000 02672nam a22004577a 4500
008 240723s20242024 xxu||||| |||| 00| 0 eng d
022 _a0002-9610
024 _aS0002-9610(24)00158-2 [pii]
040 _aOvid MEDLINE(R)
099 _a38462412
245 _aRisk factors for post-operative VTE following colorectal surgery: Is caprini score enough?.
251 _aAmerican Journal of Surgery. 2024 Mar 06
252 _aAm J Surg. 2024 Mar 06
253 _aAmerican journal of surgery
260 _c2024
260 _p2024 Mar 06
265 _saheadofprint
265 _tPublisher
266 _d2024-07-23
501 _aAvailable online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
520 _aBACKGROUND: Post-operative colorectal venous thromboembolism (VTE) rates range between 1 and 3%. Often, surgeons utilize risk assessment models, like the modified Caprini, to determine need for prophylaxis. However, studies reveal additional unaccounted risk factors like preoperative serum albumin level, perioperative blood transfusion, emergency surgery, and preoperative steroid use.
520 _aCONCLUSION: The study suggests considering urgent/emergent surgeries, low preoperative albumin levels, and blood transfusions for enhanced VTE screening and prophylaxis in post-operative colorectal patients. Copyright © 2024 Elsevier Inc. All rights reserved.
520 _aMETHODS: This was a multicenter, retrospective study conducted between January 2021-December 2021. The primary endpoint was to assess the VTE rate within 30 days post-operatively.
520 _aRESULTS: Overall, incidence rate was 1.75%. Of these, 53% underwent urgent/emergent surgery and 60% had perioperative blood transfusions. Twelve patients had a known preoperative serum albumin level, with 66% being less than 3.5 g/dL. Only 30% of patients had a high Caprini risk score. No patient had preoperative steroid use.
546 _aEnglish
650 _zAutomated
650 _aIN PROCESS -- NOT YET INDEXED
651 _aMedStar Franklin Square Medical Center
651 _aMedStar Washington Hospital Center
656 _aSurgery
656 _aSurgery/Colorectal Surgery
657 _aJournal Article
700 _aAlmanzar, Anyelin
_bMFSMC
700 _aBello, Brian
_bMWHC
700 _aBerkey, Sara
_bMWHC
700 _aShoucair, Sami
_bMFSMC
700 _aSun, Zhifei
_bMWHC
790 _aAlmanzar A, Dahmani SL, Shoucair S, Sun Z, Ayscue J, Bello B, Berkey S
856 _uhttps://dx.doi.org/10.1016/j.amjsurg.2024.02.046
_zhttps://dx.doi.org/10.1016/j.amjsurg.2024.02.046
942 _cART
_dArticle
999 _c14217
_d14217