The PATCH-Trauma Investigators and the ANZICS Clinical Trials Group.
N Engl J Med 2023; 389: 127-136.
This multicentre study included 1310 injured patients randomly allocated tranexamic acid. After six months, rates of survival with favourable functional outcome were similar: 53.7 per cent with tranexamic acid compared to 53.5 per cent in controls, P=0.95.
Comment: Much of the literature about tranexamic acid is positive, and this requires further analysis and explanation.
BJS Foundation Limited
BJS Academy
0000-0000
BJS Foundation Limited
London, UK
rct085
Randomized clinical trials
Randomized clinical trials
Trauma
Prehospital tranexamic acid for severe trauma.
The PATCH-Trauma Investigators and the ANZICS Clinical Trials Group.
12102023
N Engl J Med 2023; 389: 127-136.
This multicentre study included 1310 injured patients randomly allocated tranexamic acid. After six months, rates of survival with favourable functional outcome were similar: 53.7 per cent with tranexamic acid compared to 53.5 per cent in controls, P=0.95.
Comment: Much of the literature about tranexamic acid is positive, and this requires further analysis and explanation.
Dehghan M, Nauth A, Schemitsch E, Vicente M, Jenkinson R, Kreder H et al, for the Canadian Orthopaedic Trauma Society and the Unstable Chest Wall RCT Study Investigators.