Abstract
ObjectiveTo assess the effect of tranexamic acid (TXA) use in hip fracture surgery. MethodsA retrospective cohort study was performed using the Premier Healthcare database. A propensity score matching approach was applied to assess associations between TXA use and blood transfusion, perioperative complications, length of stay (LOS), and hospitalization cost. ResultsIn 153,169 patients, TXA use was associated with a 17% decrease in odds of blood transfusion, no increase in the risk of perioperative complications, 16% shorter LOS, and minimal effects on hospitalization cost. ConclusionOur results are in support of a wider use of TXA in hip fracture surgery. Level of evidenceLevel III.
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