ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2014
A nationwide analysis of postoperative deep vein thrombosis and pulmonary embolism in colon and rectal surgery.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.
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Who cites it
42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 91 citations in OpenAlex.
- The efficacy and safety of extended thromboprophylaxis after colorectal surgery: a systematic review and meta-analysis.International journal of colorectal disease · 2025Pooled it
- Advances and Challenges in the Application of Novel Oral Anticoagulants for Venous Thromboembolism Prevention Following Colorectal Cancer Surgery.Journal of gastrointestinal cancer · 2025Pooled it
- Timing of symptomatic venous thromboembolism after surgery: meta-analysis.The British journal of surgery · 2023Pooled it
- Trial
- Preoperative D-dimer as a predictor of venous thromboembolism after laparoscopic gastric and colorectal cancer surgery: findings from the EnoLap trial.Surgery today · 2026Article
- Article
- Review
- Preoperative albumin can predict the risk of postoperative deep venous thrombosis in non-cardiac surgery.Frontiers in medicine · 2025Article
- Suspected cavernous sinus thrombosis and blindness after lumbar spine surgery: A rare case report and literature review.International journal of surgery case reports · 2024Article
- Preliminary comparative study of lower extremity pressure measurements under the conditions using former models and new lithotomy stirrups in rectal cancer surgery.World journal of surgical oncology · 2024Article
- Is extended venous thromboprophylaxis required in patients undergoing ileal pouch procedure for ulcerative colitis?Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Article
- Construction of a risk prediction model for postoperative deep vein thrombosis in colorectal cancer patients based on machine learning algorithms.Frontiers in oncology · 2024Article
- Development and external validation of a prediction model for venous thromboembolism in systemic lupus erythematosus.RMD open · 2023Article
- Preoperative Prevalence and Risk Factors For Calf Muscular Vein Thrombosis in Elderly Patients with Hip Fracture.Orthopaedic surgery · 2023Article
- Development and validation of machine learning models for postoperative venous thromboembolism prediction in colorectal cancer inpatients: a retrospective study.Journal of gastrointestinal oncology · 2023Article
- Efficacy of Coagulofibrinolytic Markers for Postoperative Prediction of Venous Thromboembolism in Colorectal Surgery Patients: A Retrospective Observational Study.Journal of the anus, rectum and colon · 2023Article
- Incidence and risk factors for venous thromboembolism, bleeding, and death in colorectal cancer (Cancer-VTE Registry).Cancer science · 2022Article
- The influence of the COVID-19 pandemic on surgical therapy and care: a cross-sectional study.BMC surgery · 2022Article
- Perioperative coagulofibrinolytic responses in colorectal surgery patients without chemical thromboprophylaxis: a retrospective observational study.Surgery today · 2022Observational
- Development and validation of a novel risk assessment model to estimate the probability of pulmonary embolism in postoperative patients.Scientific reports · 2021Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There are limited data regarding predictive factors of postoperative venous thromboembolism (VTE) in patients undergoing colorectal resection. We sought to identify associations between patient comorbidities and postoperative VTE in colorectal resection. The National Surgical Quality Improvement Program (NSQIP) database was used to examine clinical data of patients experiencing postoperative VTE after colorectal resection from 2005 to 2011. Multivariate analysis using logistic regression was performed to quantify risk factors of VTE. We sampled 116,029 patients undergoing colorectal resection. The rate of VTE was 2 % (2,278) with 0.2 % (182) having deep vein thrombosis (DVT) and pulmonary embolism (PE). The first week after operation was the most common time for postoperative VTE. A significant number of patients suffering DVT and PE were diagnosed after index hospital discharge (PE 34.6 %, DVT 29.3 %). The most important risk factors identified for DVT include (P < 0.05) ASA score >2 (adjusted odds ratio (AOR) 1.77) and hypoalbuminemia (serum albumin level <3.5 mg/dl) (AOR 1.69). The most important factors had associations with PE include (P < 0.05) DVT (AOR 14.60) and disseminated cancer (AOR 1.70). Ulcerative colitis (AOR 1.48, P = 0.01) and stage 4 cancer (AOR 1.29, P = 0.02) have associations with DVT. Open colorectal procedures have higher risk of DVT compared to laparoscopic procedures (AOR 1.33, P < 0.01). Postoperative VTE occurs in 2 % of colorectal resections. Thirty percent of VTE events were diagnosed after discharge. Prophylactic treatment of VTE after discharge may have benefits in high-risk patients. Thirteen and eleven perioperative risk factors have associations with DVT and PE, respectively. Emergent admission, open procedures, ulcerative colitis, and stage 4 cancer patients have increased risk of DVT.
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