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Brief CommunicationBrief Communication
Open Access

Effectiveness of using tranexamic acid in total hip and total knee arthroplasty

Single tertiary center experience

Khalid Al Sheikh, Ali AlHandi, Abrar Bin Dohaim, Khawlah Ateeq and Khalid AlAqeely
Saudi Medical Journal August 2021, 42 (8) 908-912; DOI: https://doi.org/10.15537/smj.2021.42.8.20210332
Khalid Al Sheikh
From the College of Medicine (Al Sheikh) Assistant Professor, King Saud Bin Abdulaziz University for Health Sciences; from the Division of Orthopedics, Department of Surgery, (Al Sheikh, AlHandi, Ateeq, AlAqeely) King Abdulaziz Medical City, Ministry of National Guard Health Affairs; from the College of Medicine (Bin Dohaim), King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabiaand from King Abdullah International Medical Research Center, Riyadh City, Saudi Arabia.
MD, FRCSC
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Ali AlHandi
From the College of Medicine (Al Sheikh) Assistant Professor, King Saud Bin Abdulaziz University for Health Sciences; from the Division of Orthopedics, Department of Surgery, (Al Sheikh, AlHandi, Ateeq, AlAqeely) King Abdulaziz Medical City, Ministry of National Guard Health Affairs; from the College of Medicine (Bin Dohaim), King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabiaand from King Abdullah International Medical Research Center, Riyadh City, Saudi Arabia.
MBBS
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  • For correspondence: [email protected]
Abrar Bin Dohaim
From the College of Medicine (Al Sheikh) Assistant Professor, King Saud Bin Abdulaziz University for Health Sciences; from the Division of Orthopedics, Department of Surgery, (Al Sheikh, AlHandi, Ateeq, AlAqeely) King Abdulaziz Medical City, Ministry of National Guard Health Affairs; from the College of Medicine (Bin Dohaim), King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabiaand from King Abdullah International Medical Research Center, Riyadh City, Saudi Arabia.
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Khawlah Ateeq
From the College of Medicine (Al Sheikh) Assistant Professor, King Saud Bin Abdulaziz University for Health Sciences; from the Division of Orthopedics, Department of Surgery, (Al Sheikh, AlHandi, Ateeq, AlAqeely) King Abdulaziz Medical City, Ministry of National Guard Health Affairs; from the College of Medicine (Bin Dohaim), King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabiaand from King Abdullah International Medical Research Center, Riyadh City, Saudi Arabia.
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Khalid AlAqeely
From the College of Medicine (Al Sheikh) Assistant Professor, King Saud Bin Abdulaziz University for Health Sciences; from the Division of Orthopedics, Department of Surgery, (Al Sheikh, AlHandi, Ateeq, AlAqeely) King Abdulaziz Medical City, Ministry of National Guard Health Affairs; from the College of Medicine (Bin Dohaim), King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabiaand from King Abdullah International Medical Research Center, Riyadh City, Saudi Arabia.
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    Figure 1

    - Flow diagram of included patients. TXA: tranexamic acid

Tables

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    Table 1

    - The frequency distribution of the causes of burns in patients.

    Demographic variablesTXA
    (n=180)
    No-TXA
    (n=205)
    P-value
    Age (mean±SD)64.46±8.7566.04±10.150.102*
    Gender
    Male33 (18.3)71 (34.6)<0.001†
    Female147 (81.7)134 (65.4) 
    BMI, kg/m2, (mean±SD)35.51±5.6833.87±6.490.008*
    Diabetes mellitus96 (53.3)106 (51.7)0.507†
    Hypertension125 (69.4)131 (63.9)0.321†
    Dyslipidemia95 (52.8)105 (51.2)0.683†
    TKA
    Primary172 (95.6)185 (90.2)0.096†
    Revision5 (2.8)6 (2.9) 
    THA
    Primary3 (1.7)13 (6.3) 
    Revision0 (0.00)1 (0.5) 
    Duration of surgery, hours (mean±SD)2.92±0.773.00±1.000.328*
    Hospital LOS, days (mean±SD)10.32±4.6711.23±5.120.069*
    • Values are presented as number and percentages (%). TXA: tranexamic acid, SD: standard deviation, BMI: body mass index, TKA: total knee arthroplasty, THA: total hip arthroplasty, LOS: length of stay.

    • ↵* Unpaired student t-test.

    • ↵† Chi-squared.

    • View popup
    Table 2

    - Postoperative blood loss in study cohorts; TXA and No-TXA.

    Demographic variablesTXA (n=180)No-TXA (n=205)P-value
    Mean±SD
    Postoperative Hgb level, g/L
    POD-1111.43±13.21107.53±13.590.004*
    POD-2100.60±14.9195.95±12.480.001*
    POD-396.47±12.5595.31±12.320.413*
    Drop in Hgb level, units
    POD-113.41±9.5118.78±17.06<0.001*
    POD-228.15±23.4030.36±19.160.315*
    POD-358.92±46.8927.42±29.891.618*
    Postoperative drain output, mL
    POD-1220.52±178.83261.55±191.640.049*
    POD-2123.32±112.82186.22±293.950.007*
    POD-358.11±55.6572.73±66.090.067*
    Total drain output373.98±246.12487.11±307.13<0.001*
    Intra-Op EBL, mL237.22±121.46253.17±144.680.240*
    Transfused PRBCs, units0.26±0.770.53±0.99< 0.001*
    • TXA: tranexamic acid, SD: standard deviation, Hgb: hemoglobin, POD: postoperative day, intra-Op EBL: intraoperative estimated blood loss, PRBCs: packed red blood cells.

    • ↵* Unpaired student t-test

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Saudi Medical Journal: 42 (8)
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Effectiveness of using tranexamic acid in total hip and total knee arthroplasty
Khalid Al Sheikh, Ali AlHandi, Abrar Bin Dohaim, Khawlah Ateeq, Khalid AlAqeely
Saudi Medical Journal Aug 2021, 42 (8) 908-912; DOI: 10.15537/smj.2021.42.8.20210332

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Effectiveness of using tranexamic acid in total hip and total knee arthroplasty
Khalid Al Sheikh, Ali AlHandi, Abrar Bin Dohaim, Khawlah Ateeq, Khalid AlAqeely
Saudi Medical Journal Aug 2021, 42 (8) 908-912; DOI: 10.15537/smj.2021.42.8.20210332
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Keywords

  • tranexamic acid
  • total knee arthroplasty
  • total hip arthroplasty

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