Abstract
BackgroundVenous thromboembolism (VTE) is a major cause of morbidity and mortality in general surgical patients.MethodsThe ACS-NSQIP database was queried and VTE data were collected and analyzed to assess the incidence of VTE at a 500-bed, non-profit, teaching, inner city, community hospital and similar peer institutions from January 1, 2006 to December 31, 2011.ResultsPost-discharge VTE events accounted for 40% of all VTE events within 30 days of discharge. Data show a significant proportion of post-discharge VTE events that may be preventable with extending VTE prophylaxis in the post-discharge period.ConclusionThis is the first paper to report on this high post-discharge incidence of VTE in general surgical patients and to recommend continuation of VTE prophylaxis in the post-discharge period.
Highlights
Venous thromboembolism (VTE) is a major cause of morbidity and mortality in general surgical patients
VTE events were subclassified into deep venous thrombosis (DVT) and pulmonary embolism (PE) events
Since the incidence of VTE, DVT, and PE was similar in our hospital and the aggregate data for other peer institutions participating in the ACS-NSQIP database, we examined VTE incidents in relation to the Caprini score in our hospital population, as discussed in the methods section (Fig. 2)
Summary
Venous thromboembolism (VTE) is a major cause of morbidity and mortality in general surgical patients. Data show a significant proportion of post-discharge VTE events that may be preventable with extending VTE prophylaxis in the post-discharge period. Conclusion: This is the first paper to report on this high post-discharge incidence of VTE in general surgical patients and to recommend continuation of VTE prophylaxis in the post-discharge period. The annual incidence of venous thromboembolism increased with age and was 117 per 100,000 patient-years (Silverstein et al, 1998). The cumulative incidence of VTE increased steadily over time from 1.6% at 7 days to 30.4% at 10 years in these patients, the risk of the first recurrence was highest in the first 6-12 months (Heit et al, 2000)
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