Evidence map›Paper›PMID 40012149›Full record

ArticleHip & pelvis2025

Intravenous Injection of Tranexamic Acid in Patients with Pelvic Fractures: A Prospective Randomized Trial.

Mahmoud Fahmy, Mahmoud Abdel Karim, Ahmed Hazem Abdelazeem, Ahmed Magdy Abdelrazek

Abstract read
In one paragraph

Article in Hip & pelvis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

4 authors.

Mahmoud FahmyPelvis Fracture and Arthroplasty Unit, Orthopaedic Department, Kasr Alainy Hospital, Cairo University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-5700-493X
Mahmoud Abdel KarimPelvis Fracture and Arthroplasty Unit, Orthopaedic Department, Kasr Alainy Hospital, Cairo University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-4152-9336
Ahmed Hazem AbdelazeemPelvis Fracture and Arthroplasty Unit, Orthopaedic Department, Kasr Alainy Hospital, Cairo University, Cairo, Egypt.ORCID https://orcid.org/0000-0003-0932-1321
Ahmed Magdy AbdelrazekPelvis Fracture and Arthroplasty Unit, Orthopaedic Department, Kasr Alainy Hospital, Cairo University, Cairo, Egypt.ORCID https://orcid.org/0000-0001-6092-4895

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The purpose of the study is to examine the efficacy of intravenous injections of tranexamic acid (TXA) in reducing perioperative blood loss in patients scheduled for open reduction and internal fixation for pelvic fractures (Tile B and C). A study population with greater homogeneity was selected to minimize confounding variables related to fracture and fixation methods that may reflect an accurate result. Materials and Methods: A prospective randomized controlled trial including 100 patients who received either 15 mg/kg of TXA added to 40 mL saline twice separated by 3 hours interval or a similar volume of normal saline (~50 mL twice in same manner) intravenously. Measurement of hemoglobin was performed preoperatively and postoperatively. Blood loss in drain, blood units transfused, and complications were recorded. Results: The mean decrease in hematocrit levels (preoperatively and postoperatively) was 3.2% in the trial group versus 3.7% in the control group ( Conclusion: Intravenous injection of TXA in pelvic fractures was effective in reducing blood loss and the rates of blood transfusion. There were no associated thromboembolic complications.

Indexed as

Pelvic fracturePerioperative bleedingThromboembolismTranexamic acid

Identifiers

PMID40012149
PMCPMC11885788

What OpenQuestion holds

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Registered trials

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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.