Prolonged operating room time in emergency general surgery is associated with venous thromboembolic complications - 17/10/19
, Hiba Ezzeddine a, Elliott R. Haut a, Nicole Lunardi b, Ambar Mehta c, Rachel L. Choron a, Jennifer Reid d, Muhammad Zeeshan e, Mohammad Hamidi e, Bellal A. Joseph eAbstract |
Background |
We evaluated the association between operating room time and developing a deep vein thrombosis (DVT) or pulmonary embolus (PE) after emergency general surgery (EGS).
Methods |
We reviewed six common EGS procedures in the 2013–2015 NSQIP dataset. After tabulating their incidence of postoperative VTE events, we calculated predictors of developing a VTE using adjusted multivariate logistic regressions.
Results |
Of 108,954 EGS patients, 1,366 patients (1.3%) developed a VTE postoperatively. The median time to diagnosis was 9 days [5–16] for DVTs and 8 days [5–16] for PEs. Operating room time of 100 min or more was associated with increased risk of developing a DVT (OR 1.30 [1.12–2.21]) and PE (OR:1.25 [1.11–2.43]) with a 7% and 5% respective increase for every 10 min increase after the 100 min. Other independent predictors of VTE complications were older age, and history of cancer, and emergent colectomies on procedure-level analysis.
Conclusion |
Prolonged operating room time is independently associated with increased risk of developing VTE complications after an EGS procedure. Most of the VTE complications were delayed in presentation.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Operating time of ≥100 min is associated with increased risk of developing a VTE. |
• | Every 10 min thereafter increases the risk of developing a DVT by 7% and PE by 5%. |
• | Other independent predictors of VTE complications were older age and history of cancer. |
• | Emergent colectomies were associated with the highest odds for both DVT and PE. |
Keywords : Emergency general surgery, Venous thromboembolism, Prolonged operative time, Deep venous thrombosis, Pulmonary embolism
Plan
Vol 218 - N° 5
P. 836-841 - novembre 2019 Retour au numéro
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