Postoperative Venous Thromboembolism after Neurotologic Surgery

被引:7
作者
Ali, Noor-E-Seher [1 ]
Alyono, Jennifer C. [1 ]
Song, Yohan [1 ]
Kouhi, Ali [1 ]
Blevins, Nikolas H. [1 ]
机构
[1] Stanford Univ, Dept Otolaryngol Head & Neck Surg, Stanford, CA 94305 USA
关键词
venous thromboembolism; deep venous thrombosis; pulmonary embolism; neurotologic surgery; Caprini score; RISK-ASSESSMENT; THROMBOSIS; COMPLICATIONS; PREVENTION; SPINE;
D O I
10.1055/s-0039-3400223
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective This study aimed to determine the incidence of postoperative venous thromboembolism (VTE) in adults undergoing neurotologic surgery at a single center. Methods The records of adults undergoing neurotologic surgery from August 2009 to December 2016 at a tertiary care hospital were reviewed for VTE within 30 postoperative days. Particular attention was focused on postoperative diagnosis codes, imaging, and a keyword search of postoperative notes. Caprini risk scores were calculated. Results Among 387 patients, 5 experienced postoperative VTE including 3 cases of pulmonary embolism (PE) and 2 cases of isolated deep vein thrombosis (DVT). All patients were given sequential compression devices perioperatively, and none received preoperative chemoprophylaxis. Patients with Caprini score>8 had a significantly higher rate of VTE compared with those<8 (12.5 vs. 1%, p =0.004). Receiver operating characteristic analysis revealed the Caprini risk assessment model to be a fair predictor of VTE, with a C-statistic of 0.70 (95% confidence interval [CI]: 0.49-0.92). Conclusion While no specific validated VTE risk stratification scheme has been widely accepted for patients undergoing neurotologic surgery, the Caprini score appears to be a useful predictor of risk. The benefits of chemoprophylaxis should be balanced with the risks of intraoperative bleeding, as well as the potential for postoperative intracranial hemorrhage.
引用
收藏
页码:378 / 382
页数:5
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