Venous thromboembolism in women undergoing pelvic reconstructive surgery with mechanical prophylaxis alone
| Autor: | Susan H. Oakley, Sara B. Cichowski, T. Ignacio Montoya, Edgar L. LeClaire, Andrea K. Crane, David D. Rahn, Alexandra M. McPencow |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Reconstructive surgery medicine.medical_specialty Urology medicine.medical_treatment Operative Time Intermittent pneumatic compression Pelvis Gynecologic Surgical Procedures Postoperative Complications Risk Factors Laparotomy Humans Medicine cardiovascular diseases Risk factor Perioperative Period Intermittent Pneumatic Compression Devices Aged Retrospective Studies Aged 80 and over Univariate analysis business.industry Age Factors Obstetrics and Gynecology Retrospective cohort study General Medicine Venous Thromboembolism Perioperative Middle Aged equipment and supplies Surgery Case-Control Studies Cohort Female business Venous thromboembolism |
| Zdroj: | International Urogynecology Journal. 25:921-926 |
| ISSN: | 1433-3023 0937-3462 |
| Popis: | The objective of this study was determine the frequency of symptomatic perioperative venous thromboembolism (VTE) and risk factor(s) associated with VTE occurrence in women undergoing elective pelvic reconstructive surgery using only intermittent pneumatic compression (IPC) for VTE prophylaxis. A multi-center case–cohort retrospective review was conducted at six clinical sites over a 66-month period. All sites utilize IPC as standard VTE prophylaxis for urogynecological surgery. VTE cases occurring during the same hospitalization and up to 6 weeks postoperatively were identified by ICD9 code query. Four controls were temporally matched to each case. Information collected included demographics, medical history, route of surgery, operative time, and intraoperative characteristics. Univariate and multivariate backward stepwise logistic regression analyses were performed to identify potential risk factors for VTE. Symptomatic perioperative VTE was diagnosed in 27 subjects from a cohort of 10,627 women who underwent elective urogynecological surgery (0.25 %). Univariate analysis identified surgical route (laparotomy vs others), type of surgery (“major” vs “minor”), history of gynecological cancer, surgery time, and patient age as risk factors for VTE (P |
| Databáze: | OpenAIRE |
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