Back to 2014 Annual Meeting Posters
Incidence of Postoperative Venous Thromboembolism in Patients Managed on an Enhanced Recovery Pathway Following Elective Open and Laparoscopic Colectomy
*Ashley Russo, *Andrew Pellet, *Jesse Moore
University of Vermont College of Medicine, Burlington, VT
Objective:
The purpose of this study was to determine whether patients managed on an enhanced recovery pathway after undergoing elective open or laparoscopic colectomy are at an increased risk of developing DVT or PE following discharge because of a truncated duration of inpatient thromboprophylaxis.
Design:
Retrospective chart review
Setting:
Single hospital, Fletcher Allen Health Care (FAHC)
Patients:
All patients who underwent elective open or laparoscopic colectomy between April 2012 and July 2013 at FAHC were included in this study. Patients under the age of 18 and/or those who underwent stoma reversal as the primary procedure were excluded. There were 116 patients included in this study.
Interventions:
None
Main Outcome Measures:
The main outcome was venous thromboembolism (DVT or PE) within 30 days of index procedure. This was determined by evidence of positive duplex ultrasound, computed tomography angiogram (CTA), or ventilation/perfusion (V/Q) scan upon patient chart review. Provider notes from postoperative office visits within 30 days of procedure were also reviewed for evidence of documented VTE that may have been diagnosed at an outside institution.
Results:
There were no postoperative VTE (0/116) within 30 days of index operation.
Conclusions:
Patients who underwent elective colon surgery and were managed on the ERP did not appear to face an increased risk of postoperative VTE despite receiving decreased duration of inpatient thromboprophylaxis.
Back to 2014 Annual Meeting Posters
