Incidence of venous thromboembolism in oral and maxillofacial surgery: a retrospective analysis

Abstract This study retrospectively investigates the incidence and risk factors for venous thromboembolism (VTE) in patients undergoing maxillofacial surgery. Data were obtained from patients treated between January 2005 and June 2006. Patients’ records were reviewed for complaints and information r...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2010-03, Vol.39 (3), p.256-259
Main Authors: Forouzanfar, T, Heymans, M.W, van Schuilenburg, A, Zweegman, S, Schulten, E.A.J.M
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Blood and lymphatic vessels
Body Mass Index
Bone Transplantation - statistics & numerical data
Cardiology. Vascular system
Dentistry
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Female
Follow-Up Studies
Head and Neck Neoplasms - surgery
Hospitalization - statistics & numerical data
Humans
Incidence
Length of Stay - statistics & numerical data
Male
maxillofacial surgery
Medical sciences
Middle Aged
Netherlands - epidemiology
Oral Surgical Procedures - statistics & numerical data
Oral Surgical Procedures, Preprosthetic - statistics & numerical data
Orthognathic Surgical Procedures - statistics & numerical data
Osteogenesis, Distraction - statistics & numerical data
Otorhinolaryngology. Stomatology
Pneumology
pulmonary embolism
Pulmonary Embolism - epidemiology
Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
Reconstructive Surgical Procedures - statistics & numerical data
retrospective analysis
Retrospective Studies
Risk Factors
Surgery
thromboembolism
Time Factors
Venous Thromboembolism - epidemiology
Venous Thrombosis - epidemiology
Young Adult
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Summary:Abstract This study retrospectively investigates the incidence and risk factors for venous thromboembolism (VTE) in patients undergoing maxillofacial surgery. Data were obtained from patients treated between January 2005 and June 2006. Patients’ records were reviewed for complaints and information relating to deep venous thrombosis (DVT) and pulmonary embolism (PE). All patients completed a questionnaire on complaints relating to DVT and PE. The patients were classified according to risk and the incidence of reported DVT and PE was calculated. The study population comprised 411 patients with a mean age of 32 (± 17) years. The median postoperative follow-up period was 53 (23–639) days. None of the patients received thromboembolism prophylaxis. The incidence of VTE in the study group was 0.5%. Logistic regression analysis demonstrated a relationship between body mass index and hospital stay with thromboembolism (p < 0.05). Patients undergoing pre-implant surgery with bone graft proved to be at risk (p = 0.07). The incidence of VTE in oral and maxillofacial surgery seems to be low, but thromboembolism prophylaxis may be justified in patients with clear potential risk factors.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2009.10.024