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Trial registered on ANZCTR
Registration number
ACTRN12619000837123
Ethics application status
Approved
Date submitted
1/04/2019
Date registered
11/06/2019
Date last updated
11/06/2019
Date data sharing statement initially provided
11/06/2019
Date results provided
11/06/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Transexemic acid use in total knee replacements
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Scientific title
The use of transexemic acid in total knee arthroplasty and incidence of venous thromboemboli
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Secondary ID [1]
297859
0
NIL KNOWN
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Universal Trial Number (UTN)
U1111-1230-9883
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
knee osteoarthritis
312230
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venous thromboembolism
312231
0
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Condition category
Condition code
Blood
310778
310778
0
0
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Clotting disorders
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Musculoskeletal
310796
310796
0
0
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Osteoarthritis
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
A retrospective audit of consecutive patients undergoing a TJR between July 2016 and
June 2018 was performed at TQEH. Patient demographics, history of thromboembolic
events and American Society of Anaesthesiologists (ASA) scores were identified. This was
then analysed against the incidence of a post-operative thromboembolic event. Patients
who did not receive TXA were further investigated as to the reason for withholding.
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Intervention code [1]
314094
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Not applicable
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Comparator / control treatment
no control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
319626
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incidence of primary VTE determined by data-linkage to medical records
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Assessment method [1]
319626
0
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Timepoint [1]
319626
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3 months post operative
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Secondary outcome [1]
368920
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blood loss assess by data-linkage to medical records
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Assessment method [1]
368920
0
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Timepoint [1]
368920
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one week post operative
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Secondary outcome [2]
368921
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post operative complications following knee replacement determined from data-linkage to medical records. Routine post op complications include medical and surgical complications especially DVT, PE, transfusion, infection, death
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Assessment method [2]
368921
0
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Timepoint [2]
368921
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3 months post surgery
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Secondary outcome [3]
368988
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frequency of transfusion assessed by data-linkage to medical records
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Assessment method [3]
368988
0
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Timepoint [3]
368988
0
one week post surgery
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Eligibility
Key inclusion criteria
consecutive patients undergoing a TJR between July 2016 and
June 2018 was performed at TQEH.
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
nil
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Retrospective
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Statistical methods / analysis
comparison of means and A multiple logistic regression model
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/07/2016
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Date of last participant enrolment
Anticipated
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Actual
30/06/2018
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Date of last data collection
Anticipated
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Actual
30/09/2018
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Sample size
Target
500
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Accrual to date
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Final
466
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
13532
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The Queen Elizabeth Hospital - Woodville
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Recruitment postcode(s) [1]
26154
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5011 - Woodville
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Funding & Sponsors
Funding source category [1]
302384
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Self funded/Unfunded
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Name [1]
302384
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Address [1]
302384
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Country [1]
302384
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Primary sponsor type
Individual
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Name
David Campbell
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Address
Department of Orthopaedics
The Queen Elizabeth Hospital
Woodvillle South Australia 5011
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Country
Australia
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Secondary sponsor category [1]
302275
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None
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Name [1]
302275
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Address [1]
302275
0
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Country [1]
302275
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
303057
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Central Adelaide Local Health Network Human Research Ethics Committee (CALHN HREC)
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Ethics committee address [1]
303057
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Central Adelaide Local Health Network Human Research Ethics Committee (CALHN HREC) CALHN Research Office L3 Roma Mitchell House, North Terrace, Adelaide South Australia 5000
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Ethics committee country [1]
303057
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Australia
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Date submitted for ethics approval [1]
303057
0
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Approval date [1]
303057
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03/02/2019
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Ethics approval number [1]
303057
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HREC/18/CALHN/704
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Summary
Brief summary
Introduction & aims Tranexamic acid (TXA) is an anti-fibrinolytic historically been used to reduce haemorrhage during trauma. Its benefits in reducing the blood loss and subsequent blood transfusions after elective total joint replacements (TJR) have been widely accepted. Despite this, tranexamic acid has yet to be routinely used in all patients – mostly due to the theoretical concern of an increased incidence of venous thromboembolism. This study aims to determine whether the use of TXA in TJR increases the risk of venous thromboembolism. Method A retrospective audit of consecutive patients undergoing a TJR between July 2016 and June 2018 was performed at TQEH. Patient demographics, history of thromboembolic events and American Society of Anaesthesiologists (ASA) scores were identified. This was then analysed against the incidence of a post-operative thromboembolic event. Patients who did not receive TXA were further investigated as to the reason for withholding
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Trial website
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Trial related presentations / publications
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Public notes
study commenced as departmental audit and proceeded ethics approval. Data remained confidential until ethics approval obtained.
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Contacts
Principal investigator
Name
92310
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A/Prof David Campbell
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Address
92310
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Wakefield Orthopaedic Clinic
270 Wakefield Street
Adelaide 5000
South Australia
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Country
92310
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Australia
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Phone
92310
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+61 8 82364196
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Fax
92310
0
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Email
92310
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[email protected]
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Contact person for public queries
Name
92311
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David Campbell
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Address
92311
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Wakefield Orthopaedic Clinic
270 Wakefield Street
Adelaide 5000
South Australia
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Country
92311
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Australia
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Phone
92311
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+61 8 82364196
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Fax
92311
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Email
92311
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[email protected]
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Contact person for scientific queries
Name
92312
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David Campbell
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Address
92312
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Wakefield Orthopaedic Clinic
270 Wakefield Street
Adelaide 5000
South Australia
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Country
92312
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Australia
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Phone
92312
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+61 8 82364196
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Fax
92312
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Email
92312
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
confidential
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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