Venous thromboembolism in emergency general surgery patients: a single-centre retrospective cohort study

被引:8
作者
Yang, Mei [1 ]
Murphy, Patrick B. [1 ]
Allen, Laura [2 ]
Sela, Nathalie [1 ]
Govind, Shaylan [1 ]
Leslie, Ken [1 ]
Vogt, Kelly [1 ]
机构
[1] Western Univ, Schulich Sch Med & Dent, Dept Surg, Div Gen Surg, London, ON, Canada
[2] London Hlth Sci Ctr, 800 Commissioners Rd East, London, ON N6A 5W9, Canada
关键词
PATIENTS ANTITHROMBOTIC THERAPY; ED AMERICAN-COLLEGE; PROPHYLAXIS; THROMBOSIS; RISK; VTE; COMPLICATIONS; PREVENTION; ENOXAPARIN; DURATION;
D O I
10.1503/cjs.006318
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: There is limited literature on the risk of venous thromboembolism (VTE) in emergency general surgery (EGS) patients. We undertook this study to identify the rate of symptomatic VTE for patients undergoing EGS operations. Methods: We conducted a retrospective cohort study evaluating EGS patients who underwent operative intervention between March and December 2014. Data collected included patient demographics, type of procedure, risk of VTE, VTE prophylaxis, development of symptomatic VTE, and mortality. Results: We included 767 patients in our analysis. The mean age was 53 19.7 years, and 52.2% of patients were female. Eighteen patients (2.3%) experienced VTE in hospital and 12 (1.6%) experienced VTE after discharge. Only 66% of patients received appropriate VTE prophylaxis. High-risk patients had a higher VTE rate (7.4% v. 2.3%, p < 0.001) and higher mortality (17.6% v. 4.0%, p < 0.001) than low-to moderate-risk patients. Conclusion: The risk of VTE in patients requiring EGS is significant and persists after hospital discharge. Further studies on quality improvement with VTE prophylaxis are warranted.
引用
收藏
页码:E80 / E85
页数:6
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