Evidence map›Paper›PMID 32819728›Full record

Trial reportBrazilian journal of anesthesiology (Elsevier)

[Comparison of two doses of intra-articular tranexamic acid on postoperative bleeding in total knee arthroplasty: a randomized clinical trial].

Edmundo Pereira de Souza Neto, Gorka Usandizaga

Registry-linked trialOpen access · diamondAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04085575 (Efficacy of 1g Versus 2g Intra-auricular Tranexamic Acid in Postoperative Bleeding After Total Knee Arthroplasty), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 56% 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.

NCT04085575 phase4completednot on this map

Efficacy of 1g Versus 2g Intra-auricular Tranexamic Acid in Postoperative Bleeding After Total Knee Arthroplasty

TypeinterventionalSponsorCentre Hospitalier de MontaubanRan2019 to 2020Enrolled100ConditionsPostoperative HemorrhageArmsAcide Tranexamique
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. [Tranexamic acid - choosing the best dose].Brazilian journal of anesthesiology (Elsevier)
    Article
  5. Clinical use of tranexamic acid: evidences and controversies.Brazilian journal of anesthesiology (Elsevier)
    Review
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

2 authors.

Edmundo Pereira de Souza NetoCentre Hospitalier de Montauban, Département d'Anesthésie, Montauban, France. Electronic address: edmundo.pereira-de-souza@hotmail.fr.
Gorka UsandizagaCentre Hospitalier de Montauban, Département de Chirurgie Orthopédique et Traumatologie, Montauban, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTranexamic Acid (TXA), an antifibrinolytic that inhibits the fibrinolytic activity of plasmin is used to decrease perioperative blood loss and transfusion requirements in orthopedic surgery. The aim of our study was to compare postoperative bleeding in two intra-articular doses (1g and 2g) of tranexamic acid in adult patients undergoing unilateral total knee replacement.

methodWe conducted a single-operator, randomized, and controlled, double-blind study in two groups. The G1 group received 1g of intra-articular TXA and the G2 group 2g of intra-articular TXA. Both groups received 15mg.kg

resultsIn total, 100 patients were randomized, and 100 were included in the analysis. Blood loss in postoperative drainage was similar in both groups (200±50 vs. 250±50mL, G1 and G2 groups respectively). Change in hematocrit and hemoglobin values (% of change) between preoperative and day 3 were not statically significant between groups G1 and G2 (18±5 vs. 21±4; 21±7 vs. 22±5 respectively). No patients received blood transfusion.

conclusionsOur study did not show superiority of 2g of intra-articular tranexamic acid compared to 1g. ClinicalTrials.gov Identifier NCT04085575.

Indexed as

AgedAntifibrinolytic AgentsArthroplasty, Replacement, KneeDouble-Blind MethodFemaleHematocritHemoglobinsHumansInjections, Intra-ArticularMalePostoperative HemorrhageTranexamic AcidAntifibrinolytic AgentsHemoglobinsTranexamic AcidÁcido tranexâmicoArtroplastia total do joelhoHemorragiaHemorrhageHemostasiaHemostasisIntra‐articularIntravenosaIntravenousTopicalTópicoTotal knee arthroplastyTranexamic acid

Identifiers

PMID32819728
PMCPMC9373250
OpenAlexW3035791843

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.