Evidence map›Paper›PMID 32855972›Full record

Trial reportBioMed research international2020

Tranexamic Acid for Blood Loss after Transforaminal Posterior Lumbar Interbody Fusion Surgery: A Double-Blind, Placebo-Controlled, Randomized Study.

Bin He, Yuanqiang Li, Shuai Xu, Yunsheng Ou, Jinqiu Zhao

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BioMed research international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. 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

5 authors.

Bin HeDepartment of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China 400016.ORCID https://orcid.org/0000-0003-1187-9930
Yuanqiang LiDepartment of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China 400016.ORCID https://orcid.org/0000-0001-7483-601X
Shuai XuDepartment of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China 400016.ORCID https://orcid.org/0000-0002-7002-4265
Yunsheng OuDepartment of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China 400016.ORCID https://orcid.org/0000-0001-8578-3523
Jinqiu ZhaoDepartment of Infectious Diseases, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China 400016.ORCID https://orcid.org/0000-0002-1851-040X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransforaminal lumbar interbody fusion (TLIF) may result in significant blood loss and an increase in blood transfusion. Though tranexamic acid (TXA) is widely studied for the hemostasis of arthroplasty, there is little information on the use of TXA for TLIF surgery.

methodsThis prospective randomized, double-blind, placebo-controlled trial was conducted to study the influence of TXA (intravenous bolus of 10 mg/kg 15 minutes before skin incision followed by intravenous infusion of 6-8 mg/kg/h up to a total dose of 15 mg/kg during the surgery) on the blood loss and Enhanced Recovery After Surgery (ERAS) after TLIF surgery. 40 patients were randomized into two groups: TXA group (tranexamic acid) and control group (placebo). Baseline characteristics were comparable between the TXA group and the control group before the surgery. Outcomes assessed included blood loss, total postoperative drainage, time for drainage removal, time to ambulation, hospital stay after surgery, postoperative hemoglobin (Hb) one day after surgery, and adverse events.

resultsCompared to patients in the control group after TLIF surgery, patients in the TXA group have significantly reduced intraoperative hemorrhage and time to ambulation after surgery but show similar hospital stay, postoperative drainage, time for drainage removal, postoperative Hb one day after surgery, and adverse events.

conclusionsTXA shows important ability in controlling blood loss and promoting the ERAS after TLIF surgery.

Indexed as

Administration, IntravenousAgedAntifibrinolytic AgentsDouble-Blind MethodFemaleHumansLength of StayLumbar VertebraeMaleMiddle AgedPlacebosPostoperative HemorrhageSpinal FusionTranexamic AcidTreatment OutcomeAntifibrinolytic AgentsPlacebosTranexamic Acid

Identifiers

PMID32855972
PMCPMC7443232

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.