Evidence map›Paper›PMID 41432711›Full record

ArticleTransfusion2026

Tranexamic acid dosing in pediatric trauma: Dose simulation based on population pharmacokinetic modeling in adult trauma patients.

Gideon Stitt, Kevin Downes, Athena Zuppa, Christine Leeper, Kevin Watt, Philip Spinella

Abstract read
In one paragraph

Article in Transfusion, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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.

Gideon StittDivision of Clinical Pharmacology, Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0001-5269-214X
Kevin DownesCenter for Clinical Pharmacology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-5015-8146
Athena ZuppaDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Christine LeeperDepartment of Surgery and Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Kevin WattDivision of Clinical Pharmacology, Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA.
Philip SpinellaDepartment of Surgery and Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Funding

Optimizing Vancomycin Therapy in ChildrenK23HD091365 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI DOWNES, KEVIN JAMES · 2018 to 2022
$747k
Center for the Biomedical Advanced Research and Development Authority 75A50123C00047Eunice Kennedy Shriver National Institute of Child Health and Human Development K23-HD091365NICHD NIH HHS K23 HD091365
6 · The paper itself

Abstract

backgroundTrauma is the most common cause of death in children >1 year of age, with hemorrhage being the most common preventable cause of death after injury. Antifibrinolytics like tranexamic acid (TXA) are a key aspect of trauma management in children, but optimal dosing remains unknown. The objective of this study was to derive a TXA dose in children with trauma-related bleeding that approximates the TXA exposure in adult trauma patients using a population pharmacokinetic (popPK) model from adults with severe traumatic injury. STUDY DESIGN AND

methodsModel-based simulation was performed by extrapolating a previously published popPK model of TXA in adults with trauma-related bleeding to pediatric patients. A virtual pediatric trauma population was simulated utilizing published covariate values and an allometrically scaled adult model applied to predict the TXA PK profile in children with trauma-related bleeding.

resultsAn IV TXA bolus of 25 mg/kg (max 2 g) in children with trauma-related bleeding approximates the C DISCUSSION: In children with trauma-related bleeding, a TXA 25 mg/kg IV bolus is predicted to approximate the C

Indexed as

Antifibrinolytic AgentsHemorrhageModels, BiologicalTranexamic AcidWounds and InjuriesAdolescentAdultChildChild, PreschoolComputer SimulationDose-Response Relationship, DrugFemaleHumansInfantMaleMiddle AgedAntifibrinolytic AgentsTranexamic Acidemergency medicinehemorrhagehemostasispediatricspharmacokinetics

Identifiers

PMID41432711
PMCPMC12794529

What OpenQuestion holds

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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.