HALT-IT

Tranexamic Acid in Gastrointestinal Bleeding

Paziente / Popolazione Intervento / Esposizione Confronto Esito

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
Disegno
International RCT
Esito
Death from bleeding within 5 days
Rilevanza
2
RisultatoNo mortality benefit; more VTE with TXA.
HALT-IT Trial Collaborators. Lancet. 2020;395(10241):1927-1936. 10.1016/S0140-6736(20)30848-5
Discussione e critica

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