Trauma & major bleeding

Association between tranexamic acid administration and mortality based on the trauma phenotype: a retrospective analysis of a nationwide trauma registry in Japan

Crit CarePublished Retrospective cohort study

Authors' conclusion

We found an association between trauma phenotypes and in-hospital mortality, indicating that treatment with TXA could potentially influence this relationship.

Study context

Population
Patients with blunt trauma in the Japan Trauma Data Bank, 2019 to 2021, categorised into eight trauma phenotypes8 trauma phenotypes
Participants
53,703 patients
Exposure
Tranexamic acid (TXA) vs no TXA, by trauma phenotype
  • TXAn = 8,046
Outcome
In-hospital mortality
Methodological detailsnationwide trauma registry, inverse probability treatment weighting
  • Nationwide trauma registry
  • Inverse probability treatment weighting

Main finding

As reported in the abstract

In-hospital mortality with TXA administration, by trauma phenotype (subgroup)
Significantly reduced with TXA
Odds ratio (95% CI)
Trauma phenotype 1
0.68(0.57–0.81)
Trauma phenotype 2
0.73(0.66–0.81)
Trauma phenotype 6
0.52(0.39–0.70)
Trauma phenotype 8
0.67(0.60–0.75)

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Association between tranexamic acid administration and mortality based on the trauma phenotype: a retrospective analysis of a nationwide trauma registry in Japan. Crit Care. Published 19 March 2024. doi:10.1186/s13054-024-04871-w

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