The purpose of this research is to determine if the oral form of a medication (tranexamic acid) to reduce bleeding can be used in place of an intravenous (IV) form, to learn the best way to give tranexamic acid: either a pill by mouth, or a solution by vein.
The purpose of this research is to determine if the oral form of a medication (tranexamic acid) to reduce bleeding can be used in place of an intravenous (IV) form.to learn the best way to give tranexamic acid: either a pill by mouth, or a solution by vein. Tranexamic acid is a medicine that reduces blood loss and reduces the need for blood transfusions in surgery. This drug is not experimental and has been used widely to treat patients in many settings, including orthopedic procedures, to reduce bleeding. This medication is now part of the standard of care at many centers in the U.S. and around the world. Orthopedic procedures have used iv tranexamic acid more often, but there are reasons to believe that the oral form may be at least equivalent and perhaps better at lower cost to the health care system. No other study has yet performed a systematic comparison to answer the question.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
118
OTA will be given as 1950 mg 1-2 hours prior to OR and 1950 mg 2 hours after surgical close, before discharge from PACU.
IVTA will be given as 1 g intravenously at time of first incision (THA or bTKA without tourniquet) or just before 1st tourniquet application (bTKA), and then again, 1 g after final surgery closure.
New England Baptist Hospital
Boston, Massachusetts, United States
Lower number of units of blood required for transfusion.
Lower number of units of blood required for transfusion in the OR and post-operatively, hospital-wide.
Time frame: 2 Years
Lower incidences of patients requiring blood transfusion.
Lower incidences of patients requiring blood transfusion in the OR, or post-operatively.
Time frame: 2 Years
Lower Blood Loss in Patients
Lower amounts of blood loss in patients during in surgery, and post-operatively.
Time frame: Hospital Stay: 1-3 days.
Length of Stay
Potential for a shorter length of hospital stay for post-surgical patients.
Time frame: 1-3 Days
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