Salous Abdelghaffar K, Reyad Ashraf, Sweeney Karen, Mavanur Arun
1Department of General Surgery, Sinai Hospital of Baltimore, Baltimore, MD USA.
2Department of Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine, 720 Rutland Avenue, Rm 749A, Baltimore, MD 21205 USA.
Perioper Med (Lond). 2019 Dec 13;8:18. doi: 10.1186/s13741-019-0131-1. eCollection 2019.
Venous thromboembolism (VTE) is a major cause of morbidity and mortality in general surgical patients.
The ACS-NSQIP database was queried and VTE data were collected and analyzed to assess the incidence of VTE at a 500-bed, non-profit, teaching, inner city, community hospital and similar peer institutions from January 1, 2006 to December 31, 2011.
Post-discharge VTE events accounted for 40% of all VTE events within 30 days of discharge. Data show a significant proportion of post-discharge VTE events that may be preventable with extending VTE prophylaxis in the post-discharge period.
This is the first paper to report on this high post-discharge incidence of VTE in general surgical patients and to recommend continuation of VTE prophylaxis in the post-discharge period.
静脉血栓栓塞症（VTE）是普通外科患者发病和死亡的主要原因。
查询美国外科医师学会国家外科质量改进计划（ACS-NSQIP）数据库，收集并分析VTE数据，以评估2006年1月1日至2011年12月31日期间，一家拥有500张床位的非营利性教学社区医院及类似同行机构中VTE的发生率。
出院后VTE事件占出院后30天内所有VTE事件的40%。数据显示，相当一部分出院后VTE事件通过在出院后延长VTE预防措施可能是可以预防的。
本文首次报道了普通外科患者出院后VTE的高发生率，并建议在出院后继续进行VTE预防。
