Prevalence and risk factors of venous thromboembolism in postoperative patients: A retrospective study

Abstract

Objective:To investigate the prevalence of and risk factors for Venous Thromboembolism (VTE) in postoperative patients.Methods:This descriptive, cross-sectional, retrospective study was conducted from August 2016 to October 2016 at two university hospitals and one public hospital. Total 217,354 patients records who underwent surgery in between 2010 and 2015 were examined. The study sample consisted of 123 patients who had postoperative venous thrombosis and pulmonary embolism, and whose discharge details, consultation data, diagnostic reports, and tests were examined in detail.Results:The prevalence of VTE in postoperative patients was 5.6/10,000. The mean age of the patients was 60.22±18.56 years. Of 123 patients, 51.20% were male, 30.90% were smokers, 46.30% had a comorbid disease, and 27.60% were diagnosed with cancer. Of the patients who had postoperative VTE, 65.0% had major surgery. Pharmacologic thromboprophylaxis was used in only 24.4% of patients (n=30).Conclusion:The prevalence of VTE in the present study is lower than that in other studies. Because surgery is a risk factor for VTE, patients who will be operated should be assessed. Considering the present results, we can assume that patients’ conditions are not being assessed appropriately. In addition, findings indicate that a standard for preventing VTE has not yet been established.

Venous thromboembolism prophylaxis usage among surgical patients in both private and public hospitals in Ethiopia

“…The VTE prophylaxis use in this study was very low with only 7.5 % patients receiving any form of prophylaxis. This was significantly lower than reported rates in the multinational ENDORSE study and studies from the UK, Pakistan, China, Cameroon, and South Africa [ 2 , [5] , [6] , [7] , [8] , [9] , [10] ]. Only one nationwide Chinese interventional study found lower prophylaxis utilization of 5.9 % before implementation of physician educational intervention [ 17 ].…”

“…Recent reports still suggest only half of hospitalized surgical patients receive appropriate prevention measures [ 4 , 5 ]. Prophylaxis use widely varies from country to country (from 6 to 60.5 %) [ [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] ].…”

“…Studies have identified facility type, geographical disparities, the presence of dedicated VTE steering committees, robust quality control systems, and comprehensive training programs as key factors impacting implementation [ 2 , 8 , 13 ]. While single-institution studies may paint a rosier picture of prophylaxis use, multi-center comparative studies often reveal significantly lower rates [ [4] , [5] , [6] , [7] , [8] ]. Notably, the limited existing research on VTE prophylaxis among Ethiopian surgical patients is confined to single-institution settings, yielding inconsistent results [ 11 , 12 ].…”

A predictive model of preoperative risk factors for venous thromboembolism after fusion for degenerative conditions of the thoracolumbar spine

“…4 Individual patient characteristics, including advanced age and comorbid disease, also contribute to an increased risk of VTE postoperatively. 5 Many orthopedic surgery subspecialties have defined standards for VTE prophylaxis, however, there is no consensus on standard prophylaxis in spine surgery. [6][7][8] There is a wide range of prophylaxis mechanism currently used that can be divided into mechanical and pharmacologic categories.…”

Chronic venous diseases and obesity: pathogenetically based treatment and prevention options

“…th is literature review was prepared with the support of the Binnopharm Group, but w ithou t influence on the selection, analysis, synthesis of source material and con clusions of the publication. Все эпидемиологические исследования свидетельству ют, что ожирение служит большим фактором риска раз вития как хронической венозной недостаточности (ХВН) нижних конечностей, так и венозных тромбоэмболиче ских осложнений (ВТЭО) [3][4][5][6][7][8][9][10][11][12][13][14][15][16]. Сочетание этих явлений дало основание ввести в клиническую практику понятие флебоожирения (phlebesity), подчеркнув тем самым вза имосвязь ожирения и венозной патологии [17].…”