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. 2019 Dec 13:8:18.
doi: 10.1186/s13741-019-0131-1. eCollection 2019.

A significant proportion of venous thromboembolism events in general surgical patients occurs after discharge: analysis of the ACS-NSQIP Essentials database

Abdelghaffar K Salous  1   2 , Ashraf Reyad  1 , Karen Sweeney  1 , Arun Mavanur  1
Affiliations

A significant proportion of venous thromboembolism events in general surgical patients occurs after discharge: analysis of the ACS-NSQIP Essentials database

Abdelghaffar K Salous et al. Perioper Med (Lond). .

Abstract

Background: Venous thromboembolism (VTE) is a major cause of morbidity and mortality in general surgical patients.

Methods: 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.

Results: 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.

Conclusion: 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.

Keywords: Chemoprophylaxis; NSQIP; Pulmonary embolism; Venous thromboembolism.

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Conflict of interest statement

Competing interestsThe authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
a The percentage of pre-discharge and post-discharge VTE events during hospitalization and within 30 days of postoperative follow-up for Sinai hospital and equivalent peer institutions. b, c Breakdown of VTE events into DVT and PE subcategories. Data derived from NSQIP database for medium-size community hospitals from January 1, 2006 to December 31, 2011
Fig. 2
Fig. 2
Distribution of VTE events in surgical pre-discharges (diamonds) and post-discharges (squares). The mean Caprini score was 6.4 for pre-discharges (43 total) and 5.7 for post-discharges (32 total). The distributions appeared somewhat normal
See this image and copyright information in PMC

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