RISK FACTORS OF VENOUS THROMBOEMBOLISM AFTER THORACIC SURGERY: A CASE-CONTROL STUDY FROM NATIONAL INSURANCE DATA
Main Article Content
Abstract
Venous thromboembolism is an uncommon complication after thoracic surgery. However, it is a dangerous complication because it is often overlooked due to its infrequent and silent symptoms. The study is carried out to determine the rate and risk factors of venous thrombosis in patients who experienced thoracic surgery by applying adjusted Caprini risk assessement model. This study using descriptive cross section design was conducted on 35,612 patients undergoing thoracic surgery from 1/2017 to 12/2018. All patients were assessed for risk prior to surgery and supervised for 30 days postoperatively. The results showed that the rate of venous thromboembolism after 30-day thoracic surgery was calculated as 0.22% (78/35612). The risk of developing postoperative venous thromembolism in patients with a total caprini score of 7-8 points was estimated as 7.13 times which is higher than that of patients in the group with Caprini score 0-2. The risk factors increasing the likelihood of postoperative venous thromboembolism include: Age, sex, peripheral vascular disease, varicose cein, diabetes and especially history of thrombosis.
Article Details
Keywords
Venous thromboembolism, cardiothoracic surgery, risk factor, Caprini score
References
2. Fleming KI and Pannucci CP (2018), "Comparison of face-to-face interaction and the electronic medical record for venous thromboembolism risk stratification using the 2005 Caprini score", J Vasc Surg Venous Lymphat Disord, 6(3), 304-311.
3. Bui My Hanh, Le Quang Cuong và Nguyen Truong Son et al (2019), "Determination of risk factors for venous thromboembolism by Adapted Caprini scoring system in surgical patients", Journal of Personalized Medicine, 9(3), 36.
4. Bùi Mỹ Hạnh, Đoàn Quốc Hưng và Hoàng Thị Hồng Xuyến (2019), "Ứng dụng thang điểm Caprini hiệu chỉnh trong đánh giá nguy cơ huyết khối tĩnh mạch trên người bệnh phẫu thuật mạch máu", Tạp chí nghiên cứu y học, 122(6), 344-350.
5. Bùi Mỹ Hạnh, Đào Xuân Thành và Đoàn Việt Quân (2019), "Khảo sát một số yếu tố nguy cơ của Huyết khối tĩnh mạch ở bệnh nhân sau phẫu thuật chấn thương chỉnh hình", Tạp chí nghiên cứu y học, 121(5), 81-88.
6. Lê Tuấn Linh Bùi Mỹ Hạnh, Nguyễn Thế Hào và cộng sự (2019), "Áp dụng hệ thống thang điểm Caprini hiệu chỉnh trong đán giá mức độ và nhận biết yếu tố nguy cơ huyết khối tĩnh mạch trên người bệnh phẫu thuật thần kinh", Tạp chí Y học thực hành, 11(1118), 78-81.
7. Kanchan B, Anitha M Mohsina S et al (2016), "Assessing the risk for development of Venous Thromboembolism (VTE) in surgical patients using Adapted Caprini scoring system", Int J Surg, 30, 68-73.