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Venous Thromboembolism following Elective Aesthetic Plastic Surgery: A Longitudinal Prospective Study in 1254 Patients

机译:选择性美容整形手术后的静脉血栓栓塞:一项纵向前瞻性研究在1254例患者中

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摘要

Background. Venous thromboembolism (VTE) is a disorder with short-term mortality and long-term morbidity. Healthy patients submitted to elective aesthetic plastic surgeries (EAPS) have risk factors to develop VTE not well established yet. The objective of this study was to examine the incidence and risk factors for VTE in these patients. Methods. Longitudinal, prospective (minimum follow-up of 3 months), observational study. Comprehensive information on patient characteristics and surgeries performed was obtained. Preoperative, intraoperative, and postoperative risk factors were analyzed for their association with VTE. Results. A total of 1254 patients were included in the study. Postoperative VTE occurred in 17 (1,35%) of patients. VTE was more frequent in patients more than 40 years old (82.3%). Smoking, patients with 2 or 3 pregnancies, and hormone replacement therapy, and oral contraceptives use presents higher levels of VTE. In this study we have not found any correlation between liposuction, augmentation mammoplasty, mastopexy, and rhinoplasty as an isolated risk factor for VTE. Conclusions. The incidence of VTE in patients undergoing EAPS was 1.35%. Patients with more than 40 years of age, tobacco users, patients with 2 or more pregnancies, and hormone replacement therapy or oral contraceptives use presents higher levels of VTE.
机译:背景。静脉血栓栓塞症(VTE)是一种具有短期死亡率和长期发病率的疾病。接受选择性美容整形外科(EAPS)的健康患者,其VTE的危险因素尚不明确。这项研究的目的是检查这些患者中VTE的发生率和危险因素。方法。纵向,前瞻性(至少随访3个月),观察性研究。获得了有关患者特征和所进行手术的全面信息。分析术前,术中和术后危险因素与VTE的关系。结果。该研究总共包括1254名患者。术后VTE发生在17名患者中(1,35%)。 VTE在40岁以上的患者中更为频繁(82.3%)。吸烟,怀孕2或3次,激素替代疗法和口服避孕药的患者VTE水平较高。在这项研究中,我们没有发现吸脂,隆乳,隆鼻和隆鼻之间存在任何相关性,这些都是VTE的独立危险因素。结论。接受EAPS的患者中VTE的发生率为1.35%。 40岁以上的患者,吸烟者,怀孕2次或以上,使用激素替代疗法或口服避孕药的患者VTE水平较高。

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