Venous thromboembolism in emergency general surgery patients: a single-centre retrospective cohort study. Can J Surg 2020 Feb 26;63(1):E80-E85
Date
02/28/2020Pubmed ID
32103656Pubmed Central ID
PMC7828942DOI
10.1503/cjs.006318Scopus ID
2-s2.0-85080078540 (requires institutional sign-in at Scopus site) 3 CitationsAbstract
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 lowto 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.
Author List
Yang M, Murphy PB, Allen L, Sela N, Govind S, Leslie K, Vogt KAuthor
Patrick Murphy MD Assistant Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAged
Aged, 80 and over
Canada
Emergency Service, Hospital
Female
Humans
Male
Middle Aged
Postoperative Complications
Retrospective Studies
Surgical Procedures, Operative
Venous Thromboembolism
