Pediatric anesthesia & critical care

Association of single bolus versus bolus followed by infusion of tranexamic acid with blood loss in adolescent idiopathic scoliosis surgery

Perioper Med (Lond)Published Retrospective cohort study

Authors' conclusion

TXA when administered as a single bolus or bolus followed by infusion in AIS patients undergoing PSF surgery was associated with similar estimated total surgical blood loss and blood transfusion requirement.

Study context

Population
Adolescent idiopathic scoliosis (AIS) patients aged 10–21 years undergoing posterior spinal fusion at a tertiary university hospital, December 2018 to September 2019
Participants
129 patients
Exposure
Tranexamic acid (TXA) single bolus vs bolus followed by infusion
Outcome
Total estimated blood loss
Methodological detailssingle-centre, All surgeries performed by two senior consultants
  • Single-centre
  • All surgeries performed by two senior consultants

Main finding

As reported in the abstract

GroupValueRange
Group Amean 723.3 (SD 279.4) mL175.0-1607.0 mL
Group Bmean 819.4 (SD 302.6) mL330.0-1556.0 mL

Value

Group Amean 723.3 (SD 279.4) mL
Group Bmean 819.4 (SD 302.6) mL

Range

Group A175.0-1607.0 mL
Group B330.0-1556.0 mL
  • Group B vs Group A: P = 0.065 — no difference

Observational data: associations, not effects.

Further findings

None received blood transfusion
0

Safety

No complications

Original publication

Association of single bolus versus bolus followed by infusion of tranexamic acid with blood loss in adolescent idiopathic scoliosis surgery. Perioper Med (Lond). Published 30 September 2024. doi:10.1186/s13741-024-00452-1

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