Prolonged operating room time in emergency general surgery is associated with venous thromboembolic complications. (Record no. 4337)

MARC details
000 -LEADER
fixed length control field 02317nam a22003497a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 190621s20192019 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0002-9610
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 31088627
245 ## - TITLE STATEMENT
Title Prolonged operating room time in emergency general surgery is associated with venous thromboembolic complications.
251 ## - Source
Source American Journal of Surgery. 2019 May 06
252 ## - Abbreviated Source
Abbreviated source Am J Surg. 2019 May 06
253 ## - Journal Name
Journal name American journal of surgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2019
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2019
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2019-06-21
520 ## - SUMMARY, ETC.
Abstract 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).
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Abstract 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.
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Abstract Copyright (c) 2019. Published by Elsevier Inc.
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Abstract 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.
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Abstract 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 100min 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 10min increase after the 100min. Other independent predictors of VTE complications were older age, and history of cancer, and emergent colectomies on procedure-level analysis.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution Medstar Union Memorial Hospital
656 ## - INDEX TERM--OCCUPATION
Department Surgery
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Reid, Jennifer
790 ## - Authors
All authors Choron RL, Ezzeddine H, Hamidi M, Haut ER, Joseph BA, Lunardi N, Mehta A, Reid J, Sakran JV, Zeeshan M
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.amjsurg.2019.04.022">https://dx.doi.org/10.1016/j.amjsurg.2019.04.022</a>
Public note https://dx.doi.org/10.1016/j.amjsurg.2019.04.022
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
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          MedStar Authors Catalog MedStar Authors Catalog 06/21/2019   31088627 31088627 06/21/2019 06/21/2019 Journal Article

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