The prevalence and risk factors associated with preoperative deep venous thrombosis in lung cancer surgery

被引：17

作者：

Takemoto, Toshiki ^{[1
]}

Soh, Junichi ^{[1
]}

Ohara, Shuta ^{[1
]}

Fujino, Toshio ^{[1
]}

Koga, Takamasa ^{[1
]}

Nishino, Masaya ^{[1
]}

Hamada, Akira ^{[1
]}

Chiba, Masato ^{[1
]}

Shimoji, Masaki ^{[1
,2
]}

Suda, Kenichi ^{[1
]}

Tomizawa, Kenji ^{[1
,2
]}

Mitsudomi, Tetsuya ^{[1
]}

机构：

[1] Kindai Univ, Fac Med, Div Thorac Surg, Dept Surg, 377-2 Ohno Higashi, Osakasayama 5898511, Japan

[2] Izumi City Gen Hosp, Div Thorac Surg, Dept Surg, 4-5-1 Wake, Izumi 5940073, Japan

来源：

SURGERY TODAY | 2021年 / 51卷 / 09期

关键词：

Deep venous thrombosis; Lung cancer; D-dimer;

D O I：

10.1007/s00595-021-02243-3

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Purpose Few studies have so far focused on the preoperative presence of venous thromboembolism (VTE) in lung cancer patients undergoing surgery. In this study, we investigated the prevalence and risk factors for preoperative deep venous thrombosis (DVT) in patients scheduled to undergo lung cancer surgery. Methods Between June 2013 and December 2018, 948 consecutive patients underwent lung cancer surgery in Kindai University Hospital. Four patients did not undergo screening for DVT; thus, 944 patients were enrolled in this study. Preoperatively, venous ultrasonography of the lower extremities was performed in patients deemed at risk for DVT, and the prevalence and risk factors for preoperative DVT were examined. Results Ninety-one patients (9.6%) were diagnosed with preoperative DVT, and postoperative symptomatic pulmonary thromboembolism occurred in one patient (0.11%). A multivariable logistic regression analysis demonstrated that female sex, age >= 72 years, history of VTE, a Wells score >= 2 points, chronic obstructive pulmonary disease (COPD), and lower hemoglobin levels were significantly associated with preoperative DVT. Conclusion Female sex, age >= 72 years, history of VTE, Wells score >= 2 points, COPD, and lower hemoglobin levels were identified to be independent risk factors for preoperative DVT. Monitoring for these risk factors and management considering them should help improve the outcomes after lung cancer surgery.

引用

页码：1480 / 1487

页数：8