Obstetric anesthesia

Tranexamic acid for reduction of blood loss after Caesarean delivery: a cost-effectiveness analysis of the TRAAP2 trial

Br J AnaesthPublished Cost-effectiveness analysis of the TRAAP2 randomised controlled trial

Primary result · Mean total costs until occurrence of a complication of interestResult — go to the resultDifference 55 €

Authors' conclusion

Tranexamic acid for the prevention of blood loss is cost-effective in reducing complications after Caesarean delivery at day 90 postpartum. However, the effect size (in cost and effectiveness) is very low.

Study context

Population
Women having a Caesarean delivery before or during labour at ≥34 weeks of gestation, 27 French maternity hospitals, 2018–2020
Comparison
Tranexamic acid vs placebo at Caesarean delivery
Primary endpoint
Cost of hospital stay for delivery and incremental cost per delivery without complication within 90 days after delivery
Follow-up
90 days
Methodological detailsmulticentre, double-blinded
  • Multicentre
  • Double-blinded

Primary result

As reported in the abstract

Mean total costs until occurrence of a complication of interest

Difference

55 €

By group

Adjusted incremental cost-effectiveness ratio per additional Caesarean delivery without a complication at 90 days
€762
Cost-effectiveness probability of tranexamic acid vs placebo at a threshold of €10,000
99.9%
Cost-effectiveness probability for thresholds from €0 to €10,000 per additional delivery without a complication at day 90
5.8% to 100.0%

Further findings

Women without complications · day 90

Original publication

Tranexamic acid for reduction of blood loss after Caesarean delivery: a cost-effectiveness analysis of the TRAAP2 trial. Br J Anaesth. Published 9 September 2023. doi:10.1016/j.bja.2023.07.028

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