TY - JOUR JF - MJIRI JO - Med J Islam Repub Iran VL - 34 IS - 1 PY - 2020 Y1 - 2020/2/01 TI - The effect of intravenous tranexamic acid on preventing the progress of cerebral hemorrhage in patients with brain traumatic injuries compared to placebo: A randomized clinical trial TT - N2 - Background: Head trauma is one of the common reasons for patient attendance in the emergency ward. This study investigated the effect of tranexamic acid as a cheap, easily available antifibrinolytic drug on reducing the progress of cerebral hemorrhage compared to placebo. Methods: This double-blind controlled clinical trial was performed on 120 traumatized patients presenting to the emergency room of Shahid Rahnemoon hospital during 2014-2015, Yazd, Iran. Those patients who met the inclusion criteria were randomly allocated into 2 groups. Group A received tranexamic acid, while group B received placebo parenterally. Finally, 56 patients in Group A and 44 in Group B were analyzed. The patients underwent brain CT scan and were followed up for ICU stay in days. Also, the number of patients who died during the first 7 days of hospitalization was recorded. The data were analyzed with SPSS20 using independent samples t test and chi-square test. Results: The mean age of the patients was 41±20.27 years. Also, 20 patients (20%) were female and 80 were male (80%). There was no significant difference between the drug group and placebo group in the rate of hemorrhage volume progress (p=0.824). Regarding patients’ ICU stay, the ICU stay of the tranexamic acid group decreased significantly compared to the placebo group (p=0.001). No significant difference was found between the intervention group and placebo group in the mortality rate of patients during the first 7 days of hospitalization (p=0.236). Conclusion: Tranexamic acid has no effect on reducing cerebral hemorrhage volume in patients. Although this drug was not effective in reducing mortality rate in patients, it decreased their ICU stay. SP - 735 EP - 740 AU - Mojallal, Fateme AU - Nikooieh, Mehrnaz AU - Hajimaghsoudi, Majid AU - Baqherabadi, Mehdi AU - Jafari, Mohammadali AU - Esmaeili, Alireza AU - Karimi, Naser Mohammad AU - Zarepur, Ehsan AD - School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran KW - Trauma KW - Cerebral KW - Hemorrhage KW - Tranexamic acid KW - Clinical Trial UR - http://mjiri.iums.ac.ir/article-1-4853-en.html DO - 10.47176/mjiri.34.107 ER -