Congestive heart failure is a risk factor for venous thromboembolism in bariatric surgery
Abstract Background Venous thromboembolism (VTE) is a major complication of bariatric surgery leading to significant morbidity and mortality. We sought to identify predictive factors that increase the risk of deep venous thrombosis (DVT) and pulmonary embolism (PE) using data from the National Surgi...
Gespeichert in:
Veröffentlicht in: | Surgery for obesity and related diseases 2015-09, Vol.11 (5), p.1140-1145 |
---|---|
Hauptverfasser: | , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 1145 |
---|---|
container_issue | 5 |
container_start_page | 1140 |
container_title | Surgery for obesity and related diseases |
container_volume | 11 |
creator | Haskins, Ivy N., M.D Amdur, Richard, Ph.D Sarani, Babak, M.D., F.A.C.S Vaziri, Khashayar, M.D., F.A.C.S |
description | Abstract Background Venous thromboembolism (VTE) is a major complication of bariatric surgery leading to significant morbidity and mortality. We sought to identify predictive factors that increase the risk of deep venous thrombosis (DVT) and pulmonary embolism (PE) using data from the National Surgical Quality Improvement Program (NSQIP). Methods Patients undergoing bariatric procedures from 2005–2012 were identified in the NSQIP database. Pretreatment patient characteristics were examined by laparoscopic and open treatment groups using t tests and chi-square regression. Independent associations between patient characteristics and DVT and PE were examined using logistic regression. Logistic regression was also used to examine whether patients who had postprocedure DVT or PE were more likely than those who did not have these events to have additional morbidity and mortality outcomes. Results 102,869 patients underwent bariatric surgery (96,085 laparoscopic; 6,784 open) from 2005–2012. Preoperative variables associated with increased risk of DVT in laparoscopic bariatric surgery are male gender, higher BMI, congestive heart failure (CHF), and hypertension (HTN). Preoperative variables associated with increased risk of PE in laparoscopic bariatric surgery are male gender, age greater than or equal to 60, higher BMI, African American race, chronic obstructive pulmonary disease (COPD) and CHF. There are no preoperative variables associated with an increased risk of DVT in open bariatric surgery although there is a trend toward significance with CHF. Finally, higher BMI and CHF is associated with an increased risk of PE in open bariatric surgery. Conclusions CHF is a significant risk factor for VTE in bariatric surgery. Surgeons should consider aggressive screening and VTE prophylaxis in patients with CHF and other known risk factors to decrease postoperative morbidity from VTE. |
doi_str_mv | 10.1016/j.soard.2014.12.020 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1747313923</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1550728914005024</els_id><sourcerecordid>1747313923</sourcerecordid><originalsourceid>FETCH-LOGICAL-c484t-c413d160e067a9be7e1d6ea944bd696bc2f7e3aeaac6bedcebcd008bb08f82783</originalsourceid><addsrcrecordid>eNqFkU1v1DAQhi0EoqXwC5CQj1w29UdiOweQ0Kp8SJU4AAdOlj8mrbdJXMbJSvvv8bKFQy8cxrZG7-uZeYaQ15w1nHF1uWtKdhgbwXjbcNEwwZ6Qc2602ehOyqf13XVso4Xpz8iLUnaMSdVp8Zycic4oY6Q8Jz-3eb6BsqQ90FtwuNDBpXFFoKlQRzGVu5oJS0Y61NjDnNdCl1vMk89QY0xlommm3mFyC6ZAy4o3gIeX5NngxgKvHu4L8uPj1fft5831109fth-uN6E17VJPLiNXDJjSrveggUcFrm9bH1WvfBCDBunAuaA8xAA-RMaM98wMRmgjL8jb07_3mH-tdRQ7pRJgHN0MtVfLdasll72QVSpP0oC5FITB3mOaHB4sZ_bI1O7sH6b2yNRyYSvT6nrzUGD1E8R_nr8Qq-DdSQB1zH0CtCUkmAPEhBAWG3P6T4H3j_xhTHMKbryDA5RdXnGuBC23pRrst-Naj1vlLWMdE638DU2HoBs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1747313923</pqid></control><display><type>article</type><title>Congestive heart failure is a risk factor for venous thromboembolism in bariatric surgery</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Haskins, Ivy N., M.D ; Amdur, Richard, Ph.D ; Sarani, Babak, M.D., F.A.C.S ; Vaziri, Khashayar, M.D., F.A.C.S</creator><creatorcontrib>Haskins, Ivy N., M.D ; Amdur, Richard, Ph.D ; Sarani, Babak, M.D., F.A.C.S ; Vaziri, Khashayar, M.D., F.A.C.S</creatorcontrib><description>Abstract Background Venous thromboembolism (VTE) is a major complication of bariatric surgery leading to significant morbidity and mortality. We sought to identify predictive factors that increase the risk of deep venous thrombosis (DVT) and pulmonary embolism (PE) using data from the National Surgical Quality Improvement Program (NSQIP). Methods Patients undergoing bariatric procedures from 2005–2012 were identified in the NSQIP database. Pretreatment patient characteristics were examined by laparoscopic and open treatment groups using t tests and chi-square regression. Independent associations between patient characteristics and DVT and PE were examined using logistic regression. Logistic regression was also used to examine whether patients who had postprocedure DVT or PE were more likely than those who did not have these events to have additional morbidity and mortality outcomes. Results 102,869 patients underwent bariatric surgery (96,085 laparoscopic; 6,784 open) from 2005–2012. Preoperative variables associated with increased risk of DVT in laparoscopic bariatric surgery are male gender, higher BMI, congestive heart failure (CHF), and hypertension (HTN). Preoperative variables associated with increased risk of PE in laparoscopic bariatric surgery are male gender, age greater than or equal to 60, higher BMI, African American race, chronic obstructive pulmonary disease (COPD) and CHF. There are no preoperative variables associated with an increased risk of DVT in open bariatric surgery although there is a trend toward significance with CHF. Finally, higher BMI and CHF is associated with an increased risk of PE in open bariatric surgery. Conclusions CHF is a significant risk factor for VTE in bariatric surgery. Surgeons should consider aggressive screening and VTE prophylaxis in patients with CHF and other known risk factors to decrease postoperative morbidity from VTE.</description><identifier>ISSN: 1550-7289</identifier><identifier>EISSN: 1878-7533</identifier><identifier>DOI: 10.1016/j.soard.2014.12.020</identifier><identifier>PMID: 25868833</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Age Factors ; Bariatric surgery ; Bariatric Surgery - adverse effects ; Bariatric Surgery - methods ; Body Mass Index ; Cohort Studies ; Confidence Intervals ; Databases, Factual ; Deep venous thrombosis ; Female ; Follow-Up Studies ; Gastroenterology and Hepatology ; Heart Failure - diagnosis ; Heart Failure - epidemiology ; Humans ; Incidence ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Laparotomy - adverse effects ; Laparotomy - methods ; Logistic Models ; Male ; Middle Aged ; Morbidity ; Mortality ; NSQIP ; Obesity, Morbid - complications ; Obesity, Morbid - diagnosis ; Obesity, Morbid - surgery ; Odds Ratio ; Predictive Value of Tests ; Preoperative Care - methods ; Pulmonary embolism ; Pulmonary Embolism - epidemiology ; Pulmonary Embolism - etiology ; Pulmonary Embolism - physiopathology ; Retrospective Studies ; Risk Factors ; Sex Factors ; Surgery ; Survival Rate ; Treatment Outcome ; Venous Thromboembolism - epidemiology ; Venous Thromboembolism - etiology ; Venous Thromboembolism - physiopathology</subject><ispartof>Surgery for obesity and related diseases, 2015-09, Vol.11 (5), p.1140-1145</ispartof><rights>American Society for Bariatric Surgery</rights><rights>2015 American Society for Bariatric Surgery</rights><rights>Copyright © 2015 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-c413d160e067a9be7e1d6ea944bd696bc2f7e3aeaac6bedcebcd008bb08f82783</citedby><cites>FETCH-LOGICAL-c484t-c413d160e067a9be7e1d6ea944bd696bc2f7e3aeaac6bedcebcd008bb08f82783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.soard.2014.12.020$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25868833$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Haskins, Ivy N., M.D</creatorcontrib><creatorcontrib>Amdur, Richard, Ph.D</creatorcontrib><creatorcontrib>Sarani, Babak, M.D., F.A.C.S</creatorcontrib><creatorcontrib>Vaziri, Khashayar, M.D., F.A.C.S</creatorcontrib><title>Congestive heart failure is a risk factor for venous thromboembolism in bariatric surgery</title><title>Surgery for obesity and related diseases</title><addtitle>Surg Obes Relat Dis</addtitle><description>Abstract Background Venous thromboembolism (VTE) is a major complication of bariatric surgery leading to significant morbidity and mortality. We sought to identify predictive factors that increase the risk of deep venous thrombosis (DVT) and pulmonary embolism (PE) using data from the National Surgical Quality Improvement Program (NSQIP). Methods Patients undergoing bariatric procedures from 2005–2012 were identified in the NSQIP database. Pretreatment patient characteristics were examined by laparoscopic and open treatment groups using t tests and chi-square regression. Independent associations between patient characteristics and DVT and PE were examined using logistic regression. Logistic regression was also used to examine whether patients who had postprocedure DVT or PE were more likely than those who did not have these events to have additional morbidity and mortality outcomes. Results 102,869 patients underwent bariatric surgery (96,085 laparoscopic; 6,784 open) from 2005–2012. Preoperative variables associated with increased risk of DVT in laparoscopic bariatric surgery are male gender, higher BMI, congestive heart failure (CHF), and hypertension (HTN). Preoperative variables associated with increased risk of PE in laparoscopic bariatric surgery are male gender, age greater than or equal to 60, higher BMI, African American race, chronic obstructive pulmonary disease (COPD) and CHF. There are no preoperative variables associated with an increased risk of DVT in open bariatric surgery although there is a trend toward significance with CHF. Finally, higher BMI and CHF is associated with an increased risk of PE in open bariatric surgery. Conclusions CHF is a significant risk factor for VTE in bariatric surgery. Surgeons should consider aggressive screening and VTE prophylaxis in patients with CHF and other known risk factors to decrease postoperative morbidity from VTE.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Bariatric surgery</subject><subject>Bariatric Surgery - adverse effects</subject><subject>Bariatric Surgery - methods</subject><subject>Body Mass Index</subject><subject>Cohort Studies</subject><subject>Confidence Intervals</subject><subject>Databases, Factual</subject><subject>Deep venous thrombosis</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastroenterology and Hepatology</subject><subject>Heart Failure - diagnosis</subject><subject>Heart Failure - epidemiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Laparoscopy - adverse effects</subject><subject>Laparoscopy - methods</subject><subject>Laparotomy - adverse effects</subject><subject>Laparotomy - methods</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>NSQIP</subject><subject>Obesity, Morbid - complications</subject><subject>Obesity, Morbid - diagnosis</subject><subject>Obesity, Morbid - surgery</subject><subject>Odds Ratio</subject><subject>Predictive Value of Tests</subject><subject>Preoperative Care - methods</subject><subject>Pulmonary embolism</subject><subject>Pulmonary Embolism - epidemiology</subject><subject>Pulmonary Embolism - etiology</subject><subject>Pulmonary Embolism - physiopathology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Surgery</subject><subject>Survival Rate</subject><subject>Treatment Outcome</subject><subject>Venous Thromboembolism - epidemiology</subject><subject>Venous Thromboembolism - etiology</subject><subject>Venous Thromboembolism - physiopathology</subject><issn>1550-7289</issn><issn>1878-7533</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1DAQhi0EoqXwC5CQj1w29UdiOweQ0Kp8SJU4AAdOlj8mrbdJXMbJSvvv8bKFQy8cxrZG7-uZeYaQ15w1nHF1uWtKdhgbwXjbcNEwwZ6Qc2602ehOyqf13XVso4Xpz8iLUnaMSdVp8Zycic4oY6Q8Jz-3eb6BsqQ90FtwuNDBpXFFoKlQRzGVu5oJS0Y61NjDnNdCl1vMk89QY0xlommm3mFyC6ZAy4o3gIeX5NngxgKvHu4L8uPj1fft5831109fth-uN6E17VJPLiNXDJjSrveggUcFrm9bH1WvfBCDBunAuaA8xAA-RMaM98wMRmgjL8jb07_3mH-tdRQ7pRJgHN0MtVfLdasll72QVSpP0oC5FITB3mOaHB4sZ_bI1O7sH6b2yNRyYSvT6nrzUGD1E8R_nr8Qq-DdSQB1zH0CtCUkmAPEhBAWG3P6T4H3j_xhTHMKbryDA5RdXnGuBC23pRrst-Naj1vlLWMdE638DU2HoBs</recordid><startdate>20150901</startdate><enddate>20150901</enddate><creator>Haskins, Ivy N., M.D</creator><creator>Amdur, Richard, Ph.D</creator><creator>Sarani, Babak, M.D., F.A.C.S</creator><creator>Vaziri, Khashayar, M.D., F.A.C.S</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150901</creationdate><title>Congestive heart failure is a risk factor for venous thromboembolism in bariatric surgery</title><author>Haskins, Ivy N., M.D ; Amdur, Richard, Ph.D ; Sarani, Babak, M.D., F.A.C.S ; Vaziri, Khashayar, M.D., F.A.C.S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-c413d160e067a9be7e1d6ea944bd696bc2f7e3aeaac6bedcebcd008bb08f82783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Bariatric surgery</topic><topic>Bariatric Surgery - adverse effects</topic><topic>Bariatric Surgery - methods</topic><topic>Body Mass Index</topic><topic>Cohort Studies</topic><topic>Confidence Intervals</topic><topic>Databases, Factual</topic><topic>Deep venous thrombosis</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastroenterology and Hepatology</topic><topic>Heart Failure - diagnosis</topic><topic>Heart Failure - epidemiology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Laparoscopy - adverse effects</topic><topic>Laparoscopy - methods</topic><topic>Laparotomy - adverse effects</topic><topic>Laparotomy - methods</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>NSQIP</topic><topic>Obesity, Morbid - complications</topic><topic>Obesity, Morbid - diagnosis</topic><topic>Obesity, Morbid - surgery</topic><topic>Odds Ratio</topic><topic>Predictive Value of Tests</topic><topic>Preoperative Care - methods</topic><topic>Pulmonary embolism</topic><topic>Pulmonary Embolism - epidemiology</topic><topic>Pulmonary Embolism - etiology</topic><topic>Pulmonary Embolism - physiopathology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Surgery</topic><topic>Survival Rate</topic><topic>Treatment Outcome</topic><topic>Venous Thromboembolism - epidemiology</topic><topic>Venous Thromboembolism - etiology</topic><topic>Venous Thromboembolism - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Haskins, Ivy N., M.D</creatorcontrib><creatorcontrib>Amdur, Richard, Ph.D</creatorcontrib><creatorcontrib>Sarani, Babak, M.D., F.A.C.S</creatorcontrib><creatorcontrib>Vaziri, Khashayar, M.D., F.A.C.S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery for obesity and related diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Haskins, Ivy N., M.D</au><au>Amdur, Richard, Ph.D</au><au>Sarani, Babak, M.D., F.A.C.S</au><au>Vaziri, Khashayar, M.D., F.A.C.S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Congestive heart failure is a risk factor for venous thromboembolism in bariatric surgery</atitle><jtitle>Surgery for obesity and related diseases</jtitle><addtitle>Surg Obes Relat Dis</addtitle><date>2015-09-01</date><risdate>2015</risdate><volume>11</volume><issue>5</issue><spage>1140</spage><epage>1145</epage><pages>1140-1145</pages><issn>1550-7289</issn><eissn>1878-7533</eissn><abstract>Abstract Background Venous thromboembolism (VTE) is a major complication of bariatric surgery leading to significant morbidity and mortality. We sought to identify predictive factors that increase the risk of deep venous thrombosis (DVT) and pulmonary embolism (PE) using data from the National Surgical Quality Improvement Program (NSQIP). Methods Patients undergoing bariatric procedures from 2005–2012 were identified in the NSQIP database. Pretreatment patient characteristics were examined by laparoscopic and open treatment groups using t tests and chi-square regression. Independent associations between patient characteristics and DVT and PE were examined using logistic regression. Logistic regression was also used to examine whether patients who had postprocedure DVT or PE were more likely than those who did not have these events to have additional morbidity and mortality outcomes. Results 102,869 patients underwent bariatric surgery (96,085 laparoscopic; 6,784 open) from 2005–2012. Preoperative variables associated with increased risk of DVT in laparoscopic bariatric surgery are male gender, higher BMI, congestive heart failure (CHF), and hypertension (HTN). Preoperative variables associated with increased risk of PE in laparoscopic bariatric surgery are male gender, age greater than or equal to 60, higher BMI, African American race, chronic obstructive pulmonary disease (COPD) and CHF. There are no preoperative variables associated with an increased risk of DVT in open bariatric surgery although there is a trend toward significance with CHF. Finally, higher BMI and CHF is associated with an increased risk of PE in open bariatric surgery. Conclusions CHF is a significant risk factor for VTE in bariatric surgery. Surgeons should consider aggressive screening and VTE prophylaxis in patients with CHF and other known risk factors to decrease postoperative morbidity from VTE.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25868833</pmid><doi>10.1016/j.soard.2014.12.020</doi><tpages>6</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1550-7289 |
ispartof | Surgery for obesity and related diseases, 2015-09, Vol.11 (5), p.1140-1145 |
issn | 1550-7289 1878-7533 |
language | eng |
recordid | cdi_proquest_miscellaneous_1747313923 |
source | MEDLINE; Access via ScienceDirect (Elsevier) |
subjects | Adult Age Factors Bariatric surgery Bariatric Surgery - adverse effects Bariatric Surgery - methods Body Mass Index Cohort Studies Confidence Intervals Databases, Factual Deep venous thrombosis Female Follow-Up Studies Gastroenterology and Hepatology Heart Failure - diagnosis Heart Failure - epidemiology Humans Incidence Laparoscopy - adverse effects Laparoscopy - methods Laparotomy - adverse effects Laparotomy - methods Logistic Models Male Middle Aged Morbidity Mortality NSQIP Obesity, Morbid - complications Obesity, Morbid - diagnosis Obesity, Morbid - surgery Odds Ratio Predictive Value of Tests Preoperative Care - methods Pulmonary embolism Pulmonary Embolism - epidemiology Pulmonary Embolism - etiology Pulmonary Embolism - physiopathology Retrospective Studies Risk Factors Sex Factors Surgery Survival Rate Treatment Outcome Venous Thromboembolism - epidemiology Venous Thromboembolism - etiology Venous Thromboembolism - physiopathology |
title | Congestive heart failure is a risk factor for venous thromboembolism in bariatric surgery |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T18%3A20%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Congestive%20heart%20failure%20is%20a%20risk%20factor%20for%20venous%20thromboembolism%20in%20bariatric%20surgery&rft.jtitle=Surgery%20for%20obesity%20and%20related%20diseases&rft.au=Haskins,%20Ivy%20N.,%20M.D&rft.date=2015-09-01&rft.volume=11&rft.issue=5&rft.spage=1140&rft.epage=1145&rft.pages=1140-1145&rft.issn=1550-7289&rft.eissn=1878-7533&rft_id=info:doi/10.1016/j.soard.2014.12.020&rft_dat=%3Cproquest_cross%3E1747313923%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1747313923&rft_id=info:pmid/25868833&rft_els_id=S1550728914005024&rfr_iscdi=true |