September 11, 2014Journal of Gastrointestinal SurgeryOpen Access

A Nationwide Analysis of Postoperative Deep Vein Thrombosis and Pulmonary Embolism in Colon and Rectal Surgery

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Population

116,029 patients undergoing colorectal resection for benign or malignant colorectal tumor, diverticular…

Design

Cohort

Follow-up

30-day postoperative

Authors

ZMZhobin MoghadamyeghanehElmhurst Hospital Center MHMark HannaUniversity of Ulster JCJoseph C. CarmichaelUnited States Nuclear Regulatory Commission

Discussion

Member takes

Implication

Risk stratification by ASA score and albumin may guide post-discharge VTE monitoring after colorectal resection; leaves open whether extended prophylaxis improves outcomes.

Structured PICO

Population

116,029 patients undergoing colorectal resection for benign or malignant colorectal tumor, diverticular diseases, Crohn's disease, and ulcerative colitis from 2005 to 2011 in the USA (NSQIP database). Mean age 62, 51.6% female, 78% Caucasian.

Outcome

Postoperative venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), within 30 days postoperativelyhard clinical

Postoperative VTE occurs in 2% of colorectal resections, with nearly a third diagnosed after discharge, suggesting a potential benefit for extended VTE prophylaxis in high-risk patients.

Limitations

Retrospective study biases such as selection bias
Lack of information about the use, method, and duration of prophylactic treatment of VTE
Missing potentially important predictors (e.g., previous VTE, estrogen therapy)
Delay in diagnosis affecting the reported timing of DVT and PE occurrence
Lack of data beyond 30 days from the date of surgery
Potential coding errors due to the use of ICD-9 discharge data

Cite This Study

Moghadamyeghaneh et al. (2014) studied this question.

synapsesocial.com/papers/6a70c94ba528af2d65c3bca2 https://doi.org/10.1007/s11605-014-2647-5

Topics

Pulmonary embolism

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Implication

Risk stratification by ASA score and albumin may guide post-discharge VTE monitoring after colorectal resection; leaves open whether extended prophylaxis improves outcomes.

A Nationwide Analysis of Postoperative Deep Vein Thrombosis and Pulmonary Embolism in Colon and Rectal Surgery

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Topics

A Nationwide Analysis of Postoperative Deep Vein Thrombosis and Pulmonary Embolism in Colon and Rectal Surgery

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

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Topics

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