Analysis of the relationship between venous thromboembolism after surgical treatment for bronchiectasis and preoperative hemoglobin amount
- VernacularTitle:支气管扩张症术后静脉血栓栓塞症与术前血红蛋白含量的关系分析
- Author:
Yongsheng CAI
1
;
Qingshan CHEN
1
;
Honghong DONG
1
;
Shuo CHEN
1
;
Xin LI
1
;
Xin YE
1
;
Yili FU
1
;
Qirui CHEN
1
;
Bin YOU
1
;
Jinbai MIAO
1
;
Hui LI
1
;
Bin HU
1
Author Information
1. Department of Thoracic Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing Institute of Respiratory Diseases, Beijing, 100020, P. R. China
- Publication Type:Journal Article
- Keywords:
Bronchiectasis;
surgery;
venous thromboembolism;
hemoglobin;
D-dimer
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(11):1561-1566
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the correlation of preoperative hemoglobin amount with venous thromboembolism (VTE) after surgical treatment of bronchiectasis and the clinical significance. Methods A retrospective study was performed on patients with bronchiectasis who underwent surgical treatment in our center from June 2017 to November 2021. The differences in blood parameters between the VTE patients and non-VTE patients were compared. The relationship between preoperative hemoglobin and VTE was confirmed by quartile grouping and receiver operating characteristic (ROC) curve. Results A total of 122 patients were enrolled, including 50 males and 72 females, with a mean age of 52.52±12.29 years. The overall incidence of VTE after bronchiectasis was 9.02% (11/122). Preoperative hemoglobin amount (OR=0.923, 95%CI 0.870-0.980, P=0.008) and D-dimer amount (OR=1.734, 95%CI 1.087-2.766, P=0.021) were independent influencing factors for VTE after bronchiectasis. The incidence of VTE after bronchiectasis decreased gradually with the increase of preoperative hemoglobin amount. The area under the ROC curve (AUC) of postoperative D-dimer alone was 0.757, whereas the AUC of postoperative D-dimer combined with preoperative hemoglobin amount was 0.878. Conclusion Low preoperative hemoglobin is an independent risk factor for postoperative VTE. Postoperative D-dimer combined with preoperative hemoglobin amount has a better predictive performance compared with postoperative D-dimer alone for postoperative VTE.
