2023 OTA Annual Meeting : Tranexamic Acid Administered at Time of Hospital Admission Does Not Decrease Transfusion Rates or Blood Loss for Extracapsular Hip Fractures: A Double-Blinded Randomized Clinical Trial

128 patients with AO/OTA 31-A fractures were randomized to receive either intravenous tranexamic acid (IV TXA; n=64), or IV saline (n=64). The primary outcome of interest was rate of red blood cell (RBC) transfusion on postoperative days (POD) 1-4. Secondary outcomes of interest included estimated blood loss, venous thromboembolic events (VTEs), stroke, myocardial infarction, all-cause 90-day readmissions, and all-cause mortality, all measured at 6 months. There were no differences between the two groups in all outcomes.