Evidence map›Paper›PMID 30246174›Full record

ArticleTH open : companion journal to thrombosis and haemostasis2017

Trends in Perioperative Venous Thromboembolism Associated with Major Noncardiac Surgery.

Nathaniel R Smilowitz, Navdeep Gupta, Yu Guo, Thomas S Maldonado, John W Eikelboom, Samuel Z Goldhaber, Sripal Bangalore, Jeffrey S Berger

Open access · goldAbstract read
In one paragraph

Article in TH open : companion journal to thrombosis and haemostasis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 16 citations in OpenAlex.

  1. Observational
  2. Article
  3. Happy New Year!TH open : companion journal to thrombosis and haemostasis · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Nathaniel R SmilowitzDivision of Cardiology, Department of Medicine, New York University School of Medicine, New York, NY, USA.
Navdeep GuptaDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Yu GuoDivision of Cardiology, Department of Medicine, New York University School of Medicine, New York, NY, USA.
Thomas S MaldonadoDivision of Vascular Surgery, Department of Surgery, New York University School of Medicine, New York, NY, USA.
John W EikelboomDepartment of Medicine, McMaster University, Hamilton, Ontario, Canada.
Samuel Z GoldhaberCardiovascular Division, Brigham and Women's Hospital, Boston, MA, USA.
Sripal BangaloreDivision of Cardiology, Department of Medicine, New York University School of Medicine, New York, NY, USA.
Jeffrey S BergerDivision of Cardiology, Department of Medicine, New York University School of Medicine, New York, NY, USA.
New York University · USBrigham and Women's Hospital · USMcMaster University · CAMedical College of Wisconsin · US

Funding

Platelet Activity & Cardiovascular Events following Vascular SurgeryR01HL114978 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BERGER, JEFFREY S · 2013 to 2017
$3.0M
NHLBI NIH HHS R01 HL114978
6 · The paper itself

Abstract

backgroundVenous thromboembolism (VTE) is a common vascular complication of non-cardiac surgery.

methodsWe evaluated national trends in perioperative in-hospital VTE incidence, management, and outcomes using a large database of hospital admissions from the United States. Patients aged ≥ 45 years undergoing major non-cardiac surgery from 2005 to 2013 were identified from the National Inpatient Sample. In-hospital perioperative VTE was defined as lower extremity deep vein thrombosis (DVT) or pulmonary embolism (PE), and the incidence was evaluated over time. Multivariable regression models with demographics and comorbidities as covariates were generated to estimate adjusted odds ratios (aOR).

resultsMajor non-cardiac surgery was performed in 9,431,442 hospitalizations that met inclusion criteria, and perioperative VTE occurred in 99,776 patients (1,057 per 100,000), corresponding to an annual incidence of ≈53,000 after applying sample weights. Over time, perioperative VTE per 100,000 surgeries increased by 135 (95% CI 107 - 163), from 925 in 2005 to 1,060 in 2013 (p for trend <0.001; aOR [for 2013 versus 2005] 1.22, 95% CI 1.19 - 1.26), due to increases in non-fatal VTE rates (from 840 [per 100,000 surgeries] in 2005 to 987 in 2013; p for trend <0.001). Perioperative VTE occurred most frequently in patients undergoing thoracic (2.0%) and vascular surgery (1.8%). Mortality was higher in patients with VTE than those without VTE (aOR 3.12, 95% CI 3.05 - 3.20).

conclusionsPerioperative VTE occurs in approximately 1% of patients ≥45 years undergoing major non-cardiac surgery, with increasing incidence of non-fatal VTE over time.

Indexed as

Deep Vein ThrombosisMortalityPerioperativePulmonary EmbolismSurgeryVenous Thromboembolism

Identifiers

PMID30246174
PMCPMC6146393
OpenAlexW2744009888

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.