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10.1002/bjs.10055

http://scihub22266oqcxt.onion/10.1002/bjs.10055
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C4760875!4760875!26791625
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suck abstract from ncbi


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pmid26791625      Br+J+Surg 2016 ; 103 (4): 366-73
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  • Tranexamic acid in life-threatening military injury and the associated risk for infectious complications #MMPMID26791625
  • Lewis CJ; Li P; Stewart L; Weintrob AC; Carson ML; Murray CK; Tribble DR; Ross JD
  • Br J Surg 2016[Mar]; 103 (4): 366-73 PMID26791625show ga
  • Background: Tranexamic acid (TXA) has been shown to reduce mortality from severe hemorrhage. Although recent data suggest that TXA has anti-inflammatory properties, few analyses have investigated the impact of TXA on infectious complications in trauma patients. We examined the association between TXA administration and infection risk among injured military personnel. Methods: Patients administered TXA were matched by injury severity score to patients who did not receive TXA. Conditional logistic regression was used to examine risk factors associated with infections within 30 days. A Cox proportional analysis evaluated risk factors in a time-to-first infection model. Results: A total of 335 TXA recipients were matched to 626 patients not administered TXA. A greater proportion of TXA recipients had an infection compared to the comparative group (P <0.001). The univariate analysis estimated an unadjusted odds ratio (OR) of 2.5 (95 per cent confidence interval [CI]: 1.8?3.4) for the association of TXA with infection risk; however, upon multivariable analysis, TXA administration was not significant (OR: 1.3; CI: 0.8?1.9). Blast injuries, intensive care unit (ICU) admission, and receipt of ?10 units of blood within 24 hours post-injury were independently associated with infection risk. The Cox proportional model confirmed association with ICU admission and blood transfusions. Moreover, traumatic amputations were also significantly associated with a reduced time-to-first infection. Conclusion: In life-threatening military injuries matched for injury severity, TXA recipients did not have a higher risk for infections nor was time to developed infections shorter than in non-recipients. Extent of blood loss, blast injuries, extremity amputations, and intensive care stay were associated with infections.
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