CRASH-3

Tranexamic Acid in Traumatic Brain Injury

Paziente / Popolazione Intervento / Esposizione Confronto Esito

In 12,737 patients with traumatic brain injury, tranexamic acid did not reduce head-injury death overall versus placebo, with benefit in mild–moderate TBI.

N
12.737
Disegno
International RCT
Esito
Head-injury-related death within 28 days
Rilevanza
3
Risultato18.5% vs 19.8% (RR 0.94; 95% CI 0.86–1.02). Mild–moderate TBI subgroup benefit.
CRASH-3 Trial Collaborators. Lancet. 2019;394(10210):1713-1723. 10.1016/S0140-6736(19)32233-0
Discussione e critica

Modest overall, but supports early TXA for mild–moderate TBI given the low cost and safety.