorities.
Topics: Antifibrinolytic Agents; Hemorrhage; Humans; Postoperative Complications; Randomized Controlled Tria | 2013 |
Tranexamic acid in remote damage control resuscitation.
Topics: Antifibrinolytic Agents; Blood Component Transfusion; Hemorrhage; Humans; Resuscitation; Tranexamic | 2013 |
Potential value of pharmacological protocols in trauma.
Topics: Blood Coagulation Disorders; Blood Transfusion; Cardiac Surgical Procedures; Fibrinogen; Hemostatics | 2013 |
Local and systemic hemostatics as an adjunct to control bleeding in trauma.
Topics: Administration, Topical; Cellulose, Oxidized; Chitosan; Combined Modality Therapy; Factor VIIa; Fibr | 2013 |
Potential value of protocols in substantially bleeding trauma patients.
Topics: Blood Coagulation Disorders; Blood Coagulation Tests; Clinical Protocols; Hemorrhage; Humans; Thromb | 2013 |
Treatment of anaemia in the polytrauma Jehovah's Witness.
Topics: Anemia; Antifibrinolytic Agents; Blood Substitutes; Blood Transfusion; Fluorocarbons; Hemodilution; | 2003 |
19 trials available for tranexamic acid and Wounds and Injuries
129 other studies available for tranexamic acid and Wounds and Injuries
Article | Year |
---|---|
Massive transfusion in trauma: an evolving paradigm.
Topics: Blood Coagulation Disorders; Blood Transfusion; Hemorrhage; Humans; Tranexamic Acid; Wounds and Inju | 2022 |
Tranexamic acid for trauma in the USA: is prejudice a barrier to saving lives?
Topics: Antifibrinolytic Agents; Humans; Prejudice; Tranexamic Acid; Wounds and Injuries | 2022 |
Use of tranexamic acid in major trauma: a sex-disaggregated analysis of the Clinical Randomisation of an Antifibrinolytic in Significant Haemorrhage (CRASH-2 and CRASH-3) trials and UK trauma registry (Trauma and Audit Research Network) data.
Topics: Antifibrinolytic Agents; Female; Hemorrhage; Humans; Male; Registries; Tranexamic Acid; United Kingd | 2022 |
Prehospital Tranexamic Acid in Major Pediatric Trauma Within a Physician-Led Emergency Medical Services System: A Multicenter Retrospective Study.
Topics: Adolescent; Antifibrinolytic Agents; Child; Emergency Medical Services; Female; Humans; Male; Physic | 2022 |
Prehospital Tranexamic Acid in Major Pediatric Trauma: Only One Third of Severely Injured Children Receive It.
Topics: Antifibrinolytic Agents; Child; Emergency Medical Services; Humans; Tranexamic Acid; Wounds and Inju | 2023 |
Time to early resuscitative intervention association with mortality in trauma patients at risk for hemorrhage.
Topics: Blood Transfusion; Emergency Medical Services; Hemorrhage; Humans; Resuscitation; Shock, Hemorrhagic | 2023 |
Prehospital Tranexamic Acid Administration in Pediatric Trauma Patients: A Propensity-Matched Analysis of the Israeli Defense Forces Registry.
Topics: Adolescent; Antifibrinolytic Agents; Child; Cohort Studies; Female; Humans; Israel; Male; Registries | 2023 |
Tranexamic Acid for Trauma Patients - More Lives to Save and Outcomes to Consider.
Topics: Antifibrinolytic Agents; Humans; Tranexamic Acid; Wounds and Injuries | 2023 |
Administration of tranexamic acid for victims of severe trauma within pre-hospital care ambulance services (PHCAS) in Malaysia.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Ambulances; Antifibrinolytic Agents; Child; Drug Adminis | 2019 |
Clinical relevance and practical assessment of fibrinolysis shutdown.
Topics: alpha-2-Antiplasmin; Antifibrinolytic Agents; Blood Coagulation Disorders; Fibrin Fibrinogen Degrada | 2020 |
Fibrinolytic shutdown diagnosed with rotational thromboelastometry represents a moderate form of coagulopathy associated with transfusion requirement and mortality: A retrospective analysis.
Topics: Antifibrinolytic Agents; Blood Coagulation Disorders; Fibrinolysis; Humans; Retrospective Studies; T | 2020 |
An Analysis of Adherence to Tactical Combat Casualty Care Guidelines for the Administration of Tranexamic Acid.
Topics: Adolescent; Adult; Afghan Campaign 2001-; Antifibrinolytic Agents; Female; Guideline Adherence; Hemo | 2019 |
Early coagulation support protocol: A valid approach in real-life management of major trauma patients. Results from two Italian centres.
Topics: Adult; Aged; Blood Coagulation; Blood Coagulation Disorders; Blood Transfusion; Clinical Protocols; | 2019 |
Biological mechanisms and individual variation in fibrinolysis after major trauma.
Topics: Adult; Antifibrinolytic Agents; Biomarkers; Decision Support Systems, Clinical; Emergency Service, H | 2020 |
Safety and Efficacy of Hospital Utilization of Tranexamic Acid in Civilian Adult Trauma Resuscitation.
Topics: Adult; Antifibrinolytic Agents; Drug Utilization; Female; Humans; Incidence; Injury Severity Score; | 2020 |
Fibrinolysis and tranexamic acid: mechanistic principles.
Topics: Antifibrinolytic Agents; Blood Coagulation; Fibrin; Fibrinolysin; Fibrinolysis; Hemorrhage; Humans; | 2020 |
Influence of tranexamic acid on the complement system in trauma.
Topics: Antifibrinolytic Agents; Hemorrhage; Humans; Tranexamic Acid; Wounds and Injuries | 2020 |
Tranexamic acid and inflammation in trauma.
Topics: Antifibrinolytic Agents; Hemorrhage; Humans; Inflammation; Tranexamic Acid; Wounds and Injuries | 2020 |
Randomized controlled trials and Cochrane analyses versus precision-based medicine for tranexamic acid and viscoelastic testing in trauma.
Topics: Antifibrinolytic Agents; Blood Component Transfusion; Fibrinolysis; Humans; Incidence; Precision Med | 2020 |
Computational model of tranexamic acid on urokinase mediated fibrinolysis.
Topics: alpha 1-Antitrypsin; Antifibrinolytic Agents; Blood Coagulation; Blood Coagulation Disorders; Comput | 2020 |
Early experience with transfusing low titer group O whole blood in the pre-hospital setting in Israel.
Topics: ABO Blood-Group System; Accidents, Traffic; Adolescent; Adult; Blood Pressure; Blood Transfusion; Ch | 2020 |
Tranexamic acid is associated with reduced complement activation in trauma patients with hemorrhagic shock and hyperfibrinolysis on thromboelastography.
Topics: Adult; Aged; Antifibrinolytic Agents; Complement Activation; Fibrinolysis; Humans; Male; Middle Aged | 2020 |
Neck injuries - israel defense forces 20 years' experience.
Topics: Humans; Israel; Military Personnel; Neck Injuries; Retrospective Studies; Tranexamic Acid; Wounds an | 2021 |
Unjustified Administration in Liberal Use of Tranexamic Acid in Trauma Resuscitation.
Topics: Adult; Aged; Antifibrinolytic Agents; Female; Humans; Inappropriate Prescribing; Male; Middle Aged; | 2021 |
Pharmacokinetics of intramuscular tranexamic acid in bleeding trauma patients: a clinical trial.
Topics: Antifibrinolytic Agents; Female; Hemorrhage; Humans; Injections, Intramuscular; Male; Middle Aged; P | 2021 |
Tranexamic acid and trauma coagulopathy: where are we now?
Topics: Antifibrinolytic Agents; Blood Coagulation Disorders; Hemorrhage; Humans; Tranexamic Acid; Wounds an | 2021 |
The incidence of venous thromboembolic events in trauma patients after tranexamic acid administration: an EAST multicenter study.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Female; Humans; Incidence; Male; Middle Aged; Retrospect | 2021 |
Plasmin thrombelastography rapidly identifies trauma patients at risk for massive transfusion, mortality, and hyperfibrinolysis: A diagnostic tool to resolve an international debate on tranexamic acid?
Topics: Adult; Antifibrinolytic Agents; Biomarkers; Blood Coagulation Disorders; Blood Transfusion; Female; | 2020 |
Is Tranexamic Acid Associated With Mortality or Multiple Organ Failure Following Severe Injury?
Topics: Adult; Antifibrinolytic Agents; Female; Humans; Injury Severity Score; Male; Middle Aged; Multiple O | 2021 |
Validation of the BATT score for prehospital risk stratification of traumatic haemorrhagic death: usefulness for tranexamic acid treatment criteria.
Topics: Adolescent; Adult; Aged; Antifibrinolytic Agents; Emergency Medical Services; Female; Hemorrhage; Hu | 2021 |
A Cross-sectional Survey on the Use of Tranexamic Acid in the Pre-hospital Setting.
Topics: Antifibrinolytic Agents; Cross-Sectional Studies; Hemorrhage; Hospitals; Humans; Tranexamic Acid; Wo | 2021 |
Use of tranexamic acid in trauma patients requiring massive transfusion protocol activation: a reassessment of prescribing behaviours in a major trauma centre in New Zealand.
Topics: Adult; Antifibrinolytic Agents; Blood Transfusion; Female; Humans; Male; Middle Aged; New Zealand; P | 2021 |
Does Liberal Prehospital and In-Hospital Tranexamic Acid Influence Outcome in Severely Injured Patients? A Prospective Cohort Study.
Topics: Antifibrinolytic Agents; Female; Hospitals; Humans; Male; Prospective Studies; Tranexamic Acid; Trau | 2021 |
After 800 Mtp Events, Mortality Due to Hemorrhagic Shock Remains High and Unchanged Despite Several In-Hospital Hemorrhage Control Advancements.
Topics: Adult; Antifibrinolytic Agents; Blood Transfusion; Female; Hemostatic Techniques; Humans; Louisiana; | 2021 |
Early prehospital administration of tranexamic acid in hemorrhagic trauma is associated with increased survival as an independent variable.
Topics: Antifibrinolytic Agents; Emergency Medical Services; Hemorrhage; Humans; Tranexamic Acid; Wounds and | 2021 |
Early tranexamic acid administration ameliorates the endotheliopathy of trauma and shock in an in vitro model.
Topics: Angiopoietin-1; Angiopoietin-2; Antifibrinolytic Agents; Cell Adhesion Molecules; Endothelium, Vascu | 2017 |
Efficacy and Safety of Tranexamic Acid in Prehospital Traumatic Hemorrhagic Shock: Outcomes of the Cal-PAT Study.
Topics: Adult; Antifibrinolytic Agents; California; Emergency Medical Services; Feasibility Studies; Female; | 2017 |
Efficacy and Safety of Tranexamic Acid in Prehospital Traumatic Hemorrhagic Shock: Outcomes of the Cal-PAT Study.
Topics: Adult; Antifibrinolytic Agents; California; Emergency Medical Services; Feasibility Studies; Female; | 2017 |
Efficacy and Safety of Tranexamic Acid in Prehospital Traumatic Hemorrhagic Shock: Outcomes of the Cal-PAT Study.
Topics: Adult; Antifibrinolytic Agents; California; Emergency Medical Services; Feasibility Studies; Female; | 2017 |
Efficacy and Safety of Tranexamic Acid in Prehospital Traumatic Hemorrhagic Shock: Outcomes of the Cal-PAT Study.
Topics: Adult; Antifibrinolytic Agents; California; Emergency Medical Services; Feasibility Studies; Female; | 2017 |
Effect of team training on efficiency of trauma care in a Chinese hospital.
Topics: Adult; China; Emergency Service, Hospital; Female; Hematologic Tests; Hemostasis; Hospitals; Humans; | 2018 |
Tranexamic acid is associated with increased mortality in patients with physiological fibrinolysis.
Topics: Adult; Antifibrinolytic Agents; Blood Transfusion; Colorado; Female; Fibrinolysis; Humans; Male; Mid | 2017 |
Military use of tranexamic acid in combat trauma: Does it matter?
Topics: Adult; Antifibrinolytic Agents; Female; Humans; Male; Military Medicine; Retrospective Studies; Surv | 2017 |
Endotheliopathy of Trauma is an on-Scene Phenomenon, and is Associated with Multiple Organ Dysfunction Syndrome: A Prospective Observational Study.
Topics: Adult; Endothelium, Vascular; Female; Humans; Male; Middle Aged; Multiple Organ Failure; Prospective | 2018 |
Civilian and military doctors' knowledge of tranexamic acid (TXA) use in major trauma: a comparison study.
Topics: Antifibrinolytic Agents; Health Knowledge, Attitudes, Practice; Humans; Military Medicine; Physician | 2018 |
Evaluation of Military Use of Tranexamic Acid and Associated Thromboembolic Events.
Topics: Abdominal Injuries; Adult; Antifibrinolytic Agents; Blood Transfusion; Female; Guideline Adherence; | 2018 |
Increased risk of fibrinolysis shutdown among severely injured trauma patients receiving tranexamic acid.
Topics: Antifibrinolytic Agents; Blood Coagulation Disorders; Dose-Response Relationship, Drug; Female; Fibr | 2018 |
Left atrial thrombi following tranexamic acid in a bleeding trauma patient-A word of caution.
Topics: Adult; Anticoagulants; Antifibrinolytic Agents; Female; Heart Atria; Heart Diseases; Hemorrhage; Hep | 2018 |
Anti-inflammatory effect of tranexamic acid against trauma-hemorrhagic shock-induced acute lung injury in rats.
Topics: Acute Lung Injury; Animals; Anti-Inflammatory Agents; Bronchoalveolar Lavage Fluid; Disease Models, | 2018 |
Optimisation of the dosage of tranexamic acid in trauma patients with population pharmacokinetic analysis.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antifibrinolytic Agents; Brain Injuries, Traumatic; Drug | 2018 |
Tranexamic acid in severe trauma patients managed in a mature trauma care system.
Topics: Adult; Antifibrinolytic Agents; Female; Hemodynamics; Hospital Mortality; Humans; Male; Middle Aged; | 2018 |
Computational Model for Hyperfibrinolytic Onset of Acute Traumatic Coagulopathy.
Topics: Acute Disease; Disseminated Intravascular Coagulation; Fibrinolysis; Humans; Models, Cardiovascular; | 2018 |
Evaluation of tranexamic acid in trauma patients: A retrospective quantitative analysis.
Topics: Adult; Antifibrinolytic Agents; Blood Transfusion; British Columbia; Female; Hemorrhage; Hospital Mo | 2019 |
Severely injured trauma patients with admission hyperfibrinolysis: Is there a role of tranexamic acid? Findings from the PROPPR trial.
Topics: Adult; Antifibrinolytic Agents; Female; Fibrinolysis; Hemorrhage; Hemostasis; Humans; Injury Severit | 2018 |
Safety of Tranexamic Acid During Pediatric Trauma: A Nationwide Database Study.
Topics: Acute Kidney Injury; Antifibrinolytic Agents; Case-Control Studies; Child; Child, Preschool; Databas | 2018 |
Tranexamic acid administration is associated with an increased risk of posttraumatic venous thromboembolism.
Topics: Adult; Antifibrinolytic Agents; Blood Transfusion; Female; Hemorrhage; Humans; Injury Severity Score | 2019 |
Use of tranexamic acid in trauma patients requiring massive transfusion protocol activation: an audit in a major trauma centre in New Zealand.
Topics: Adult; Antifibrinolytic Agents; Blood Component Transfusion; Female; Hemorrhage; Humans; Male; Medic | 2018 |
Traumatic coagulopathies.
Topics: Antifibrinolytic Agents; Blood Coagulation Disorders; Fibrinolysis; Forecasting; Humans; Resuscitati | 2019 |
Tranexamic Acid in Civilian Trauma Care in the California Prehospital Antifibrinolytic Therapy Study.
Topics: Adolescent; Adult; Antifibrinolytic Agents; California; Emergency Medical Services; Female; Glasgow | 2018 |
Prehospital Tranexamic Acid Administration During Aeromedical Transport After Injury.
Topics: Adult; Air Ambulances; Antifibrinolytic Agents; Blood Transfusion; Emergency Service, Hospital; Fema | 2019 |
Implementation of tranexamic acid for bleeding trauma patients: a longitudinal and cross-sectional study.
Topics: Adult; Antifibrinolytic Agents; Cross-Sectional Studies; England; Female; Hemorrhage; Humans; Longit | 2019 |
Tranexamic acid mediates proinflammatory and anti-inflammatory signaling via complement C5a regulation in a plasminogen activator-dependent manner.
Topics: Adult; Anti-Inflammatory Agents; Antifibrinolytic Agents; Blood Coagulation; Complement C5a; Female; | 2019 |
Towards patient-specific management of trauma hemorrhage: the effect of resuscitation therapy on parameters of thromboelastometry.
Topics: Adult; Antifibrinolytic Agents; Clinical Decision-Making; Decision Support Techniques; Erythrocyte T | 2019 |
Effects of modification of trauma bleeding management: A before and after study.
Topics: Adult; Antifibrinolytic Agents; Blood Transfusion; Coagulants; Controlled Before-After Studies; Eryt | 2019 |
Does Tranexamic Acid Improve Clot Strength in Severely Injured Patients Who Have Elevated Fibrin Degradation Products and Low Fibrinolytic Activity, Measured by Thrombelastography?
Topics: Adult; Antifibrinolytic Agents; Biomarkers; Female; Fibrin Clot Lysis Time; Fibrin Fibrinogen Degrad | 2019 |
Tranexamic acid suppresses the release of mitochondrial DNA, protects the endothelial monolayer and enhances oxidative phosphorylation.
Topics: Animals; DNA Damage; DNA, Mitochondrial; Endothelial Cells; Granulocytes; Hemorrhage; Humans; Mice; | 2019 |
Prehospital administration of tranexamic acid in trauma patients: A 1:1 matched comparative study from a level 1 trauma center.
Topics: Administration, Intravenous; Adolescent; Adult; Aged; Aged, 80 and over; Emergency Medical Services; | 2020 |
Trauma-targeted delivery of tranexamic acid improves hemostasis and survival in rat liver hemorrhage model.
Topics: Animals; Antifibrinolytic Agents; Blood Platelets; Disease Models, Animal; Fibrinogen; Hemorrhage; H | 2019 |
Development of transfusion guidelines for injured children using a Modified Delphi Consensus Process.
Topics: Antifibrinolytic Agents; Blood Transfusion; Child; Consensus; Delphi Technique; Hemorrhage; Humans; | 2019 |
Development of transfusion guidelines for injured children using a Modified Delphi Consensus Process.
Topics: Antifibrinolytic Agents; Blood Transfusion; Child; Consensus; Delphi Technique; Hemorrhage; Humans; | 2019 |
Development of transfusion guidelines for injured children using a Modified Delphi Consensus Process.
Topics: Antifibrinolytic Agents; Blood Transfusion; Child; Consensus; Delphi Technique; Hemorrhage; Humans; | 2019 |
Development of transfusion guidelines for injured children using a Modified Delphi Consensus Process.
Topics: Antifibrinolytic Agents; Blood Transfusion; Child; Consensus; Delphi Technique; Hemorrhage; Humans; | 2019 |
Influence of resuscitation fluids, fresh frozen plasma and antifibrinolytics on fibrinolysis in a thrombelastography-based, in-vitro, whole-blood model.
Topics: Aminocaproic Acid; Antifibrinolytic Agents; Blood Coagulation Disorders; Colloids; Crystalloid Solut | 2013 |
Association of cryoprecipitate and tranexamic acid with improved survival following wartime injury: findings from the MATTERs II Study.
Topics: Afghanistan; Antifibrinolytic Agents; Cohort Studies; Drug Therapy, Combination; Factor VIII; Female | 2013 |
PURLs: Trauma care--don't delay with TXA.
Topics: Antifibrinolytic Agents; Hemorrhage; Humans; Tranexamic Acid; Wounds and Injuries | 2013 |
Tranexamic acid and trauma: current status and knowledge gaps with recommended research priorities.
Topics: Antifibrinolytic Agents; Hemorrhage; Humans; Tranexamic Acid; Wounds and Injuries | 2013 |
Reducing trauma deaths in the UK.
Topics: Antifibrinolytic Agents; Clinical Protocols; Emergency Service, Hospital; Hemorrhage; Humans; Tranex | 2013 |
Tranexamic acid in trauma: we need stronger global health policy.
Topics: Antifibrinolytic Agents; Global Health; Health Policy; Hemorrhage; Humans; Multicenter Studies as To | 2013 |
Trauma and tranexamic acid.
Topics: Antifibrinolytic Agents; Blood Loss, Surgical; Hemorrhage; Humans; Thrombosis; Tranexamic Acid; Woun | 2013 |
Is viscoelastic evidence of hyperfibrinolysis the ideal indicator for tranexamic acid administration in trauma?
Topics: Antifibrinolytic Agents; Humans; Tranexamic Acid; Wounds and Injuries | 2013 |
Re: Is viscoelastic evidence of hyperfibrinolysis the ideal indicator for tranexamic acid administration in trauma?
Topics: Antifibrinolytic Agents; Humans; Tranexamic Acid; Wounds and Injuries | 2013 |
Fibrinogen depletion after plasma-dilution: impairment of proteolytic resistance and reversal via clotting factor concentrates.
Topics: Blood Coagulation; Factor XIII; Fibrinogen; Fibrinolysin; Fibrinolysis; Hemodilution; Hemorrhage; Hu | 2014 |
The effects of tranexamic acid and prothrombin complex concentrate on the coagulopathy of trauma: an in vitro analysis of the impact of severe acidosis.
Topics: Acidosis; Animals; Antifibrinolytic Agents; Blood Coagulation Disorders; Blood Coagulation Factors; | 2013 |
Tranexamic acid and trauma.
Topics: Antifibrinolytic Agents; Blood Loss, Surgical; Hemorrhage; Humans; Tranexamic Acid; Wounds and Injur | 2014 |
Tranexamic acid and trauma.
Topics: Antifibrinolytic Agents; Blood Loss, Surgical; Hemorrhage; Humans; Tranexamic Acid; Wounds and Injur | 2014 |
Tranexamic acid and trauma.
Topics: Antifibrinolytic Agents; Blood Loss, Surgical; Hemorrhage; Humans; Tranexamic Acid; Wounds and Injur | 2014 |
Tranexamic acid at the point of injury: the Israeli combined civilian and military experience.
Topics: Adult; Antifibrinolytic Agents; Clinical Protocols; Emergency Medical Services; Female; Hemorrhage; | 2014 |
Tranexamic acid administration to pediatric trauma patients in a combat setting: the pediatric trauma and tranexamic acid study (PED-TRAX).
Topics: Afghan Campaign 2001-; Antifibrinolytic Agents; Blood Transfusion; Child; Female; Glasgow Coma Scale | 2014 |
The benefits of TXA. Implementing tranexamic acid for trauma patients will result in decreased mortality.
Topics: Antifibrinolytic Agents; Emergency Medical Services; Humans; Tranexamic Acid; Wounds and Injuries | 2015 |
Addition of tranexamic acid to a traumatic injury massive transfusion protocol.
Topics: Academic Medical Centers; Adolescent; Adult; Antifibrinolytic Agents; Boston; Cooperative Behavior; | 2015 |
Use of Tranexamic Acid in Bleeding Combat Casualties.
Topics: Antifibrinolytic Agents; Hemorrhage; Humans; Military Personnel; Tranexamic Acid; Wounds and Injurie | 2015 |
Tranexamic acid in major trauma: implementation and evaluation across South West England.
Topics: Adult; Aged; Antifibrinolytic Agents; Emergency Medical Services; Emergency Service, Hospital; Engla | 2017 |
Time since injury is the major factor in preventing tranexamic acid use in the trauma setting: An observational cohort study from a major trauma centre in a middle-income country.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antifibrinolytic Agents; Cohort Studies; Drug Administra | 2015 |
Tranexamic acid in the trauma patient.
Topics: Accidents, Traffic; Adult; Antifibrinolytic Agents; Emergency Nursing; Emergency Service, Hospital; | 2016 |
Tranexamic acid in the trauma patient.
Topics: Accidents, Traffic; Adult; Antifibrinolytic Agents; Emergency Nursing; Emergency Service, Hospital; | 2016 |
Tranexamic acid in the trauma patient.
Topics: Accidents, Traffic; Adult; Antifibrinolytic Agents; Emergency Nursing; Emergency Service, Hospital; | 2016 |
Tranexamic acid in the trauma patient.
Topics: Accidents, Traffic; Adult; Antifibrinolytic Agents; Emergency Nursing; Emergency Service, Hospital; | 2016 |
Tranexamic acid in life-threatening military injury and the associated risk of infective complications.
Topics: Adult; Antifibrinolytic Agents; Dose-Response Relationship, Drug; Female; Follow-Up Studies; Humans; | 2016 |
Tranexamic Acid Use in United States Children's Hospitals.
Topics: Antifibrinolytic Agents; Child; Child, Preschool; Cohort Studies; Female; Hospitals, Pediatric; Huma | 2016 |
Rationale for the selective administration of tranexamic acid to inhibit fibrinolysis in the severely injured patient.
Topics: Animals; Antifibrinolytic Agents; Fibrin; Fibrinolysis; Humans; Phenotype; Plasminogen; Plasminogen | 2016 |
Prehospital administration of tranexamic acid in trauma patients.
Topics: Adult; Antifibrinolytic Agents; Cohort Studies; Female; Hospital Mortality; Humans; Male; Middle Age | 2016 |
[Uncritical use of tranexamic acid in trauma patients : Do no further harm!]
Topics: Antifibrinolytic Agents; Emergency Medical Services; Evidence-Based Medicine; Hemorrhage; Humans; Tr | 2016 |
Compatibility of Hydroxyethyl Starch and Tranexamic Acid for Battlefield Co-Administration.
Topics: Drug Therapy, Combination; Fluid Therapy; Hemorrhage; Humans; Hydroxyethyl Starch Derivatives; Trane | 2016 |
Combined effect of therapeutic strategies for bleeding injury on early survival, transfusion needs and correction of coagulopathy.
Topics: Adult; Aged; Aged, 80 and over; Antifibrinolytic Agents; Blood Coagulation Disorders; Blood Transfus | 2017 |
[Tranexamic acid in the German emergency medical service : A national survey].
Topics: Antifibrinolytic Agents; Emergency Medical Services; Germany; Guideline Adherence; Guidelines as Top | 2017 |
Damage control resuscitation in patients with severe traumatic hemorrhage: A practice management guideline from the Eastern Association for the Surgery of Trauma.
Topics: Antifibrinolytic Agents; Blood Cell Count; Blood Transfusion; Factor VIIa; Hemorrhage; Humans; Recom | 2017 |
Successful rotational thromboelastometry-guided treatment of traumatic haemorrhage, hyperfibrinolysis and coagulopathy.
Topics: Afibrinogenemia; Antifibrinolytic Agents; Fibrinogen; Fibrinolysis; Hemorrhage; Hemostasis; Humans; | 2010 |
Antifibrinolytic therapy: new data and new concepts.
Topics: Antifibrinolytic Agents; Fibrinolysin; Hemorrhage; Hemostasis; Humans; Tranexamic Acid; Wounds and I | 2010 |
Tranexamic acid for trauma.
Topics: Antifibrinolytic Agents; Hemorrhage; Humans; Randomized Controlled Trials as Topic; Tranexamic Acid; | 2010 |
Tranexamic acid for trauma.
Topics: Antifibrinolytic Agents; Hemorrhage; Humans; Nervous System Diseases; Randomized Controlled Trials a | 2010 |
Tranexamic acid for trauma.
Topics: Antifibrinolytic Agents; Hemorrhage; Humans; Randomized Controlled Trials as Topic; Selection Bias; | 2010 |
Hemostatic agents: which is better?
Topics: Antifibrinolytic Agents; Blood Transfusion; Factor VIIa; France; Hemostatics; Humans; Military Medic | 2010 |
Effect of consent rituals on mortality in emergency care research.
Topics: Antifibrinolytic Agents; Emergency Treatment; Hemorrhage; Humans; Informed Consent; Logistic Models; | 2011 |
Tranexamic acid for trauma.
Topics: Antifibrinolytic Agents; Emergency Medical Services; Emergency Service, Hospital; Hemorrhage; Humans | 2011 |
The use of fresh whole blood transfusions by the SOF medic for hemostatic resuscitation in the austere environment.
Topics: Blood Transfusion; Emergency Medical Services; Hemorrhage; Hemostatic Techniques; Hemostatics; Human | 2010 |
[Clinical trials in surgery - health care research of the future?].
Topics: Antifibrinolytic Agents; Clinical Trials as Topic; Forecasting; Germany; Health Services Research; H | 2011 |
[Hyperfibrinolysis as the cause of haemorrhage and increased mortality in trauma patients].
Topics: Antifibrinolytic Agents; Blood Coagulation Disorders; Blood Transfusion; Fibrinolysis; Hemorrhage; H | 2011 |
Thousands of lives could be saved using tranexamic acid for patients with bleeding trauma.
Topics: Antifibrinolytic Agents; Female; Hemorrhage; Humans; Male; Review Literature as Topic; Tranexamic Ac | 2011 |
Advances in trauma care.
Topics: Adolescent; Adult; Antifibrinolytic Agents; Child; Child, Preschool; Emergency Medical Services; Hem | 2011 |
Consent in emergency care research.
Topics: Antifibrinolytic Agents; Biomedical Research; Emergency Service, Hospital; Hemorrhage; Humans; Infor | 2011 |
Early administration of tranexamic acid in trauma patients.
Topics: Antifibrinolytic Agents; Hemorrhage; Humans; Randomized Controlled Trials as Topic; Time Factors; Tr | 2011 |
Military Application of Tranexamic Acid in Trauma Emergency Resuscitation (MATTERs) Study.
Topics: Adolescent; Adult; Afghan Campaign 2001-; Antifibrinolytic Agents; Blast Injuries; Blood Transfusion | 2012 |
Military Application of Tranexamic Acid in Trauma Emergency Resuscitation (MATTERs) Study.
Topics: Adolescent; Adult; Afghan Campaign 2001-; Antifibrinolytic Agents; Blast Injuries; Blood Transfusion | 2012 |
Military Application of Tranexamic Acid in Trauma Emergency Resuscitation (MATTERs) Study.
Topics: Adolescent; Adult; Afghan Campaign 2001-; Antifibrinolytic Agents; Blast Injuries; Blood Transfusion | 2012 |
Military Application of Tranexamic Acid in Trauma Emergency Resuscitation (MATTERs) Study.
Topics: Adolescent; Adult; Afghan Campaign 2001-; Antifibrinolytic Agents; Blast Injuries; Blood Transfusion | 2012 |
Military Application of Tranexamic Acid in Trauma Emergency Resuscitation (MATTERs) Study.
Topics: Adolescent; Adult; Afghan Campaign 2001-; Antifibrinolytic Agents; Blast Injuries; Blood Transfusion | 2012 |
Military Application of Tranexamic Acid in Trauma Emergency Resuscitation (MATTERs) Study.
Topics: Adolescent; Adult; Afghan Campaign 2001-; Antifibrinolytic Agents; Blast Injuries; Blood Transfusion | 2012 |
Military Application of Tranexamic Acid in Trauma Emergency Resuscitation (MATTERs) Study.
Topics: Adolescent; Adult; Afghan Campaign 2001-; Antifibrinolytic Agents; Blast Injuries; Blood Transfusion | 2012 |
Military Application of Tranexamic Acid in Trauma Emergency Resuscitation (MATTERs) Study.
Topics: Adolescent; Adult; Afghan Campaign 2001-; Antifibrinolytic Agents; Blast Injuries; Blood Transfusion | 2012 |
Military Application of Tranexamic Acid in Trauma Emergency Resuscitation (MATTERs) Study.
Topics: Adolescent; Adult; Afghan Campaign 2001-; Antifibrinolytic Agents; Blast Injuries; Blood Transfusion | 2012 |
Tranexamic acid--a recipe for saving lives in traumatic bleeding.
Topics: Antifibrinolytic Agents; Female; Hemorrhage; Humans; Male; Menorrhagia; Randomized Controlled Trials | 2011 |
CRASH-2 goes viral.
Topics: Adult; Antifibrinolytic Agents; Cost-Benefit Analysis; Hemorrhage; Humans; Information Dissemination | 2011 |
[Secondary prevention in trauma pathology. Is there an influence of commercial interests on evidence implementation?].
Topics: Accident Prevention; Commerce; Decontamination; Diffusion of Innovation; Drug Utilization; Evidence- | 2012 |
Tranexamic acid--a recipe for saving lives in traumatic bleeding.
Topics: Adult; Antifibrinolytic Agents; Drug Administration Schedule; Follow-Up Studies; Hemorrhage; Humans; | 2011 |
[Emergency medicine: updates 2011].
Topics: Acute Disease; Ambulatory Care; Anisoles; Antifibrinolytic Agents; Appendicitis; Atrial Fibrillation | 2012 |
Tranexamic acid: less bleeding and less thrombosis?
Topics: Antifibrinolytic Agents; Factor V; Factor VIII; Fibrinolysin; Hemorrhage; Humans; Plasminogen; Plate | 2012 |
Administer tranexamic acid early to injured patients at risk of substantial bleeding.
Topics: Antifibrinolytic Agents; Early Medical Intervention; Hemorrhage; Humans; Risk Factors; Tranexamic Ac | 2012 |
A promise to save 100,000 trauma patients.
Topics: Antifibrinolytic Agents; Exsanguination; Humans; Tranexamic Acid; Wounds and Injuries | 2012 |
Recombinant tissue-type plasminogen activator-evoked hyperfibrinolysis is enhanced by acidosis and inhibited by hypothermia but still can be blocked by tranexamic acid.
Topics: Acidosis; Adult; Blood Coagulation; Blood Coagulation Disorders; Female; Fibrinolytic Agents; Humans | 2013 |
Tranexamic acid looks promising during emergency surgery.
Topics: Adult; Antifibrinolytic Agents; Emergencies; Humans; Stroke; Tranexamic Acid; Wounds and Injuries | 2013 |
Antifibrinolytic agents in traumatic hemorrhage: a large scale randomized controlled trial is needed.
Topics: Antifibrinolytic Agents; Hemorrhage; Humans; Randomized Controlled Trials as Topic; Tranexamic Acid; | 2005 |
[CRASH-2: the Clinical Randomization of an Antifibrinolytic in Significant Haemorrhage trial].
Topics: Adult; Antifibrinolytic Agents; Child; Hemorrhage; Humans; Multicenter Studies as Topic; Patient Sel | 2005 |
Trial of drug for trauma patients includes victims of Iraqi violence.
Topics: Antifibrinolytic Agents; Hemorrhage; Humans; Randomized Controlled Trials as Topic; Tranexamic Acid; | 2006 |
Efficacy of FDA-approved hemostatic drugs to improve survival and reduce bleeding in rat models of uncontrolled hemorrhage.
Topics: Aminocaproic Acid; Animals; Antifibrinolytic Agents; Aprotinin; Deamino Arginine Vasopressin; Diseas | 2006 |
Influence of tranexamic acid on lung tissue fibrinolysis after trauma.
Topics: Animals; Cyclohexanecarboxylic Acids; Fibrinolysis; Pulmonary Circulation; Rats; Tranexamic Acid; Wo | 1977 |
Fibrinolysis in the lung. Experimental studies on tissue localization and on the response to drug induced antifibrinolysis and to trauma.
Topics: Animals; Fibrinolysis; Hydrocortisone; Lung; Perfusion; Plasminogen Activators; Rats; Rats, Inbred S | 1975 |