Evidence map›Paper›PMID 32269974›Full record

ArticleBlood research2020

Thromboprophylaxis after bariatric surgery.

Feras M Almarshad, Mosaad Almegren, Turki Alshuaibi, Nadiah Alobaodi, Ali Almutawa, Hajer Basunbl, Farjah AlGahtani, Bader Al Rawahi

Open access · diamondAbstract read
In one paragraph

Article in Blood research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 4% 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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  4. Review
  5. Article
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  10. Assessing the Efficacy of Extended Postoperative Enoxaparin as Thromboprophylaxis for Patients Undergoing Laparoscopic Sleeve Gastrectomy: a Prospective Analysis.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2024
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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 5 institutions in 2 countries.

Feras M AlmarshadDepartment of Internal Medicine, College of Medicine, Shaqra University, Shaqra, Arabia.
Mosaad AlmegrenCollege of Medicine, Al Imam Mohammad Ibn Saud Islamic University, Riyadh, Arabia.
Turki AlshuaibiDepartment of Medicine, King Fahd Hospital, Jeddah, Arabia.
Nadiah AlobaodiDepartment of Medicine, King Fahd Hospital, Jeddah, Arabia.
Ali AlmutawaDepartment of Medicine, King Fahd Hospital, Jeddah, Arabia.
Hajer BasunblDepartment of Medicine, King Fahd Hospital, Jeddah, Arabia.
Farjah AlGahtaniCollege of Medicine, King Saud University, Riyadh, Saudi Arabia.
Bader Al RawahiSultan Qaboos University, Sultan Qaboos University Hospital, Oman.
King Fahad Hospital Jeddah · SAImam Mohammad ibn Saud Islamic University · SAKing Saud University · SAShaqra University · SASultan Qaboos University Hospital · OM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVenous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is a known cause of morbidity and mortality after bariatric surgery. However, the data concerning appropriate thromboprophylaxis after bariatric surgery is uncertain. The objective of this study was to evaluate the efficacy and safety of extended duration thromboprophylaxis in post-bariatric surgery patients.

methodsWe conducted a retrospective study of consecutive patients who underwent bariatric surgery from November 2014 to October 2018 at King Fahad General Hospital in Jeddah, Saudi Arabia. All included patients were treated with extended duration thromboprophylaxis.

resultsWe identified 374 patients who underwent bariatric surgery during the study period. Of these, 312 patients (83%) were followed for at least 3 months. The most common type of surgery was a laparoscopic sleeve gastrectomy (N=357) and the median weight was 110 kg. The cumulative incidence of symptomatic postoperative VTE at 3 months was 0.64% (95% confidence interval, 0.20-1.52). All events occurred after hospital discharge. The most commonly used pharmacological prophylaxis (91%) for VTE prevention after bariatric surgery was enoxaparin 40 mg subcutaneously twice daily for 10-14 days after hospital discharge. There were no reported cases of bleeding or VTE related mortality after 3 months.

conclusionExtended thromboprophylaxis after bariatric surgery appears to be an effective and safe strategy for VTE prevention. Large prospective studies are needed to evaluate the optimal thromboprophylaxis regimen after bariatric surgery.

Indexed as

Bariatric surgeryDeep vein thrombosisPulmonary embolismThromboprophylaxisVenous thromboembolism

Identifiers

PMID32269974
PMCPMC7106117
OpenAlexW3014816343

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.