Evidence map›Paper›PMID 31336196›Full record

ArticleClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2020

Acute Venous Thromboembolism Risk Highest Within 60 Days After Discharge From the Hospital in Patients With Inflammatory Bowel Diseases.

Adam S Faye, Timothy Wen, Ashwin N Ananthakrishnan, Simon Lichtiger, Gilaad G Kaplan, Alexander M Friedman, Garrett Lawlor, Jason D Wright, Frank J Attenello, William J Mack and 1 more

Open access · greenAbstract read
In one paragraph

Article in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 5 pooled it
7.9field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 5 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Utility of rotational thrombo-elastometry as an objective measure of hypercoagulability in ulcerative colitis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
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  11. Acute Severe Ulcerative Colitis: An International Delphi Consensus on Clinical Trial Design and Endpoints.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Adam S FayeDivision of Digestive and Liver Diseases, Department of Medicine, Columbia University Medical Center, New York, New York. Electronic address: asf2160@cumc.columbia.edu.
Timothy WenDepartment of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York.
Ashwin N AnanthakrishnanDivision of Gastroenterology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Simon LichtigerDivision of Digestive and Liver Diseases, Department of Medicine, Columbia University Medical Center, New York, New York.
Gilaad G KaplanDepartment of Medicine and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Alexander M FriedmanDepartment of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York.
Garrett LawlorDivision of Digestive and Liver Diseases, Department of Medicine, Columbia University Medical Center, New York, New York.
Jason D WrightDepartment of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York.
Frank J AttenelloDepartment of Neurologic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.
William J MackDepartment of Neurologic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.
Benjamin LebwohlDivision of Digestive and Liver Diseases, Department of Medicine, Columbia University Medical Center, New York, New York.
Columbia University Irving Medical Center · USUniversity of Southern California · USMassachusetts General Hospital · USUniversity of Calgary · CA

Funding

Mentored Career DevelopmentKL2TR001854 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Elizabeth Rhea Erwin Burner, Amy Elizabeth West · 2016 to 2026
$9.0M
Multidisciplinary Training in Translational Gastrointestinal and Liver ResearchT32DK083256 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Timothy Cragin Wang · 2009 to 2026
$5.5M
Mentored Clinical Scientist Research Career Development AwardK08HD082287 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI FRIEDMAN, ALEXANDER M · 2015 to 2018
$593k
Genetic predictors of calprotectin response with anti-TNF and anti-integrin therapy in inflammatory bowel diseasesR03DK112909 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI ANANTHAKRISHNAN, ASHWIN N · 2017 to 2018
$171k
NCATS NIH HHS KL2 TR001854NICHD NIH HHS K08 HD082287NIDDK NIH HHS R03 DK112909NIDDK NIH HHS T32 DK083256
6 · The paper itself

Abstract

BACKGROUND &

aimsPatients with inflammatory bowel diseases (IBDs) have a high risk of venous thromboembolism (VTE). We assessed the timing and risk factors associated with readmission to the hospital for VTE among patients with IBD.

methodsWe collected data from the Nationwide Readmissions Database on IBD index admissions resulting in readmission to the hospital for VTE within 60 days, from 2010 through 2014. We used univariable and multivariable regression to assess risk factors associated with VTE readmission with unadjusted risk ratio (RR) and adjusted RR (aRR) as measures of effect. Time to VTE readmission was assessed in 10-day intervals, for up to 90 days.

resultsWe identified 872,122 index admissions of patients with IBD; 1160 resulted in readmission with VTE. More than 90% of readmissions occurred within 60 days of discharge from the index admission. Factors associated with hospital readmission with VTE included prior VTE, longer length of hospital stay, comorbidities, having a flexible sigmoidoscopy or colonoscopy at index admission, and age older than 18 years. Additional risk factors included Clostridium difficile infection at index admission (aRR, 1.47; 95% CI, 1.17-1.85) and discharge to a skilled nursing facility or intermediate care facility (aRR, 1.39; 95% CI, 1.14-1.70) or discharge with home health services (aRR, 1.65; 95% CI, 1.41-1.94).

conclusionsAmong patients admitted to the hospital with IBD, most readmissions with VTE occur within 60 days of discharge. Readmission with VTE is associated with C difficile infection and discharge to a skilled nursing facility, intermediate care facility, or with home health services. Studies are needed to evaluate the potential benefit of extending VTE prophylaxis for patients admitted to the hospital with IBD for up to 2 months after discharge, to minimize risk.

Indexed as

Inflammatory Bowel DiseasesVenous ThromboembolismAdolescentHospitalsHumansPatient DischargePatient ReadmissionRetrospective StudiesRisk FactorsCrohn’s DiseaseNRDPulmonary EmbolismSNFUlcerative Colitis

Identifiers

PMID31336196
PMCPMC6980437
OpenAlexW2962727409

What OpenQuestion holds

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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.