Identifying patients at high risk for venous thromboembolism requiring treatment after outpatient surgery.

Annals of Surgery
Christopher J PannucciSachin Kheterpal

Abstract

To identify independent predictors of 30-day venous thromboembolism (VTE) events requiring treatment after outpatient surgery. An increasing proportion of surgical procedures are performed in the outpatient setting. The incidence of VTE requiring treatment after outpatient surgery is unknown. Prospective observational cohort study using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database from 2005 to 2009. Adult patients who had outpatient surgery or surgery with subsequent 23-hour observation were included. The main outcome measure was 30-day VTE requiring treatment. Patients were randomly assigned to derivation (N = 173,501) or validation (N = 85,730) cohorts. Logistic regression examined independent risk factors for 30-day VTE. A weighted risk index was created and applied to the validation cohort. Stratified analyses examined 30-day VTE by risk level. Thirty-day incidence of VTE for the overall cohort was 0.15%. Independent risk factors included current pregnancy (adjusted odds ratio [OR] = 7.80, P = 0.044), active cancer (OR = 3.66, P = 0.005), age 41 to 59 years (OR = 1.72, P = 0.008), age 60 years or more (OR = 2.48, P < 0.001), body mass index 40 kg/m or higher (OR = 1.81,...Continue Reading

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Citations

Mar 1, 2013·Plastic and Reconstructive Surgery·Christopher J Pannucci
Jul 1, 2014·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Hari R KumarMelina R Kibbe
Apr 1, 2014·Journal of the American College of Surgeons·Christopher J PannucciPeter K Henke
Oct 5, 2013·Chest·Christopher J PannucciPeter K Henke
Apr 29, 2015·The Journal of Surgical Research·Iheoma Y NwaoguJulie A Margenthaler
Oct 1, 2013·Journal of the American College of Surgeons·John P FischerLiza C Wu
Jun 14, 2015·Current Problems in Surgery·Dawn M ColemanPeter K Henke
Dec 17, 2014·Journal of Neurosurgery·Kristopher T Kimmell, Babak S Jahromi
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Sep 18, 2016·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Benjamin JacobsThomas Wakefield
Sep 3, 2016·Journal of Neurosurgery. Spine·Keaton PiperG Edward Vates
Feb 9, 2017·The New England Journal of Medicine·Rebecca E BergerAnita Rajasekhar
Jan 26, 2017·Plastic and Reconstructive Surgery·Christopher J Pannucci
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Nov 7, 2019·Annals of Plastic Surgery·Eugene KohNicola R Dean
Oct 22, 2019·Journal of Orthopaedic Trauma·Daniel L JonesChristopher J Pannucci
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Jan 14, 2017·Clinical Orthopaedics and Related Research·Patawut BovonratwetJonathan N Grauer

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