Factors and Outcomes Associated With Venous Thromboembolism Following Bariatric Surgery

• Published in: The American surgeon 2022-10, Vol.88 (10), p.2525-2530
• Main Authors: Mabeza, Russyan Mark, Lee, Cory, Verma, Arjun, Park, Mina G., Darbinian, Khajack, Darbinian, Shushanna, Yetasook, Amy, Benharash, Peyman
• Format: Article
• Language: English
• Subjects: Age; Anemia; Body mass index; Cardiac arrhythmia; Cardiovascular disease; Chronic illnesses; Coronary vessels; Costs; Diabetes; Embolism; Estimates; Gastrectomy; Gastric bypass; Gastrointestinal surgery; Heart failure; Hypertension; Laparoscopy; Males; Medicaid; Medical prognosis; Medicare; Mortality; Neurological disorders; Obesity; Patients; Risk factors; Sleep apnea; Surgery; Thromboembolism; Thrombosis; Variables; Vein & artery diseases; Weight control
• ISSN: 0003-1348; 1555-9823
• DOI: 10.1177/00031348221103645

Background The present national study characterized the incidence and factors associated with VTE following bariatric operations and its association with postoperative outcomes and resource use. Methods Adults (≥18 years) undergoing elective sleeve gastrectomy or gastric bypass (laparoscopic and open) were identified in the 2016-2018 Nationwide Readmissions Database. International Classification of Diseases 10th Revision codes for deep venous thrombosis and/or pulmonary embolism were used to ascertain the presence of VTE. Multivariable linear and logistic models were developed to evaluate the independent association of VTE with outcomes of interest. Results Of an estimated 537,522 patients meeting inclusion criteria, .55% developed VTE during index hospitalization (.14%) or within 90 days of index discharge (.41%). Compared to others, VTE patients were older (51.8 vs 44.9 years, P