| Rates of symptomatic venous thromboembolism in US surgical patients: a retrospective administrative database study. | |
| | |
MedLine Citation:
|
PMID: 19479199 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
US national performance measures may reduce the burden of venous thromboembolism (VTE) in surgical patients. To characterize the VTE rate in US surgical patients, and identify real-world independent VTE risk-factors, a national managed-care database was analyzed. 172,320 eligible surgical discharges (23.9% orthopedic, 76.1% abdominal surgery) from the PharMetrics database (January 2001-December 2005) were evaluated. The rate of thromboprophylaxis was low in orthopedic (40.5%) and abdominal (1.8%) surgery discharges, with the event rates of symptomatic VTE in these groups being 4.7% and 3.1%, respectively. The median time to VTE was 51 days: the majority of VTE events occurred post-discharge. Independent predictors of VTE included prior VTE (odds ratio [OR] 10.2; 95% CI: 9.2-11.4), and orthopedic versus abdominal surgery (OR 1.4; 95% CI: 1.4-1.6). Patients undergoing orthopedic or abdominal surgery remain at-risk for VTE. Implementation of national performance measures may help reduce the burden of VTE. |
| | |
Authors:
|
Alex C Spyropoulos; Mohammed Hussein; Jay Lin; David Battleman |
Related Documents
:
|
20545029 - Tips thrombosis related to abdominal trauma. 10994419 - Subclavian vein thrombosis associated with central venous cannulation in head and neck ... 16678719 - Venous air embolism and the sitting position: a case series. 8475429 - Deep venous thrombosis after spinal surgery. 12352399 - Morbidity of modified prophylactic inguinal lymphadenectomy for squamous cell carcinoma... 18458909 - Central venous access: techniques and indications in oncology. 7459589 - Late sequelae of hypospadias repair. 15332019 - Most dysplasia in ulcerative colitis is visible at colonoscopy. 11416399 - Influence of old age, gender, and internal mammary artery grafting on operative mortali... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Journal of thrombosis and thrombolysis Volume: 28 ISSN: 1573-742X ISO Abbreviation: J. Thromb. Thrombolysis Publication Date: 2009 Nov |
Date Detail:
|
Created Date: 2009-10-23 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9502018 Medline TA: J Thromb Thrombolysis Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 458-64 Citation Subset: IM |
Affiliation:
|
University of New Mexico Health Sciences Center, Albuquerque, NM, USA. aspyropoulos2787@msn.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effectiveness of enoxaparin for prevention of radial artery occlusion after transradial cardiac cath...
Next Document: Clinical and research ethics as moral strangers.