This is a prospective clinical study designed to assess blood loss in intracapsular and extracapsular hip fractures undergoing operative fixation at a Level II trauma center. It is well established in the orthopedic literature that tranexamic acid (TXA) decreases blood loss and need for postoperative blood transfusion in hip fracture patients as well as total joint arthroplasty patients. A typical dosing pattern, and the dosing pattern employed at our institution, is 1 gram IV infused prior to incision followed by 1 gram IV infused at the time of wound closure.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
170
TXA to be given at time of diagnosis in the emergency department (ED) in treatment group and at time of operation for both groups
Ascension Genesys Hospital
Grand Blanc, Michigan, United States
RECRUITINGPostoperative Blood Transfusion
Patient receives a blood transfusion during their postoperative stay in the hospital
Time frame: Up to two weeks
Overall Blood Loss
Calculate the difference in postoperative blood loss between groups
Time frame: Up to two weeks
Length of hospital stay
Overall length of hospital stay
Time frame: Up to two weeks
Postoperative Pain
Difference in overall pain scores between groups
Time frame: Up to two weeks
Wound complications
Acute wound complications documented after surgical intervention
Time frame: Up to two weeks
Acute DVT/PE
Documented deep venous thrombosis or pulmonary embolism
Time frame: Up to two weeks
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