HALT-IT

Tranexamic Acid in Gastrointestinal Bleeding

Patient / Population Intervention / Exposition Comparaison Critère de jugement

In 12,009 patients with acute GI bleeding, tranexamic acid did not reduce death from bleeding versus placebo, and increased venous thromboembolism.

N
12 009
Schéma
International RCT
Critère
Death from bleeding within 5 days
Pertinence
2
RésultatNo mortality benefit; more VTE with TXA.
HALT-IT Trial Collaborators. Lancet. 2020;395(10241):1927-1936. 10.1016/S0140-6736(20)30848-5
Discussion et critique

Don't use TXA in GI bleeding; the trauma signal does not transfer.