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April 18, 2023Frontiers in NeurologyOpen Access

Risk factors for postoperative thrombosis-related complications in patients undergoing malignant brain tumor resection: a retrospective cohort study

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Key result

Intraoperative plasma transfusion significantly increased the odds of postoperative deep vein thrombosis in patients undergoing malignant brain tumor resection (OR 6.85; 95% CI 2.73-17.18; P<0.001).

Why the study?

Patients with malignant brain tumors frequently exhibit hypercoagulation and are at high risk of thrombosis-related complications, but the specific postoperative risk factors remain unclear.

What are the risk factors for postoperative thrombosis-related complications in patients undergoing malignant brain tumor resection?

Population

456 elective patients undergoing resection of malignant brain tumors

Comparison

Patients with vs without postoperative thrombosis-related complications

Design

Retrospective observational cohort study

Authors

XLXiaoyuan LiuJiangnan UniversityXZXingyue ZhangShenyang Pharmaceutical UniversityTMTingting MaBeijing Shijitan Hospital

Discussion

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Implication

May guide perioperative DVT risk stratification in brain tumor resection; hypothesis-generating pending prospective validation.

Study Design

Type

Cohort (n=456)

Structured PICO

What are the risk factors for postoperative thrombosis-related complications in patients undergoing malignant brain tumor resection?

P
Population
456 elective patients undergoing resection of malignant brain tumors evaluated for postoperative thrombosis-related complications.
O
Outcome
Composite of three major adverse events including postoperative lower limb deep venous thrombosis, pulmonary embolism, and cerebral ischemiacomposite

Main Result

Odds Ratio: 6.85 (95% CI 2.73–17.18)

p-value: p=<0.001

Age over 60, abnormal APTT, prolonged surgery, ICU admission, and intraoperative plasma transfusion are independent risk factors for postoperative DVT in patients undergoing malignant brain tumor resection.

Cite This Study

Liu et al. (2023) conducted a cohort in Malignant brain tumors (n=456). Intraoperative plasma transfusion vs. No intraoperative plasma transfusion was evaluated on postoperative deep vein thrombosis (OR 6.85, 95% CI 2.73-17.18, p=<0.001). Intraoperative plasma transfusion significantly increased the odds of postoperative deep vein thrombosis in patients undergoing malignant brain tumor resection (OR 6.85; 95% CI 2.73-17.18; P<0.001).

synapsesocial.com/papers/6a9317c99bdf9f6debc6b96dhttps://doi.org/10.3389/fneur.2023.1108596
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