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Perioperative complications increase the risk of venous thromboembolism following bariatric surgery. Am J Surg 2017 Dec;214(6):1135-1140

Date

09/30/2017

Pubmed ID

28958647

DOI

10.1016/j.amjsurg.2017.07.034

Scopus ID

2-s2.0-85029797373 (requires institutional sign-in at Scopus site)   25 Citations

Abstract

BACKGROUND: Morbidly obese patients are at increased risk of venous thromboembolism (VTE) following surgery. This study explores the impact of a perioperative complication on the risk of VTE after bariatric surgery.

METHODS: Patients who underwent bariatric surgery were identified from the American College of Surgeons National Surgical Quality Improvement Program dataset (2012-2014). The 17 most common perioperative complications were analyzed by multivariate regression analysis to determine the effect of complications on the risk of VTE.

RESULTS: The postoperative incidence of VTE was 0.5% (n = 59,424 bariatric surgeries). The average time to diagnosis of VTE was 11.6 days. 80% of VTE events occurred after discharge. A major complication occurred prior to VTE in 22.6% of patients. The more complications experienced by an individual patient, the more likely they were to experience VTE. Unadjusted thirty-day mortality increased 13.89-fold following VTE (p < 0.0001).

CONCLUSIONS: Postoperative complications significantly increase the risk of VTE following bariatric surgery.

Author List

Helm MC, Simon K, Higgins R, Kindel TL, Gould JC

Authors

Jon Gould MD Chief, Professor in the Surgery department at Medical College of Wisconsin
Rana Higgins MD Associate Professor in the Surgery department at Medical College of Wisconsin
Tammy Lyn Kindel MD, PhD Associate Professor in the Surgery department at Medical College of Wisconsin
Kathleen L. Lak MD Associate Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Aged
Aged, 80 and over
Bariatric Surgery
Female
Humans
Incidence
Male
Middle Aged
Obesity, Morbid
Postoperative Complications
Risk Factors
United States
Venous Thromboembolism