腹手术后静脉血栓栓塞:分析两个大型数据集中的预测因素和趋势
相关实验视频
Updated: Jul 14, 2026

06:47
A Murine Model of Vertical Sleeve Gastrectomy
Published on: December 18, 2017
11.0K
Zachary D Leslie1, Charles M Quinn2, Sayeed Ikramuddin3
1Carleton College, Northfield, MN, USA.
The American surgeon
|May 9, 2025
概括
减肥手术后的静脉血栓塞栓症 (VTE) 是由肺栓塞和年龄增加的病史预测的. 大多数VTE事件发生在出院后,这表明需要改善手术后的监测.
科学领域:
- 腹部外科手术的结果
- 静脉血栓栓塞的研究研究
- 公共卫生数据库 公共卫生数据库
背景情况:
- 静脉血栓塞栓症 (VTE) 在减肥手术后具有显著的风险.
- 在国家数据库中比较VTE预测因子对于了解外科后并发症至关重要.
研究的目的:
- 通过使用两个不同的国家数据库,比较在接受腹手术的患者中VTE的预测指标.
- 分析趋势和识别选择性垂直袖子胃切除术和Roux-en-Y胃绕道手术中VTE的危险因素.
主要方法:
- 利用来自国家住院患者样本 (NIS) 和MBSAQIP参与者使用文件 (2016-2021) 的连接数据.
- 包括可选的垂直袖胃切除术和Roux-en-Y胃绕道手术.
- 构建多变量后勤回归模型,以在每个数据集中识别VTE预测因素.
主要成果:
- 在NIS (0.11%) 和MBSAQIP (0.10%) 之间,住院VTE的发病率相似.
- 肺栓塞史和年龄增加在两个数据库中都是更高静脉瘤风险的一致预测因素.
- 在MBSAQIP中,30天VTE发生率为0.30%,其中67%的事件发生在医院出院后.
结论:
- 鉴定了减肥手术后VTE的关键风险因素,强调了患者病史和年龄的重要性.
- 大多数VTE事件发生在医院出院后,突出显示仅在住院患者的数据潜在的低估.
- MBSAQIP数据库可能低估了2021年VTE率,这表明需要全面的出院后监测.
相关概念视频
Esophageal Varices-II: Clinical Features and Management
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Venous Thrombosis I: Introduction
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Venous Thrombosis IV: Nursing Management
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...

