• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Surgery

Emergency general surgery linked to greater risk of venous thromboembolism than elective surgery

byAlex ChanandRavi Shah, MD MBA
May 28, 2020
in Surgery
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

RELATED REPORTS

Mycobacterium abscessus infections after cardiac surgery linked to hospital water system

Hydrochlorothiazide does not impact risk of kidney-stone recurrence

Adenoma detection rate is inversely associated with post-colonoscopy colorectal cancer risk

1. Patients undergoing emergency general surgery in a retrospective cohort study were at nearly twice the risk of venous thromboembolism when compared to patients undergoing elective surgery.

Evidence Rating: 2 (Good)

Despite comprising a relatively small proportion of the total surgeries performed, procedures classified as emergency general surgery (EGS) account for a significant portion of postoperative complications and mortality.  To date however, no studies have established an association between risk of venous thromboembolism (VTE) and EGS, leading to a knowledge gap that may have prevented patients benefiting from more aggressive VTE chemoprophylaxis. In this retrospective cohort study, researchers examined data from 604,537 adult patients in the American College of Surgeons National Surgical Quality Improvement Program database over a 12 year period to investigate a possible link between VTE risk and EGS. Data from emergency surgeries were compared with elective surgeries of the same type, largely consisting of laparoscopic and open cholecystectomies, ventral hernia repairs (VHRs), and partial colectomies (PCs), with the primary outcome of interest being VTE occurrence at 30 days. After controlling for age, sex, BMI, surgery type, and other demographic features, it was found that VTE rates were significantly higher in the EGS patient group than the elective surgery group (1.9% vs. 0.8%; P < .001), with nearly triple the rate of DVT or thrombophlebitis (1.4% vs. 0.5%; P <.001), and double the rate of pulmonary embolism (0.6% vs. 0.3%; P <.001).  In concordance with prior literature, patients undergoing EGS were also more prone to surgical site infections, general complications, major complications, and had higher rates of 30 day readmission and 30 day mortality. This study represents the first investigation finding an independent association between EGS and VTE risk, and provides further evidence of greater morbidity and mortality associated with EGS compared with elective surgeries. As VTE are a highly preventable cause of morbidity and mortality among hospitalized patients, findings from this study support the use of more aggressive venous thromboembolism chemoprophylaxis and may be a new standard of practice with further investigation.

Click to read the study in JAMA Surgery

Image: PD

©2020 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: elective surgeryemergency general surgerySurgeryvenous thromboembolism (VTE)
Previous Post

Risk of QTc prolongation with hydroxychloroquine therapy

Next Post

#VisualAbstract: Atezolizumab-bevacizumab treatment increases survival in unresectable hepatocellular carcinoma

RelatedReports

Standardized central line care practices reduce bloodstream infections
Infectious Disease

Mycobacterium abscessus infections after cardiac surgery linked to hospital water system

March 23, 2023
Renal stones in women linked with increased risk of coronary heart disease
Nephrology

Hydrochlorothiazide does not impact risk of kidney-stone recurrence

March 22, 2023
Benefits of high-intensity surveillance following colorectal adenoma removal likely outweigh costs
Chronic Disease

Adenoma detection rate is inversely associated with post-colonoscopy colorectal cancer risk

March 20, 2023
Survival greater in cervical cancer patients undergoing abdominal hysterectomy compared to minimally invasive techniques: the LACC trial
Public Health

Outpatient surgery trends during before and after the onset of the COVID-19 pandemic

March 11, 2023
Next Post
#VisualAbstract: Atezolizumab-bevacizumab treatment increases survival in unresectable hepatocellular carcinoma

#VisualAbstract: Atezolizumab-bevacizumab treatment increases survival in unresectable hepatocellular carcinoma

Pediatric renal and thyroid cancer rates increase

Incidence of thyroid cancer in World Trade Center exposed firefighters

Influenza vaccine not associated with increased risk of epilepsy in children

In children, intial two-dose influenza vaccine series more effective than single dose

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Addition of fludrocortisone to hydrocortisone is beneficial in management of septic shock
  • Surveillance testing of staff at nursing facilities reduces resident COVID-19 mortality
  • Childhood maltreatment may cause mental health problems
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options