Timing and risk factors for venous thromboembolism after rotator cuff repair in the 30-day perioperative period
Arthroscopy Oct 26, 2019
Sager B, et al. - In total, 39,825 rotator cuff repairs (RCRs) were performed in order to investigate the American College of Surgeons National Surgical Quality Improvement Program database to assess the incidence of deep venous thrombosis and pulmonary embolism in individuals who underwent rotator cuff repair surgery and to recognize risk factors related to the development of thromboembolic events after rotator cuff repair. Venous thromboembolism was concluded to be a rare complication after rotator cuff repair ie, it accounted for 0.3%. The risk factors were the duration of surgery > 80 minutes, male gender, BMI > 30 kg/m2, ASA III or IV, RCR as an inpatient under general anesthesia, bleeding disorder, or dyspnea, and in supervising treatment in order to limit VTE, these could be beneficial. An individual with unplanned reoperation is at the greatest risk for VTE. Moreover, a significantly lower incidence of VTE was seen in RCR surgery done in an outpatient setting.
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