Utilization, effectiveness, and safety of tranexamic acid use in hip fracture surgery: A population-based study.

Blood transfusion Complications Hip fracture Hospitalization cost Tranexamic acid

Journal

Journal of orthopaedics
ISSN: 0972-978X
Titre abrégé: J Orthop
Pays: India
ID NLM: 101233220

Informations de publication

Date de publication:
Historique:
received: 20 01 2020
accepted: 25 01 2020
entrez: 7 2 2020
pubmed: 7 2 2020
medline: 7 2 2020
Statut: epublish

Résumé

To assess the effect of tranexamic acid (TXA) use in hip fracture surgery. A retrospective cohort study was performed using the Premier Healthcare database. A propensity score matching approach was applied to assess associations between TXA use and blood transfusion, perioperative complications, length of stay (LOS), and hospitalization cost. In 153,169 patients, TXA use was associated with a 17% decrease in odds of blood transfusion, no increase in the risk of perioperative complications, 16% shorter LOS, and minimal effects on hospitalization cost. Our results are in support of a wider use of TXA in hip fracture surgery. Level III.

Identifiants

pubmed: 32025142
doi: 10.1016/j.jor.2020.01.040
pii: S0972-978X(20)30052-0
pmc: PMC6997115
doi:

Types de publication

Journal Article

Langues

eng

Pagination

167-172

Informations de copyright

© 2020 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.

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Auteurs

Zoe B Cheung (ZB)

Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai Health System, New York, NY, USA.

Shawn G Anthony (SG)

Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai Health System, New York, NY, USA.

David A Forsh (DA)

Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai Health System, New York, NY, USA.

Jeremy Podolnick (J)

Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai Health System, New York, NY, USA.

Nicole Zubizarreta (N)

Institute for Healthcare Delivery Science, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai Health System, New York, NY, USA.

Leesa M Galatz (LM)

Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai Health System, New York, NY, USA.

Jashvant Poeran (J)

Institute for Healthcare Delivery Science, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai Health System, New York, NY, USA.

Classifications MeSH