Incidence, prevention, risk factors, and prediction of venous thromboembolism in Chinese patients after colorectal cancer surgery: a prospective, multicenter cohort study

作者：Qi Wei, Zheng‐Qiang Wei, Changqing Jing, Yongxiang Li, Dong‐Bing Zhou, Moubin Lin, Xianli He, Fan Li, Qian Liu, Jianyong Zheng, Guiying Wang, Shiliang Tu, Zhenjun Wang, Ang Li, Gang Xiao, Jing Zhuang, Lian Bai, He Huang, Yong Li, Song Wu, Zhonglin Liang, Zhanlong Shen, Fanlong Liu, Yong Dai, Xiaojun Zhou, Ming Dong, Hui Wang, Jian Qiu, Lei Zhou, Xinxiang Li, Ziqiang Wang, Hong Zhang, Quan Wang, Minghui Pang, Hongbo Wei, Zhiqian Hu, Yi–Dan Yan, Yan Che, Zhi-Chun Gu, Hongwei Yao, Zhongtao Zhang, and for the CRC-VTE investigators · 发表于：International Journal of Surgery · 年份：2023 · DOI：10.1097/js9.0000000000000553 · 被引用次数：46 · 研究领域：Venous Thromboembolism Diagnosis and Management、Inflammatory Biomarkers in Disease Prognosis、Central Venous Catheters and Hemodialysis

BACKGROUND: Venous thromboembolism (VTE) is a common and serious complication after colorectal cancer (CRC) surgery. Few large-sample studies have reported VTE incidence and management status after CRC surgery in China. This study aimed to investigate the incidence and prevention of VTE in Chinese patients after CRC surgery, identify risk factors for developing VTE, and construct a new scoring system for clinical decision-making and care planning. METHODS: Participants were recruited from 46 centers in 17 provinces in China. Patients were followed up for 1 month postoperatively. The study period was from May 2021 to May 2022. The Caprini score risk stratification and VTE prevention and incidence were recorded. The predictors of the occurrence of VTE after surgery were identified by multivariate logistic regression analysis, and a prediction model (CRC-VTE score) was developed. RESULTS: A total of 1836 patients were analyzed. The postoperative Caprini scores ranged from 1 to 16 points, with a median of 6 points. Of these, 10.1% were classified as low risk (0-2 points), 7.4% as moderate risk (3-4 points), and 82.5% as high risk (≥5 points). Among these patients, 1210 (65.9%) received pharmacological prophylaxis, and 1061 (57.8%) received mechanical prophylaxis. The incidence of short-term VTE events after CRC surgery was 11.2% (95% CI 9.8-12.7), including deep venous thrombosis (DVT) (11.0%, 95% CI 9.6-12.5) and pulmonary embolism (PE) (0.2%, 95% CI 0-0.5). Multifactorial analy...