BACKGROUND: Postoperative pulmonary embolism (PE) remains a major health concern. The purpose of our study was to evaluate our experience with postoperative PE. METHODS: We retrospectively reviewed the medical records of patients who had a postoperative PE at our institution. RESULTS: Our study included 115 patients. Prophylaxis was administered preoperatively in 31% of patients and postoperatively in 56% of patients. The diagnosis was obtained by computed tomography scan in 74 patients (64%), ventilation-perfusion scan in 24 patients (21%), angiogram in 8 patients (7%), and other modalities in 9 patients (8%). The time elapsed between surgery and the diagnosis of PE varied significantly by patient age (<40 y: 3 d, compared with 40-60 y: 11 d; P = .02). The majority of patients with PE were treated with anticoagulation (83%). Morbidity and mortality rates both were 9%. CONCLUSIONS: Age has a significant impact on the timing of postoperative PE, with the majority of cases being diagnosed with a computed tomography scan, and treated with anticoagulation.
BACKGROUND:Postoperative pulmonary embolism (PE) remains a major health concern. The purpose of our study was to evaluate our experience with postoperative PE. METHODS: We retrospectively reviewed the medical records of patients who had a postoperative PE at our institution. RESULTS: Our study included 115 patients. Prophylaxis was administered preoperatively in 31% of patients and postoperatively in 56% of patients. The diagnosis was obtained by computed tomography scan in 74 patients (64%), ventilation-perfusion scan in 24 patients (21%), angiogram in 8 patients (7%), and other modalities in 9 patients (8%). The time elapsed between surgery and the diagnosis of PE varied significantly by patient age (<40 y: 3 d, compared with 40-60 y: 11 d; P = .02). The majority of patients with PE were treated with anticoagulation (83%). Morbidity and mortality rates both were 9%. CONCLUSIONS: Age has a significant impact on the timing of postoperative PE, with the majority of cases being diagnosed with a computed tomography scan, and treated with anticoagulation.
Authors: Javad Parvizi; Ronald Huang; Ibrahim J Raphael; William V Arnold; Richard H Rothman Journal: Clin Orthop Relat Res Date: 2013-11-22 Impact factor: 4.176
Authors: Kwok M Ho; Sudhakar Rao; Stephen Honeybul; Rene Zellweger; Bradley Wibrow; Jeffrey Lipman; Anthony Holley; Alan Kop; Elizabeth Geelhoed; Tomas Corcoran Journal: BMJ Open Date: 2017-07-12 Impact factor: 2.692
Authors: Peter A Gaines; Frank D Kolodgie; Gordon Crowley; Steven Horan; Megan MacDonagh; Emily McLucas; David Rosenthal; Ashley Strong; Michael Sweet; Deepal K Panchal Journal: Int J Vasc Med Date: 2018-07-19