In this large prospective cohort of 947,454 middle aged women, researchers evaluated the relative risk (RR) of hospitalization due to VTE (DVT or PE) after surgery, compared to those not undergoing surgery. In the first 6 weeks, the RR of VTE after inpatient surgery was 69, and RR after outpatient surgery was 10. The risk remained elevated in the 7-12 weeks after surgery (RR=20 for inpatient surgery and RR=6 for outpatient surgery). The highest risk surgeries were hip/knee replacements and cancer-related surgeries (abstract). Risk for VTE remains elevated for months in post-op patients, and prophylaxis longer than standard guidelines (ACCP) may be appropriate for some patients
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.