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. 2021 Apr 14;156(6):e210884. doi: 10.1001/jamasurg.2021.0884

Table 3. TXA and Bleeding Mortality.

Medical discipline No. of included studies TXA Control Model Risk difference (95% CI) P value I2, %
Events No. of included patients Events No. of included patients
Cardiothoracic 12 0 543 1 478 Fixed effect −0.002 (−0.016 to −0.012) .77 0
Random effects −0.004 (−0.012 to 0.011) .94
Neurological 8 43 685 91 678 Fixed effect −0.071 (−0.102 to −0.041) <.001 60
Random effects −0.056 (−0.11 to −0.002) .04
Gynecological 8 155 10 871 191 10 814 Fixed effect −0.003 (−0.007 to −0.000) .05 0
Random effects −0.002 (−0.005 to 0.001) .12
Orthopedic 13 0 647 0 461 Fixed effect 0.000 (−0.014 to 0.014) .77 0
Random effects 0.000 (−0.013 to 0.013) >.99
Major trauma 1 489 10 060 574 10 067 Fixed effect −0.008 (−0.015 to −0.002) .01 NA
Random effects −0.008 (−0.015 to −0.002) .01
Pediatric 1 0 40 0 42 Fixed effect 0.000 (−0.046 to 0.046) >.99 NA
Random effects 0.000 (−0.046 to 0.046) >.99
Other 6 5 655 17 661 Fixed effect −0.018 (−0.033 to −0.004) .02 53
Random effects −0.01 (−0.028 to −0.009) .30
Total 49 692 23 501 874 23 201 Fixed effect −0.008 (−0.011 to −0.005) <.001 9
Random effects −0.004 (−0.008 to −0.001) .02

Abbreviations: NA, not applicable; TXA, tranexamic acid.