TY  - BOOK
AU  - Reid, Jennifer
TI  - Prolonged operating room time in emergency general surgery is associated with venous thromboembolic complications
SN  - 0002-9610
PY  - 2019///
KW  - IN PROCESS -- NOT YET INDEXED
KW  - Medstar Union Memorial Hospital
KW  - Surgery
KW  - Journal Article
N2  - 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); 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; Copyright (c) 2019. Published by Elsevier Inc; 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 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
UR  - https://dx.doi.org/10.1016/j.amjsurg.2019.04.022
ER  -