Are IBD Patients Underscored when Determining Postoperative VTE Risk?

• Published in: Journal of gastrointestinal surgery 2023-02, Vol.27 (2), p.347-353
• Main Authors: Ore, Ana Sofia, Vigna, Carolina, Fabrizio, Anne, Cataldo, Thomas E., Messaris, Evangelos, Crowell, Kristen
• Format: Article
• Language: English
• Subjects: Colitis, Ulcerative - complications; Colitis, Ulcerative - surgery; Colorectal surgery; Crohn Disease - complications; Crohn Disease - surgery; Crohn's disease; Gastroenterology; Humans; Inflammatory bowel disease; Inflammatory Bowel Diseases - complications; Inflammatory Bowel Diseases - surgery; Medicine; Medicine & Public Health; Original Article; Postoperative period; Retrospective Studies; Risk assessment; Risk Factors; Surgery; Thromboembolism; Venous Thromboembolism - epidemiology; Venous Thromboembolism - etiology; Venous Thromboembolism - prevention & control
• ISSN: 1091-255X; 1873-4626
• DOI: 10.1007/s11605-022-05525-4

Background Patients with inflammatory bowel disease (IBD) have an increased risk of venous thromboembolism (VTE) following colorectal surgery and there is currently no consensus on post-surgical VTE prevention or specific VTE risk assessment tools. We sought to evaluate VTE risk after colorectal surgery and determine if known risk factors used in risk assessment tools adequate correlate with VTE risk in IBD patients. Methods Retrospective cohort study using the National Surgical Quality Improvement Project (NSQIP) Participant User File from 2010 to 2018. Results A total of 27,679 patients were included; 19,015 (68.7%) had Crohn’s disease (CD) and 8664 (31.3%) ulcerative colitis (UC). Of these, 16,749 (60.5%) underwent abdominopelvic procedures, 10,178 (36.8%) complex pelvic procedures, and 752 (2.7%) small bowel operations. The overall VTE rate was 2.3%. The VTE rate in patients with CD and UC was 1.8% and 3.6% ( p