Table 2.
Characteristics of the included trials.
Author | Year | Country | Setting | Inclusion period | Participants |
Intervention |
Outcomes |
|||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
No. of patients | Procedure performed | Indication for SA | Mean age (years) per study arm | Males (%) per study arm | Dose | Route of administration | Control | Primary | Secondary | |||||
Gillespie et al. 29 | 2015 | USA | Multi- center | October 2012– June 2014 | 111 TXA = 56 Control = 55 | TSA = 44 RTSA = 67 | OA | TXA = 66.4 Control = 67.9 | TXA = 41.1 Control = 47.2 | Single dose 2 g of TXA in 100 mL NS for 5 min | Topical | Placebo. 100 mL NS for 5 min | (1) Postoperative drain output (mL) at 24 h | (1) Change in hemoglobin (2) Rate of transfusion (3) Other complications. |
Pauzenberger et al. 28 | 2017 | Austria | Single center | July– December 2015 | 54 TXA = 27 Control = 27 | Stemless TSA = 26 RTSA = 28 | N/S | TXA = 70.3 Control = 71.3 | TXA = 67 Control ;= 74 | Two doses 1 g of TXA in 100 mL NS prior to skin incision and 1 g of TXA in 100 mL NS during wound closure | Intravenous | Placebo. 100 mL NS prior to skin incision and 100 mL NS during wound closure | (1) Postoperative drain blood loss (mL) at 24 h | (1) Total calculated blood loss (2) Number of transfusions |
Vara et al. 30 | 2017 | USA | Single center | September 2013– December 2015 | 102 TXA = 53 Control = 49 | RTSA = 102 | MRCT with or without OA | TXA = 66 Control = 67 | TXA = 49 Control = 38 | Two doses 10 mg/kg of TXA 60 min before surgery and 10 mg/kg of TXA at wound closure | Intravenous | Placebo. 100 mL NS prior to skin incision and 100 mL NS at wound closure | (1) Total calculated blood loss (2) Total hemoglobin loss (3) Total drain output | (1) Number of transfusions (2) DVT, PE, MI hematoma and infection |
Cvetanovich et al. 27 | 2018 | USA | Single center | September 2015– November 2016 | 108 TXA = 52 Control = 56 | TSA = 44 RTSA = 67 | N/S | TXA = 65.2 Control = 67.7 | TXA = 50 Control = 44.2 | Single dose 1 g of TXA in 10 mL NS administered 10 min before incision | Intravenous | Placebo. 10 mL NS administered 10 min before incision | (1) Total calculated blood loss | (1) Transfusion rates (2) Hemoglobin loss (3) Intraoperative blood loss (4) Hospital length of stay. (5) Postoperative complications, |
TSA: anatomic total shoulder arthroplasty; RTSA: reverse total arthroplasty; TXA: tranexamic acid; NS: normal saline; N/S: not specified; OA: osteoarthritis; MRCT: massive rotator cuff tear; DVT: deep venous thrombosis; PE: pulmonary embolism; MI: myocardial infarction; SSI: surgical site infection.