Evidence map›Paper›PMID 28887640›Full record

Trial reportEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2018

Clinical and instrumental evaluation of two different regimens of tranexamic acid in total hip arthroplasty: a single-centre, prospective, randomized study with 80 patients.

Nicola Piolanti, Andrea Del Chiaro, Fabrizio Matassi, Angelo Graceffa, Lorenzo Nistri, Massimiliani Marcucci

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Nicola Piolanti1st Orthopaedic Department, University of Pisa, Via Paradisa 2, 56100, Pisa, Italy. nicpio@hotmail.it.ORCID http://orcid.org/0000-0001-5157-6024
Andrea Del Chiaro1st Orthopaedic Department, University of Pisa, Via Paradisa 2, 56100, Pisa, Italy. andrea.delchiaro@yahoo.it.
Fabrizio MatassiDepartment of Surgical Science and Translational Medicine, University of Florence, Largo P. Palagi 1, 50139, Florence, Italy.
Angelo GraceffaAzienda Sanitaria Provinciale di Enna, Via Armando Diaz 7/9, 94100, Enna, Italy.
Lorenzo NistriCESAT, Piazza Spartaco Lavagnini 1, 50054, Fucecchio, Italy.
Massimiliani MarcucciCESAT, Piazza Spartaco Lavagnini 1, 50054, Fucecchio, Italy.
Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITUniversity of Pisa · ITAgenzia Regionale Sanitaria della Puglia · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe use of tranexamic acid (TXA) in total hip arthroplasty (THA) can significantly reduce blood losses with many clinical and economical advantages. However, no consensus has been reached regarding the optimal regimen for TXA administration. The aim of this study is to analyse and compare the haemostatic effect of two different intravenous (IV) regimens of TXA. MATERIALS AND

methodsWe planned a single-centre, prospective, randomized study including 80 patients who underwent primary unilateral minimally invasive THA because of a hip osteoarthritic degeneration. We divided patients into two groups: the G10 group received two IV doses of 10 mg/kg of TXA, and the G20 group received two doses of 20 mg/kg.

resultsNo significant differences in mean minimum levels of Hb and HcT stratified by days after surgery were uncovered between the two groups despite the use of two different dosages of TXA. Also the mean blood volume loss was statistically similar between two groups. No differences were also observed regarding the occurrence of adverse effects.

conclusionsIn two IV bolus regimens of TXA administration, the use of a dose of 10 or 20 mg/kg provides statistically similar results in blood loss sparing. Therefore, the use of two 10 mg/kg doses could be considered more advisable in order to reduce the potential thromboembolic risks related to this drug.

Indexed as

Arthroplasty, Replacement, HipAgedAntifibrinolytic AgentsBlood Loss, SurgicalBlood VolumeFemaleHematocritHemoglobinsHumansMaleMiddle AgedOsteoarthritis, HipProspective StudiesTranexamic AcidAntifibrinolytic AgentsHemoglobinsTranexamic AcidAcidArthroplastyBloodHipTranexamicTransfusion

Identifiers

PMID28887640
OpenAlexW2754718033

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.