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Comorbid Risk Factors for Perioperative Thromboembolic Events

Purpose: To identify comorbid conditions associated with acute thromboembolic events in the perioperative period as reported by Kikura et al.

Description

Kikura et al identified risk factors associated with acute thromboembolism in the perioperative period. These can help identify patients who may benefit from closer monitoring and prophylactic therapy. The authors are from Seirei-Mikatabara General Hospital and Hamamatsu University in Japan.


Time window: 30 days after surgery

 

Types of acute thromboembolic events:

(1) myocardial infarction (AMI)

(2) ischemic stroke

(3) pulmonary embolism (PE)

(4) deep vein thrombosis (DVT)

 

Risk Factor

AMI

Stroke

PE

DVT

age in years

>= 70

>= 50

>= 70

>= 70

gender

male

N

female

female

atrial fibrillation

Y

N

N

N

angina pectoris

Y

N

N

N

history of AMI

Y

N

N

Y

diabetes mellitus

Y

N

N

N

cancer

Y

Y

Y

Y

history of ischemic stroke

N

Y

N

N

hyperuricemia

N

Y

N

N

varicose veins

N

N

Y

Y

from Tables 4 and 5, page 1214

 

where:

• Varix is the term used in the paper. The reference points to the paper by Geerts et al, which refers to varicose veins as a risk factor.

 

Factors associated with the surgery may affect the risk of thromboembolism:

(1) type of surgery

(2) tissue necrosis, especially involving brain, lung, and tumor

(3) use of prophylactic anticoagulation

(4) duration of surgery


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Specialty

Objective

ICD-10