Evaluation of the risk factors for venous thromboembolism post splenectomy – A ten year retrospective cohort study in St James’s hospital

摘要: Abstract Background Splenectomy is a surgical intervention for variety of indications; benign and malignant. Complications this procedure include Venous thromboembolism (VTE) infection. The incidence VTE post-surgery has been reported between 0.8%–3% depending on the type surgery. A higher abdominal was post splenectomy (6–11%). However, there limited literature regarding risk factors optimal strategy thromboprophylaxis. Objective primary objective study to evaluate identify pre-operative, intra-operative post-operative factors. secondary assess local compliance with post-splenectomy prophylactic antibiotics vaccination protocols. Methods We conducted retrospective observational study. All patients who had in St James's Hospital January 2007 June 2017 were included reviewed. Statistical analysis carried out using SPSS statistical package. Results 85 involved main indications haematology, malignant solid tumours, traumatic spontaneous rupture. 6/85 developed (7.06%). High BMI ≥ 30 associated increased (p = 0.007), while use anticoagulation reduced (p = 0.005). Other including age >50 years, female gender, presence active malignancy splenomegaly no significance. VTE's occurred elective versus emergency splenectomy. Laparoscopic than open 97% prescribed discharge, but only 88% received recommended vaccinations. Conclusion common Our data showed that BMI ≥30 statistically significant VTE, risk. Further prospective studies larger samples are warranted care plan may be helpful.