Trauma & major bleeding

Bayesian Statistics to Reanalyze Data From the STAAMP Trial

JAMA Netw OpenPublished Secondary analysis of the STAAMP randomised trial

Primary result · 30-day mortalityResult — go to the resultHazard ratio 0.81 95% CI 0.59–1.11

Authors' conclusion

This quality improvement study using a post hoc bayesian reanalysis of the STAAMP trial suggested a high probability that prehospital TXA would improve survival.

Study context

Population
Trauma patients at risk for hemorrhage within ≈2 hours of injury, level I trauma centers in the US, 2015–2019analysed
Participants
903 patients
Comparison
Prehospital tranexamic acid (TXA) vs placebo
  • TXAn = 447
  • Placebon = 456reference
Primary endpoint
30-day mortality (frequentist); posterior probability of mortality benefit (bayesian hierarchical logistic regression, CRASH-2, PATCH-Trauma and noninformative priors)
Follow-up
30 days
Methodological detailspost hoc bayesian reanalysis, multicentre, double-masked, placebo-controlled, phase 3
  • Post hoc bayesian reanalysis
  • Multicentre
  • Double-masked
  • Placebo-controlled
  • Phase 3

Primary result

30-day mortality

Hazard ratio

0.81

95% CI 0.59–1.11

By group

TXA vs Placebo
HR 0.81 (95% CI 0.59–1.11)

As reported in the abstract

Posterior RR, CRASH-2 prior
0.91 (95% CrI, 0.85-0.97)
Posterior RR, PATCH-Trauma prior
0.80 (95% CrI, 0.65-0.97)
Posterior RR, noninformative prior
0.82 (95% CrI, 0.52-1.23)
Posterior probability that TXA reduced mortality
84% to 99%

Original publication

Bayesian Statistics to Reanalyze Data From the STAAMP Trial. JAMA Netw Open. Published 2 March 2026. doi:10.1001/jamanetworkopen.2026.2112

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