Hemodynamics, fluids & transfusion

Oral as compared to intravenous tranexamic acid to limit peri-operative blood loss associated with primary total hip arthroplasty: A randomised noninferiority trial

Eur J AnaesthesiolPublished Randomised controlled trial

Primary result · Total blood loss (TBL)Result — go to the resultDifference between medians 35 ml 95% CI −103.77 to 33.77

Authors' conclusion

TXA as an oral premedication before PLTHA is noninferior to its intravenous administration regarding peri-operative TBL.

Study context

Population
Patients scheduled for primary posterolateral approached total hip arthroplasty (PLTHA), University Hospital of Liège, Belgium, May 2021 to November 2022108 i.v., 104 oral analysed
Participants
228 patients
Comparison
Oral vs intravenous tranexamic acid (TXA)
  • Oraln = 114
  • i.v.n = 114reference
Primary endpoint
Total blood loss (measured intra-operative and drainage blood loss)
Follow-up
Up to 48 h after surgery
Methodological detailsnoninferiority, single centre, double-blind
  • Noninferiority
  • Single centre
  • Double-blind

Primary result

Total blood loss (TBL)

Difference between medians

35 ml

95% CI −103.77 to 33.77

By group

As reported in the abstract

Secondary outcomes

Evolution of total blood loss (TBL) and haemoglobin over time

No significant interaction between group and time

Original publication

Oral as compared to intravenous tranexamic acid to limit peri-operative blood loss associated with primary total hip arthroplasty: A randomised noninferiority trial. Eur J Anaesthesiol. Published 12 January 2024. doi:10.1097/eja.0000000000001950

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