Evidence map›Paper›PMID 36228297›Full record

Trial reportActa cirurgica brasileira2022

Tranexamic acid effects in postoperative bleeding outcomes in laparoscopic sleeve gastrectomy: a controlled study.

Roger Moura de Brito, Caio Márcio Barros de Oliveira, Ed Carlos Rey Moura, Giuliano Peixoto Campelo, Roclides Castro Lima, Ciro Sousa de Moura Fe, Tércio Maia Sousa, Eduardo José Silva Gomes de Oliveira, Almir Vieira Dibai Filho, Plínio da Cunha Leal

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta cirurgica brasileira, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07401394 (BAR-TAX - Tranexamic Acid in Bariatric Surgery. Use of Tranexamic Acid and Bleeding Management in Bariatric Surgery), which is not on this map. Cited by 9 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 4 pooled it
2.6field-weighted citation impact, top 10% 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.

NCT07401394 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

BAR-TAX - Tranexamic Acid in Bariatric Surgery. Use of Tranexamic Acid and Bleeding Management in Bariatric Surgery: A Prospective Study in a High-Volume Center.

TypeinterventionalSponsorSanta Maria Hospital - GVM Care & ResearchRan2025 to 2026Enrolled1,000ConditionsBariatric Surgery, Bariatric Patients, Bariatric Surgery Complications, BleedingArmsTranexamic Acid (TXA)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 4 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
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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

10 authors at 2 institutions in 1 country.

Roger Moura de BritoMs. Hospital São Domingos - Center for Bariatric and Metabolic Surgery - Sao Luis (MA), Brazil.ORCID http://orcid.org/0000-0003-4634-5437
Caio Márcio Barros de OliveiraPhD. Universidade Federal do Maranhão - Postgraduate Program in Adult Health - Sao Luis (MA), Brazil.ORCID http://orcid.org/0000-0002-5068-9067
Ed Carlos Rey MouraPhD. Universidade Federal do Maranhão - Postgraduate Program in Adult Health - Sao Luis (MA), Brazil.ORCID http://orcid.org/0000-0002-7752-0683
Giuliano Peixoto CampeloMs. Hospital São Domingos - Center for Bariatric and Metabolic Surgery - Sao Luis (MA), Brazil.ORCID http://orcid.org/0000-0003-2287-1029
Roclides Castro LimaMs. Hospital São Domingos - Center for Bariatric and Metabolic Surgery - Sao Luis (MA), Brazil.ORCID http://orcid.org/0000-0003-2597-8358
Ciro Sousa de Moura FeGraduate student. Universidade Federal do Maranhão - Department of Medicine - Sao Luis (MA), Brazil.ORCID http://orcid.org/0000-0003-1710-6410
Tércio Maia SousaGraduate student. Universidade Federal do Maranhão - Department of Medicine - Sao Luis (MA), Brazil.ORCID http://orcid.org/0000-0003-4566-7573
Eduardo José Silva Gomes de OliveiraPhD. Universidade Federal do Maranhão - Postgraduate Program in Adult Health - Sao Luis (MA), Brazil.ORCID http://orcid.org/0000-0003-0883-4774
Almir Vieira Dibai FilhoPhD. Universidade Federal do Maranhão - Postgraduate Program in Adult Health - Sao Luis (MA), Brazil.ORCID http://orcid.org/0000-0001-5403-8248
Plínio da Cunha LealPhD. Universidade Federal do Maranhão - Postgraduate Program in Adult Health - Sao Luis (MA), Brazil.ORCID http://orcid.org/0000-0003-1336-8528
Universidade Federal do Maranhão · BRHospital São Domingos · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo demonstrate through a controlled study whether the use of tranexamic acid in bariatric surgeries is effective for bleeding control.

methodsProspective, comparative, and double-blind study performed with patients from 18 to 65 years old submitted to bariatric surgery. The selected patients received venous tranexamic acid (TXA) during the induction of anesthesia or not (CG). The anesthesia and thromboprophylaxis protocols were similar among the groups. For statistical analysis, the χ2 and analysis of variance tests were performed at a significance level of p < 0.05, using the statistical program SPSS 21.0®.

resultsSixty-one patients were included in the study, 31 in the control group and 30 in the TXA group (GTXA). In the intraoperative period, the bleeding volume was greater in the CG than in the GTXA. In the postoperative period, the tranexamic acid group had a higher value hematocrit, absence of surgical reoperations due to bleeding complications, and shorter hospitalization time than the control group.

conclusionsThe use of tranexamic acid was effective in reducing bleeding rates and of hospital stay length, in addition to demonstrating the clinical safety of its use, for not having been associated with any thromboembolic events.

Indexed as

Antifibrinolytic AgentsLaparoscopyTranexamic AcidVenous ThromboembolismAdolescentAdultAgedAnticoagulantsBlood Loss, SurgicalGastrectomyHumansMiddle AgedPostoperative HemorrhageProspective StudiesYoung AdultAnticoagulantsAntifibrinolytic AgentsTranexamic Acid

Identifiers

PMID36228297
PMCPMC9553071
OpenAlexW4306247962

What OpenQuestion holds

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LicenceCC BY
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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.