Incidence of venous thromboembolism in benign urologic reconstructive cases View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-04-26

AUTHORS

Nathan M. Shaw, Nizar Hakam, Jason L. Lui, Behnam Nabavizadeh, Kevin D. Li, Patrick Low, Behzad Abbasi, Benjamin N. Breyer

ABSTRACT

PurposeTo evaluate the rate of perioperative venous thromboembolism (VTE) among patients undergoing common benign urologic reconstructive cases. We hypothesize that this rate will be lower than previously described.MethodsWe utilized the American College of Surgeons National Surgical Quality Improvement Project database from 2015 to 2019 to evaluate 30-day perioperative risk of VTE. Patients ≥ 18 years old undergoing benign urologic reconstructive cases were selected using Current Procedural Terminology (CPT) codes. Demographic, comorbidity, and operative variables were captured. The primary outcome was VTE within the 30-day postoperative period.ResultsWe identified 8467 patients who met inclusion criteria. The majority of patients were male (> 95%) with an average age of 65 and BMI of 29.6. There were 23 VTE events (0.27%) within the 30-day perioperative period. Fourteen (14/59) procedures had a perioperative VTE. Many of the traditional factors for VTE including operative time and obesity significantly increased risk of VTE in univariate analysis. In multivariate analysis, only BMI (OR 1.09; 95% CI 1.01–1.12) and inpatient status (OR 4.42; 95% CI 1.9–10.2) were correlated with increased perioperative VTE.ConclusionThe rate of VTE among patients undergoing benign urologic reconstructive cases is low. Providers should continue to have high index of suspicion particularly for inpatients with high BMI in addition to other known risk factors for VTE. More... »

PAGES

1879-1886

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00345-022-04004-4

DOI

http://dx.doi.org/10.1007/s00345-022-04004-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1147380899

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/35471668


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