Key result
Implementation of a multidisciplinary ambulation protocol significantly reduced the rate of postoperative venous thromboembolism from 2.7% to 0.4% in colorectal surgery patients.
Why the study?
Despite clinical practice guideline recommendations encouraging postsurgical ambulation, little evidence demonstrates the role of ambulation alone in reducing postoperative venous thromboembolism after colorectal surgery.
Does a multidisciplinary ambulation protocol reduce postoperative VTE in patients undergoing colorectal surgery?
Population
2,015 patients undergoing colectomy or proctectomy at a single academic tertiary care center. Mean age…
Comparison
Multidisciplinary ambulation protocol aiming for… vs Pre-intervention cohort receiving standard care.
Design
Cohort
Follow-up
30 days
Authors
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Multidisciplinary ambulation protocol associated with reduced postoperative VTE after colorectal surgery; leaves open need for randomized confirmation before practice change.
Cohort (n=2,015)
No
Does a multidisciplinary ambulation protocol reduce postoperative VTE in patients undergoing colorectal surgery?
Absolute Event Rate: 0.4% vs 2.7%
p-value: p=0.02
A multidisciplinary ambulation protocol significantly reduced 30-day postoperative VTE rates in patients undergoing colorectal surgery.
Damle (2020) conducted a cohort in Postoperative venous thromboembolism (n=2,015). Multidisciplinary ambulation protocol vs. Standard care (pre-intervention) was evaluated on Postoperative VTE within 30 days (p=0.02). Implementation of a multidisciplinary ambulation protocol significantly reduced the rate of postoperative venous thromboembolism from 2.7% to 0.4% in colorectal surgery patients.
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