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
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December 4, 2009 |
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About the Author: Danielle Scheurer
Danielle Scheurer, MD, MSCR, SFHM is a clinical hospitalist and the Chief Quality Officer at the Medical University of South Carolina in Charleston, South Carolina, where she also serves as 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 is also the President of SHM's Board of Directors and previously served as Physician Editor of The Hospitalist, SHM's monthly newsmagazine.
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