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Intermittent pneumatic compression for prevention of pulmonary thromboembolism after gynecologic surgery

BACKGROUND: To investigate the incidence of pulmonary embolism and risk factors for this condition after obstetric and gynecologic surgery, as well as the efficacy of intermittent pneumatic compression. METHODS: A total of 6,218 patients operated at Keio University Hospital excluding obstetric or in...

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Autores principales: Suzuki, Nao, Kataoka, Fumio, Higashiguchi, Atsushi, Hirao, Takeshi, Ezawa, Sachiko, Nomura, Hiroyuki, Tomita, Akiyo, Susumu, Nobuyuki, Aoki, Daisuke
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2005
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1310515/
https://www.ncbi.nlm.nih.gov/pubmed/16297244
http://dx.doi.org/10.1186/1477-9560-3-18
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author Suzuki, Nao
Kataoka, Fumio
Higashiguchi, Atsushi
Hirao, Takeshi
Ezawa, Sachiko
Nomura, Hiroyuki
Tomita, Akiyo
Susumu, Nobuyuki
Aoki, Daisuke
author_facet Suzuki, Nao
Kataoka, Fumio
Higashiguchi, Atsushi
Hirao, Takeshi
Ezawa, Sachiko
Nomura, Hiroyuki
Tomita, Akiyo
Susumu, Nobuyuki
Aoki, Daisuke
author_sort Suzuki, Nao
collection PubMed
description BACKGROUND: To investigate the incidence of pulmonary embolism and risk factors for this condition after obstetric and gynecologic surgery, as well as the efficacy of intermittent pneumatic compression. METHODS: A total of 6,218 patients operated at Keio University Hospital excluding obstetric or infertility-related surgery and uterine cervical conization were evaluated retrospectively to determine the preventive effect of intermittent pneumatic compression on postoperative pulmonary embolism. RESULTS: Pulmonary embolism occurred in 42 patients (0.68%). Multivariate analysis showed that malignancy, blood transfusion, and a body mass index ≥25 kg/m(2 )or ≥28 kg/m(2 )were independent risk factors for postoperative pulmonary embolism. A significantly lower incidence of pulmonary embolism occurred in patients receiving pneumatic compression postoperatively versus those without it. Among gynecologic malignancies, endometrial cancer was a significant risk factor for pulmonary embolism. CONCLUSION: Preventive measures, including intermittent pneumatic compression, should be taken to avoid postoperative pulmonary thromboembolism in the gynecology field.
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spelling pubmed-13105152005-12-10 Intermittent pneumatic compression for prevention of pulmonary thromboembolism after gynecologic surgery Suzuki, Nao Kataoka, Fumio Higashiguchi, Atsushi Hirao, Takeshi Ezawa, Sachiko Nomura, Hiroyuki Tomita, Akiyo Susumu, Nobuyuki Aoki, Daisuke Thromb J Original Clinical Investigation BACKGROUND: To investigate the incidence of pulmonary embolism and risk factors for this condition after obstetric and gynecologic surgery, as well as the efficacy of intermittent pneumatic compression. METHODS: A total of 6,218 patients operated at Keio University Hospital excluding obstetric or infertility-related surgery and uterine cervical conization were evaluated retrospectively to determine the preventive effect of intermittent pneumatic compression on postoperative pulmonary embolism. RESULTS: Pulmonary embolism occurred in 42 patients (0.68%). Multivariate analysis showed that malignancy, blood transfusion, and a body mass index ≥25 kg/m(2 )or ≥28 kg/m(2 )were independent risk factors for postoperative pulmonary embolism. A significantly lower incidence of pulmonary embolism occurred in patients receiving pneumatic compression postoperatively versus those without it. Among gynecologic malignancies, endometrial cancer was a significant risk factor for pulmonary embolism. CONCLUSION: Preventive measures, including intermittent pneumatic compression, should be taken to avoid postoperative pulmonary thromboembolism in the gynecology field. BioMed Central 2005-11-19 /pmc/articles/PMC1310515/ /pubmed/16297244 http://dx.doi.org/10.1186/1477-9560-3-18 Text en Copyright © 2005 Suzuki et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Clinical Investigation
Suzuki, Nao
Kataoka, Fumio
Higashiguchi, Atsushi
Hirao, Takeshi
Ezawa, Sachiko
Nomura, Hiroyuki
Tomita, Akiyo
Susumu, Nobuyuki
Aoki, Daisuke
Intermittent pneumatic compression for prevention of pulmonary thromboembolism after gynecologic surgery
title Intermittent pneumatic compression for prevention of pulmonary thromboembolism after gynecologic surgery
title_full Intermittent pneumatic compression for prevention of pulmonary thromboembolism after gynecologic surgery
title_fullStr Intermittent pneumatic compression for prevention of pulmonary thromboembolism after gynecologic surgery
title_full_unstemmed Intermittent pneumatic compression for prevention of pulmonary thromboembolism after gynecologic surgery
title_short Intermittent pneumatic compression for prevention of pulmonary thromboembolism after gynecologic surgery
title_sort intermittent pneumatic compression for prevention of pulmonary thromboembolism after gynecologic surgery
topic Original Clinical Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1310515/
https://www.ncbi.nlm.nih.gov/pubmed/16297244
http://dx.doi.org/10.1186/1477-9560-3-18
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