Postoperative Pulmonary Embolism After Hospital Discharge

作者: Olivier Huber

DOI: 10.1001/ARCHSURG.1992.01420030076014

关键词: Ventilation/perfusion ratioSurgeryAfter dischargeComplicationConfidence intervalHospital dischargeMedicinePulmonary embolismRespiratory diseaseIncidence (epidemiology)

摘要: • During a 10-year period (1980 through 1989), 28 953 patients were admitted to our Clinic of Digestive Surgery, Geneva, Switzerland. Two thirds them operated on, and one third treated conservatively. Symptomatic pulmonary embolism (PE) was recorded in 90 (0.31%; 95% confidence interval, 0.25% 0.38%) during their hospital stay. Within 30 days discharge, 29 readmitted because PE (incidence delayed PE, 0.10%; 0.07% 0.14%; total incidence 0.41%; 0.34% 0.49%). In the operated-on group, embolic events occurred median 6 (range, 2 25 days) after discharge 18 35 surgery. Delayed PEs more frequent so-called low-risk Thus, rate postoperative increased by 30% when occurring within considered, this provides useful basis for prolonged prophylactic measures (Arch Surg. 1992;127:310-313)

参考文章(9)
Hochstrasser D, Scherrer, Ratib O, Baud Rh, An integrated hospital information system in Geneva. M.D. computing : computers in medical practice. ,vol. 7, pp. 81- ,(1990)
J. H. Scurr, P. D. Coleridge-Smith, J. H. Hasty, Deep venous thrombosis: a continuing problem. BMJ. ,vol. 297, pp. 28- 28 ,(1988) , 10.1136/BMJ.297.6640.28
Daniel L. Clarke-Pearson, Ingrid S. Synan, R.Edward Colemen, Wanda Hinshaw, William T. Creasman, The natural history of postoperative venous thromboemboli in gynecologic oncology: A prospective study of 382 patients American Journal of Obstetrics and Gynecology. ,vol. 148, pp. 1051- 1054 ,(1984) , 10.1016/0002-9378(84)90632-X
G. PATRICK CLAGETT, JOAN S. REISCH, Prevention of venous thromboembolism in general surgical patients. Results of meta-analysis. Annals of Surgery. ,vol. 208, pp. 227- 240 ,(1988) , 10.1097/00000658-198808000-00016
M. SAMAMA, J. P. BOISSEL, S. COMBE-TAMZALI, A. LEIZOROVICZ, Clinical Studies with Low Molecular Weight Heparins in the Prevention and Treatment of Venous Thromboembolism Annals of the New York Academy of Sciences. ,vol. 556, pp. 386- 405 ,(1989) , 10.1111/J.1749-6632.1989.TB22520.X
Frederick R. Jelovsek, Daniel L. Clarke-Pearson, William T. Creasman, Thromboembolism complicating surgery for cervical and uterine malignancy: incidence, risk factors, and prophylaxis. Obstetrics & Gynecology. ,vol. 61, pp. 87- 94 ,(1983)
Caprini Ja, Hasty Jh, Scurr Jh, Role of compression modalities in a prophylactic program for deep vein thrombosis. Seminars in Thrombosis and Hemostasis. pp. 77- 87 ,(1988)