作者
John YS Kim, Nima Khavanin, Aksharananda Rambachan, Robert J McCarthy, Alexei S Mlodinow, Gildasio S De Oliveria, M Christine Stock, Madeleine J Gust, David M Mahvi
发表日期
2015/2/1
期刊
JAMA surgery
卷号
150
期号
2
页码范围
110-117
出版商
American Medical Association
简介
Importance
There is a paucity of data assessing the effect of increased surgical duration on the incidence of venous thromboembolism (VTE).
Objective
To examine the association between surgical duration and the incidence of VTE.
Design, Settings, and Participants
Retrospective cohort of 1 432 855 patients undergoing surgery under general anesthesia at 315 US hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program from 2005 to 2011.
Exposure
Duration of surgery.
Main Outcomes and Measures
The rates of deep vein thrombosis (DVT), pulmonary embolism (PE), and VTE within 30 days of the index operation. Surgical duration was standardized acrossCurrent Procedural Terminologycodes using azscore. Outcomes were compared across quintiles of thezscore. Multiple logistic regression models were developed to examine the association while adjusting for …
引用总数
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JYS Kim, N Khavanin, A Rambachan, RJ McCarthy… - JAMA surgery, 2015