{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T18:01:05Z","timestamp":1767895265559,"version":"3.49.0"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,1,11]],"date-time":"2016-01-11T00:00:00Z","timestamp":1452470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,1,11]],"date-time":"2016-01-11T00:00:00Z","timestamp":1452470400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>\nThere are limited data regarding the criteria for prophylactic treatment of venous thromboembolism (VTE) after hospital discharge. We sought to identify risk factors of post\u2010hospital discharge VTE events following colorectal surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The NSQIP database was utilized to examine patients developed VTE after hospital discharge following colorectal surgery during 2005\u20132013. Multivariate analysis using logistic regression was performed to quantify risk factors of VTE after discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We evaluated a total of 219,477 patients underwent colorectal resections. The overall incidence of VTE was 2.1 % (4556). 33.8 % (1541) of all VTE events occurred after hospital discharge. The length of postoperative hospitalization had a strong association with post\u2010discharge VTE, with the highest risk in patients who were hospitalized for more than 1 week after operation (AOR 9.08, <jats:italic>P<\/jats:italic> &lt; 0.01). Other factors associated with post\u2010discharge VTE included chronic steroid use (AOR 1.81, <jats:italic>P<\/jats:italic> &lt; 0.01), stage 4 colorectal cancer (AOR 1.40, <jats:italic>P<\/jats:italic> = 0.03), obesity (AOR 1.37, <jats:italic>P<\/jats:italic> &lt; 0.01), age &gt;70 (AOR 1.21, <jats:italic>P<\/jats:italic> = 0.04), and open surgery (AOR 1.36, <jats:italic>P<\/jats:italic> &lt; 0.01). Patients who were hospitalized for more than 1 week after an open colorectal resections had a 12 times higher risk of post\u2010discharge VTE event compared to patients hospitalized less than 4\u00a0days after a laparoscopic resection (AOR 12.34, <jats:italic>P<\/jats:italic> &lt; 0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>VTE is uncommon following colorectal resections; however, a significant proportion occurs after patients are discharged from the hospital (33.8 %). The length of postoperative hospitalization appears to have a strong association with post\u2010discharge VTE. High\u2010risk patients may benefit from continued VTE prophylaxis after discharge.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-015-3361-5","type":"journal-article","created":{"date-parts":[[2016,1,11]],"date-time":"2016-01-11T17:23:32Z","timestamp":1452533012000},"page":"1255-1263","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Post\u2010Hospital Discharge Venous Thromboembolism in Colorectal Surgery"],"prefix":"10.1002","volume":"40","author":[{"given":"Zhobin","family":"Moghadamyeghaneh","sequence":"first","affiliation":[{"name":"Department of Surgery University of California, Irvine, School of Medicine Orange CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reza Fazl","family":"Alizadeh","sequence":"additional","affiliation":[{"name":"Department of Surgery University of California, Irvine, School of Medicine Orange CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark H.","family":"Hanna","sequence":"additional","affiliation":[{"name":"Department of Surgery University of California, Irvine, School of Medicine Orange CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Surgery University of California, Irvine, School of Medicine Orange CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph C.","family":"Carmichael","sequence":"additional","affiliation":[{"name":"Department of Surgery University of California, Irvine, School of Medicine Orange CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Mills","sequence":"additional","affiliation":[{"name":"Department of Surgery University of California, Irvine, School of Medicine Orange CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessio","family":"Pigazzi","sequence":"additional","affiliation":[{"name":"Department of Surgery University of California, Irvine, School of Medicine Orange CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Stamos","sequence":"additional","affiliation":[{"name":"Department of Surgery University of California, Irvine, School of Medicine Orange CA USA"},{"name":"John E. Connolly Chair in Surgery University of California, Irvine, School of Medicine 333 City Blvd. West Suite 1600 92868 Orange CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,1,11]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605\u2010014\u20102647\u20105"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.01248"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.20983"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.2003.013581"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.302.6778.709"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100029\u20101202884"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000788"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181eb9b0e"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2012.09.020"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/1076029611433642"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e31823302a1"},{"key":"e_1_2_8_13_2","first-page":"1037","article-title":"The Standards Task Force of the American Society of Colon and Rectal Surgeons","volume":"43","author":"Practice parameters for the prevention of venous thromboembolism","year":"2000","journal-title":"Dis Colon Rectum"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2009.06.002"},{"key":"e_1_2_8_15_2","first-page":"37","article-title":"A retrospective review of the use of thromboprophylaxis in patients who subsequently developed a venous thromboembolism after discharge from hospital","volume":"123","author":"Wiseman DN","year":"2010","journal-title":"N Z Med J"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.14.1283"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.280048"},{"key":"e_1_2_8_18_2","volume-title":"National Surgical Quality Improvement Program [home page on the Internet]","year":"2005"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2008.06.019"},{"key":"e_1_2_8_20_2","doi-asserted-by":"crossref","unstructured":"MasoomiH MoghadamyeghanehZ MillsS CarmichaelJC PigazziA StamosMJRisk factors for conversion of laparoscopic colorectal surgery to open surgery: does conversion worsen outcome?.World J Surg(2015)25631940","DOI":"10.1007\/s00268-015-2958-z"},{"key":"e_1_2_8_21_2","unstructured":"MoghadamyeghanehZ MasoomiH MillsSD CarmichaelJC PigazziA NguyenNTet al. Outcomes of conversion of laparoscopic colorectal surgery to open surgery.JSLS(2014)25587213"},{"key":"e_1_2_8_22_2","doi-asserted-by":"publisher","DOI":"10.1053\/slas.2002.32422"},{"key":"e_1_2_8_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/1749\u20107922\u20101\u20109"},{"key":"e_1_2_8_24_2","first-page":"25","article-title":"The laparoscopic approach in abdominal emergencies: a single\u2010center 10\u2010year experience","volume":"8","author":"Agresta F","year":"2004","journal-title":"JSLS"},{"key":"e_1_2_8_25_2","first-page":"29","article-title":"Benchmarking variation in coding accuracy across the United States","volume":"29","author":"Lorence DP","year":"2003","journal-title":"J Health Care Finance"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-015-3361-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-015-3361-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-015-3361-5","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T23:23:13Z","timestamp":1703632993000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-015-3361-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1,11]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,5]]}},"alternative-id":["10.1007\/s00268-015-3361-5"],"URL":"https:\/\/doi.org\/10.1007\/s00268-015-3361-5","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,1,11]]}}}