Risk Factors for Venous Thromboembolism in Children Undergoing Orthopedic Surgery
| Autor: | David B. Frumberg, Jonathan N. Grauer, Neil Pathak, Anoop R. Galivanche, Elbert J. Mets, Ryan P. McLynn |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Blood transfusion Adolescent medicine.medical_treatment Population Postoperative Complications Risk Factors Internal medicine medicine Humans Orthopedics and Sports Medicine Orthopedic Procedures cardiovascular diseases Adverse effect education Child Retrospective Studies Femur fracture education.field_of_study business.industry Incidence (epidemiology) Perioperative Venous Thromboembolism equipment and supplies Orthopedics Child Preschool Orthopedic surgery Surgery Complication business |
| Zdroj: | Orthopedics. 45(1) |
| ISSN: | 1938-2367 |
| Popis: | Venous thromboembolism (VTE) is an uncommon but highly morbid and potentially preventable complication in children. This study aimed to characterize the incidence of, and risk factors for, VTE in children undergoing orthopedic surgery. A retrospective analysis was performed using the 2012 to 2017 American College of Surgeons National Surgical Quality Improvement Program Pediatric (NSQIP-P) database. Patient demographics, comorbidities, operative variables, and perioperative outcomes were compared between patients who did and did not develop a VTE. In total, 81,490 pediatric patients who underwent orthopedic surgery were identified. Of those, the mean±SD age was 9.7±4.8 years, and 50.1% were male. Sixty patients (0.07%) developed a postoperative VTE. On multivariate regression, demographic and surgical variables associated with a VTE were ages 16 to 18 years ( P =.002; compared with ages 11 to 15 years), American Society of Anesthesiologists (ASA) classes III and V ( P =.003; compared with ASA classes I and II), preoperative blood transfusion ( P P P P P P P P Orthopedics . 2022;45(1):31–37.] |
| Databáze: | OpenAIRE |
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