Predictors of Venous Thromboembolism after Colorectal Surgery in a Single Unit

Acta chirurgica Belgica
G PellinoF Selvaggi

Abstract

Patients undergoing colorectal surgery are at risk of developing venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE). Knowing predictors of VTE could help preventing this life-threatening complication. We collected data of patients undergoing colorectal surgery at our Unit between 2009 and 2014. Baseline characteristics, type of surgery, and postoperative complications were gathered. A univariate regression analysis was performed with symptomatic VTE as outcome. Pre-, intra- and postoperative clinical factors were separately tested. All variables significantly associated with VTE occurring within three months from the discharge were entered in the final multivariate regression model. A total of 476 patients were included. Symptomatic VTE occurred in 13 patients (2.7%). Six (46.1%) occurred after hospital discharge. Preoperative variables associated with VTE were: advanced age at surgery (OR 2.3, 95%CI 1.8-5.6), smoking (OR 1.7, 95%CI 1.2-2.5), inflammatory bowel diseases (OR 2.1, 95%CI 1.5-4.3), advanced pelvic malignancies (OR 2.4, 95%CI 2.0-4.2), and obesity (OR 1.5, 95%CI 1.1-2.1). Prolonged pelvic manipulation (OR 1.8, 95%CI 1.1-4.3) and steep Trendelenburg position (OR 2.4, 95%CI ...Continue Reading

References

Jan 29, 2011·Journal of Crohn's & Colitis·Guido SciaudoneFrancesco Selvaggi
Apr 2, 2011·European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes·G SciaudoneF Selvaggi
Oct 27, 2011·Journal of Internal Medicine·M SchmidtH T Sørensen
May 4, 2012·World Journal of Gastroenterology : WJG·Gianluca PellinoFrancesco Selvaggi
Apr 1, 2014·Inflammatory Bowel Diseases·Francesco SelvaggiGuido Sciaudone
Apr 20, 2014·Gastroenterology Research and Practice·Gianluca PellinoFrancesco Selvaggi
Oct 13, 2014·Journal of Crohn's & Colitis·Ian C LawranceGiovanni Latella
Nov 12, 2014·Techniques in Coloproctology·F SelvaggiS Pucciarelli

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Citations

Feb 21, 2018·Clinical Obstetrics and Gynecology·Leigh A CantrellHillary S Maitland
Jun 22, 2018·Langenbeck's Archives of Surgery·Sofoklis PanteleimonitisAmjad Parvaiz
Sep 7, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Tyler McKechnieCagla Eskicioglu
Apr 28, 2016·The Journal of Trauma and Acute Care Surgery·Robert D WinfieldGrant V Bochicchio

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