Incidence of Venous Thromboembolism Following Major Emergency Abdominal Surgery

Background In a retrospective cohort study, we looked at the incidence and risk factors of developing in-hospital venous thromboembolism (VTE) after major emergency abdominal surgery and the risk factors for developing a venous thrombosis. Methods Data were extracted through medical records from all...

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Bibliographic Details
Published in:World journal of surgery 2020-03, Vol.44 (3), p.704-710
Main Authors: Balachandran, Rogini, Jensen, Kristian Kiim, Burcharth, Jakob, Ekeloef, Sarah, Schack, Anders Emil, Gögenur, Ismail
Format: Article
Language:English
Subjects:
Abdomen
Abdomen - surgery
Abdominal Surgery
Aged
Anticoagulants
Cardiac Surgery
Complications
Computed tomography
Drug dosages
Embolism
Emergency medical services
Emergency Service, Hospital
Female
General Surgery
Health risk assessment
Hormone replacement therapy
Humans
Incidence
Logistic Models
Male
Medical records
Medicine
Medicine & Public Health
Middle Aged
Mortality
Multivariate analysis
Original Scientific Report
Patients
Postoperative Complications - epidemiology
Retrospective Studies
Risk analysis
Risk factors
Surgery
Surgical outcomes
Thoracic Surgery
Thromboembolism
Thrombosis
Ultrasound
Vascular Surgery
Venous Thromboembolism - epidemiology
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Summary:Background In a retrospective cohort study, we looked at the incidence and risk factors of developing in-hospital venous thromboembolism (VTE) after major emergency abdominal surgery and the risk factors for developing a venous thrombosis. Methods Data were extracted through medical records from all patients undergoing major emergency abdominal surgery at a Danish University Hospital from 2010 until 2016. The primary outcome was the incidence of venous thrombosis developed in the time from surgery until discharge from hospital. The secondary outcomes were 30-day mortality and postoperative complications. Multivariate logistic analyses were used for confounder control. Results In total, 1179 patients who underwent major emergency abdominal surgery during 2010–2016 were included. Thirteen patients developed a postoperative venous thromboembolism (1.1%) while hospitalized. Eight patients developed a pulmonary embolism all verified by CT scan and five patients developed a deep venous thrombosis verified by ultrasound scan. Patients diagnosed with a VTE were significantly longer in hospital with a length of stay of 34 versus 14 days, P  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-019-05246-x