Evidence map›Paper›PMID 40217290›Full record

ArticleThrombosis journal2025

Predicting the risk of postoperative venous thromboembolism in rhinoplasty patients: a cohort study.

Jie Chen, Jianfei Zhang, Xia Xiao, Yujun Tang, Hejin Huang, Wenwen Xi, Lina Liu, Zhengzhou Shen, Jianhua Tan, Feng Yang

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Article in Thrombosis journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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10 authors.

Jie ChenDepartment of Burns and Plastic Surgery, Hengyang Medical School, The Second Affiliated Hospital, University of South China, No. 35 Jiefang Avenue, Zhengxiang District, Hengyang, 421001, China.
Jianfei ZhangDepartment of Burns and Plastic Surgery, Hengyang Medical School, The Second Affiliated Hospital, University of South China, No. 35 Jiefang Avenue, Zhengxiang District, Hengyang, 421001, China.
Xia XiaoDepartment of Burns and Plastic Surgery, Hengyang Medical School, The Second Affiliated Hospital, University of South China, No. 35 Jiefang Avenue, Zhengxiang District, Hengyang, 421001, China.
Yujun TangDepartment of Burns and Plastic Surgery, Hengyang Medical School, The Second Affiliated Hospital, University of South China, No. 35 Jiefang Avenue, Zhengxiang District, Hengyang, 421001, China.
Hejin HuangDepartment of Burns and Plastic Surgery, Hengyang Medical School, The Second Affiliated Hospital, University of South China, No. 35 Jiefang Avenue, Zhengxiang District, Hengyang, 421001, China.
Wenwen XiDepartment of Burns and Plastic Surgery, Hengyang Medical School, The Second Affiliated Hospital, University of South China, No. 35 Jiefang Avenue, Zhengxiang District, Hengyang, 421001, China.
Lina LiuDepartment of Burns and Plastic Surgery, Hengyang Medical School, The Second Affiliated Hospital, University of South China, No. 35 Jiefang Avenue, Zhengxiang District, Hengyang, 421001, China.
Zhengzhou ShenBeauty Surgery, Nantong Shenmei Medical Beauty Clinic, Nantong, 226001, China.
Jianhua TanDepartment of Respiratory and Critical Care Medicine, Hengyang Medical School, The Second Affiliated Hospital, University of South China, Hengyang, 421001, China.
Feng YangDepartment of Burns and Plastic Surgery, Hengyang Medical School, The Second Affiliated Hospital, University of South China, No. 35 Jiefang Avenue, Zhengxiang District, Hengyang, 421001, China. yangf@fsyy.usc.edu.cn.

Funding

Natural Science Foundation of Hunan Provincial Department of Science and Technolog,Departmental Joint Fund, 2023JJ60360
6 · The paper itself

Abstract

backgroundVenous thromboembolism (VTE) is a rare complication following rhinoplasty surgery, with an occurrence rate generally estimated to be between 0.5% and 1%. In contrast, the occurrence rate of VTE in orthopedic surgeries, particularly in lower limb fracture surgeries, can reach as high as 10% or more. This significant difference highlights the varying risks associated with different surgical procedures and underscores the importance of identifying risk factors specific to rhinoplasty. Despite its relatively low incidence, the potential for VTE in rhinoplasty patients necessitates a thorough analysis of risk factors to enhance patient safety and guide clinical practice. This study aims to analyze the risk factors for postoperative VTE in rhinoplasty patients and develop a predictive model to assist clinicians in identifying at-risk individuals.

methodsA retrospective analysis was conducted on the clinical data of 1100 rhinoplasty patients admitted to a cosmetic hospital from January 2016 to January 2022. Patients were divided into Non-VTE group (1012 cases) and VTE group (88 cases) based on the occurrence of VTE within one month postoperatively. General patient information was collected and subjected to univariate analysis. Multivariate logistic regression analysis was used to identify risk factors for postoperative VTE in rhinoplasty patients and establish a predictive model. Internal validation was performed using bootstrapping technique to assess the accuracy and predictive performance of the model.

resultsUnivariate analysis showed that the proportions of IBD, Myocardial infarction, Previous VTE, PICC/central line, Rib graft, and History of nasal surgery were significantly higher in the VTE group compared to the Non-VTE group (all P < 0.05). Multivariate logistic regression analysis identified IBD, Myocardial infarction, Previous VTE, Rib graft, and History of nasal surgery as independent risk factors for VTE (P < 0.05). The constructed predictive nomogram model demonstrated good calibration and predictive accuracy, with an area under the ROC curve of 0.845, indicating excellent discrimination and clinical predictive performance.

conclusionIBD, Myocardial infarction, Previous VTE, Rib graft, and History of nasal surgery are independent risk factors for postoperative VTE in rhinoplasty patients. The predictive model effectively assesses the risk of VTE in patients, providing important guidance for clinical decision-making.

Indexed as

NomogramPredictive modelRhinoplastyRisk factorsVenous thromboembolism

Identifiers

PMID40217290
PMCPMC11992759

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