{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T08:09:11Z","timestamp":1770883751191,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T00:00:00Z","timestamp":1683244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["eJHaem"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Patients suffering from acute myeloid leukemia (AML) carry a high risk of serious bleeding complications due to severe thrombocytopenia for long periods of time during treatment. Prior to prophylactic platelet transfusion becoming the standard of care, intracranial bleeding was a major contributor to death in AML patients. However, despite prophylactic platelet transfusions, up to 79% of patients with AML experience clinically significant bleeding during treatment. Antifibrinolytics are effective and well tolerated hemostatic agents widely used in many patient groups, and in this study, we investigated the effect of low dose tranexamic acid (TXA) in patients with AML and thrombocytopenia. We compared bleeding and thrombosis between 113 thrombocytopenic AML patients receiving TXA 500\u00a0mg three times daily (<jats:italic>n<\/jats:italic>\u00a0=\u00a036) versus no\u2010TXA (<jats:italic>n<\/jats:italic>\u00a0=\u00a077). Clinical information was obtained systematically from electronic medical records, and laboratory data were collected from the laboratory information system. No difference was demonstrated in number of patients with at least one bleeding episode (TXA: 89%\u00a0vs. no\u2010TXA: 93%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.60), median number of bleeding days (TXA: 2.5 days vs. no\u2010TXA 2.0 days, p\u00a0=\u00a00.30), bleeding location or transfusion needs between the two groups. However, platelet count was found to be a significant risk factor for bleeding, with a probability of bleeding of 35% with a platelet count below 5\u00a0\u00d7\u00a010<jats:sup>9<\/jats:sup>\/L (logistic regression, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01). We found no difference in thromboembolic events between the two groups (TXA: 8%\u00a0vs. no\u2010TXA 10%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.99). In conclusion, treatment with low dose TXA is safe, but we found no evidence to suggest that it reduces bleeding in AML patients with thrombocytopenia.<\/jats:p>","DOI":"10.1002\/jha2.699","type":"journal-article","created":{"date-parts":[[2023,5,6]],"date-time":"2023-05-06T05:41:35Z","timestamp":1683351695000},"page":"690-694","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Prophylaxis with low dose tranexamic acid in acute myeloid leukemia patients undergoing intensive chemotherapy"],"prefix":"10.1002","volume":"4","author":[{"given":"S\u00f8ren Thorgaard","family":"B\u00f8nl\u00f8kke","sequence":"first","affiliation":[{"name":"Department of Clinical Biochemistry Aarhus University Hospital  Aarhus N Denmark"},{"name":"Department of Clinical Medicine Aarhus University  Aarhus Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianne Tang","family":"Severinsen","sequence":"additional","affiliation":[{"name":"Department of Hematology, Clinical Cancer Research Centre Aalborg University Hospital  Aalborg Denmark"},{"name":"Department of Clinical Medicine Aalborg University  Aalborg Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans Beier","family":"Ommen","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Aarhus University  Aarhus Denmark"},{"name":"Department of Hematology Aarhus University Hospital  Aarhus Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian Fenger","family":"Eriksen","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Aarhus University  Aarhus Denmark"},{"name":"Department of Anesthesiology Aarhus University Hospital  Aarhus Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne\u2010Mette","family":"Hvas","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Aarhus University  Aarhus Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,5,5]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60689-8"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0904084"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2141.2002.03616.x"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood.2022016867"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1212772"},{"key":"e_1_2_12_7_1","article-title":"Antifibrinolytics for heavy menstrual bleeding","volume":"4","author":"Bryant\u2010Smith AC","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0049-3848(11)70030-5"},{"key":"e_1_2_12_9_1","article-title":"Antifibrinolytic therapy for preventing oral bleeding in people on anticoagulants undergoing minor oral surgery or dental extractions","volume":"7","author":"Engelen ET","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"issue":"1","key":"e_1_2_12_10_1","article-title":"Anti\u2010fibrinolytic use for minimising perioperative allogeneic blood transfusion","author":"Henry DA","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.5603\/AIT.a2015.0011"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0609.1990.tb00423.x"},{"key":"e_1_2_12_13_1","article-title":"Antifibrinolytics (lysine analogues) for the prevention of bleeding in people with haematological disorders","volume":"3","author":"Estcourt LJ","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood.2022016308"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.3109\/10428199509059668"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta17100"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-019-3663-2"},{"key":"e_1_2_12_18_1","unstructured":"Platelet transfusion requirements in hematopoietic transplantation pilot study. Clinicaltrials.gov. Accessed 15 September 2022. Available from:https:\/\/clinicaltrials.gov\/ct2\/show\/NCT02650791"}],"container-title":["eJHaem"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jha2.699","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T18:00:34Z","timestamp":1694714434000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jha2.699"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,5]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1002\/jha2.699"],"URL":"https:\/\/doi.org\/10.1002\/jha2.699","archive":["Portico"],"relation":{},"ISSN":["2688-6146","2688-6146"],"issn-type":[{"value":"2688-6146","type":"print"},{"value":"2688-6146","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,5]]},"assertion":[{"value":"2023-04-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}