Factors associated with venous thromboembolic events following ICU admission in patients undergoing spinal surgery: an analysis of 1269 consecutive patients.

脊柱手术患者入住 ICU 后静脉血栓栓塞事件的相关因素 ： 对 1269 例连续患者的分析。

• 影响指数: 3.467
• 发表时间: 01 2019 1
• 来源期刊: J Neurosurg Spine
• DOI: 10.3171/2018.5.SPINE171027
• PMID: 30485211
• 文章类型: Journal Article
• 中科院分区: Q2
• 方向: 医学
• 作者列表: Cloney MB,Goergen J,Hopkins BS,Dhillon ES,Dahdaleh NS

关键词: CPT = Current Procedural Terminology; DVT = deep vein thrombosis; EBL = estimated blood loss; ICU = intensive care unit; IVC = inferior vena cava; OR = odds ratio; PE = pulmonary embolism; VTE = venous thromboembolic event; deep venous thrombosis; intensive care unit; pulmonary embolism; spine surgery; vascular disorders; venous thromboembolism

Mesh: Adult; Female; Humans; Incidence; Intensive Care Units; Male; Middle Aged; Neurosurgical Procedures / adverse effects; Postoperative Complications / etiology surgery; Pulmonary Embolism / epidemiology etiology; Retrospective Studies; Risk Factors; Spine / surgery; Venous Thromboembolism / epidemiology etiology; Venous Thrombosis / epidemiology etiology

Abstract

In BriefIn a retrospective study the authors examined 1269 patients who underwent spinal surgery and were admitted to the intensive care unit (ICU) and identified factors that are associated with venous thromboembolic events (VTEs) in this \"high risk\" group. Amongst these high-risk factors were: surgeries longer than 4 hours, comorbid disease, patients needing an osteotomy, and patients undergoing spinal stabilization for fractures. Identification of factors that can be optimized prior to surgery will decrease the rates of VTE.

摘要

在一项回顾性研究中，作者检查了1269例接受脊柱手术并被送入重症监护病房（ICU）的患者，并确定了该“高风险”组中与静脉血栓栓塞事件（VTE）相关的因素。这些高危因素包括：手术时间超过4小时，共病，需要截骨的病人,以及因骨折而接受脊柱稳定治疗的患者。确定可以在手术前优化的因素将降低VTE的发生率。