MedPath

Tranexamic Acid in Hip Fracture Surgery

Completed
Conditions
Hip Fracture
Registration Number
NCT02736383
Lead Sponsor
Spectrum Health Hospitals
Brief Summary

To determine if TXA utilization is effective at reducing transfusion rates in elderly patients undergoing surgery for treatment of a hip fractures.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
142
Inclusion Criteria
  • Acute, isolated, unilateral femoral neck, intertrochanteric, and per trochanteric hip fractures confirmed by anteroposterior/lateral hip radiographs, computed tomography, or magnetic resonance imaging.
  • Age 65 and older
  • Low energy mechanism of injury
  • Hip fracture fixation performed within 48 hours
  • English speaking
  • Anticipated medical optimization for operative fixation
  • No other major trauma
Exclusion Criteria
  • Retained hardware around the affected hip
  • Infection around the affected hip
  • Transfer patients with a length of stay > 24 hours at the transferring hospital
  • Diagnosis of deficient natural anticoagulation
  • Known congenital thrombophilia (Deficiency of Protein C, S, Antithrombin)
  • Known allergy to TXA
  • Patients undergoing percutaneous pinning of the hip fracture

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Blood Transfusion Rate6 weeks

Blood transfusion rates during the patients hospital stay will be assessed.

Secondary Outcome Measures
NameTimeMethod
Hospital Length of stay6 weeks

The patients length of stay in the hospital will be determined.

Post operative complications6 weeks

Post operative complications will be assessed through the 6 weeks.

Hospitalization costs6 weeks

Economic evaluation for inpatient and re-admission will be assessed.

© Copyright 2025. All Rights Reserved by MedPath