Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/120753
Título: Timing and characteristics of venous thromboembolism after noncancer surgery
Autores/as: Expósito-Ruiz, Manuela
Arcelus, Juan Ignacio
Caprini, Joseph A.
López-Espada, Cristina
Bura-Riviere, Alessandra
Amado, Cristina
Loring, Mónica
Mastroiacovo, Daniela
Monreal, Manuel
Prandoni, Paolo
Brenner, Benjamin
Farge-Bancel, Dominique
Barba, Raquel
Di Micco, Pierpaolo
Bertoletti, Laurent
Schellong, Sebastian
Tzoran, Inna
Reis, Abilio
Bosevski, Marijan
Bounameaux, Henri
Malý, Radovan
Verhamme, Peter
Bui, Hanh My
Adarraga, M. D.
Agud, M.
Aibar, J.
Aibar, M. A.
Baeza, C.
Ballaz, A.
Barbagelata, C.
Barrón, M.
Barrón-Andrés, B.
Blanco-Molina, A.
Botella, E.
Camon, A. M.
Campos, S.
Cañas, I.
Casado, I.
Castro Hernández, José Juan 
Criado, J.
de Ancos, C.
de Miguel, J.
Toro, J. del
Demelo-Rodríguez, P.
Díaz-Pedroche, C.
Díaz-Peromingo, J. A.
Díez-Sierra, J.
Domínguez, I. M.
Escribano, J. C.
Falgá, C.
Farfán, A. I.
Fernández de Roitegui, K.
Fernández-Aracil, C.
Fernández-Capitán, C.
Fernández-Reyes, J. L.
Fidalgo, M. A.
Flores, K.
Font, C.
Font, L.
Francisco, I.
Furest, I.
Gabara, C.
Galeano-Valle, F.
García, M. A.
García-Bragado, F.
García-Hernáez, R.
García-Raso, A.
Gavín-Sebastián, O.
Gil Díaz, Aída 
Gómez-Cuervo, C.
González-Martínez, J.
Grau, E.
Giménez-Suau, M.
Guirado, L.
Gutiérrez Gutiérrez, José Ismael 
Hernández-Blasco, L.
Hernando, E.
Campos Herrero Navas,María Isolina 
Jara-Palomares, L.
Jaras, M. J.
Jiménez, D.
Pérez Jiménez, Rafael 
Joya, M. D.
Jou, I.
Lalueza, A.
Lecumberri, R.
Lima, J.
Llamas, P.
Lobo, J. L.
López-Jiménez, L.
López-Miguel, P.
López-Núñez, J. J.
López-Reyes, R.
López-Sáez, J. B.
Lorenzo, A.
Madridano, O.
Clasificación UNESCO: 32 Ciencias médicas
321317 Cirugía vascular
Palabras clave: Deep vein thrombosis
Duration of risk
Pulmonary embolism
Surgery
Thromboprophylaxis
Fecha de publicación: 2021
Publicación seriada: Journal of Vascular Surgery: Venous and Lymphatic Disorders 
Resumen: Background: Venous thromboembolism (VTE) is a major cause of morbidity and mortality postoperatively. The use of pharmacologic prophylaxis is effective in reducing the incidence of VTE. However, the prophylaxis is often discontinued at hospital discharge, especially for those with benign disease. The implications of this practice are not known. We assessed the data from a large, ongoing registry regarding the time course of VTE and outcomes after noncancer surgery. Methods: We analyzed the RIETE (Computerized Registry on Venous Thromboembolism) registry, which includes data from consecutive patients with symptomatic confirmed VTE. In the present study, we focused on general surgical patients who had developed symptomatic postoperative VTE in the first 8 weeks after noncancer surgery. The main objective was to assess the interval between surgery and the occurrence of VTE. Additional variables included the clinical presentation associated with the event, the use of thrombosis prophylaxis, and unfavorable outcomes. Results: The data from 3296 patients were analyzed. The median time from surgery to the detection of VTE was 16 days (interquartile range, 8-30 days). Of the VTE events, 77% were detected after the first postoperative week and 27% after 4 weeks. Overall, 43.9% of the patients with VTE had received pharmacologic prophylaxis after surgery for a median of 8 days (interquartile range, 5-14 days), and three quarters of the VTE events were detected after pharmacologic prophylaxis had been discontinued. Overall, 54% of the patients with VTE had presented with pulmonary embolism. For 15% of the patients, the clinical outcome was unfavorable, including 4% who had died within 90 days. Conclusions: The risk of VTE after noncancer general surgery remains high for ≤2 months. More than one half of the patients had presented with symptomatic PE as the VTE event, and 15% had had unfavorable outcomes. Only 44% of these patients had received pharmacologic prophylaxis for around 1 week.
URI: http://hdl.handle.net/10553/120753
ISSN: 2213-333X
DOI: 10.1016/j.jvsv.2020.11.017
Fuente: Journal of Vascular Surgery: Venous and Lymphatic Disorders [ISSN 2213-333x], v. 9 (4), p. 859-867 (Julio 2021)
Colección:Artículos
Adobe PDF (432,09 kB)
Vista completa

Google ScholarTM

Verifica

Altmetric


Comparte



Exporta metadatos



Los elementos en ULPGC accedaCRIS están protegidos por derechos de autor con todos los derechos reservados, a menos que se indique lo contrario.