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Invited Commentary
April 29, 2020

Venous Thromboembolism in Emergency General Surgery Patients—A Call to Action to Improve Data, Clinical Care, and Patient Outcomes

Author Affiliations
  • 1Division of Acute Care Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis
  • 2Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 3Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 4Department of Emergency Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 5Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, Maryland
  • 6Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
JAMA Surg. Published online April 29, 2020. doi:10.1001/jamasurg.2020.0434

Emergency general surgery (EGS) represents a growing area for quality improvement initiatives owing to the immense burden of disease and contribution to overall surgical morbidity in the United States. In this issue of JAMA Surgery, Ross and colleagues1 report on the almost 2-fold increased risk of venous thromboembolism (VTE) after emergency surgery of the gallbladder, ventral hernias, and colon compared with elective counterparts. The absolute risk of VTE in each operative category by emergency status was not reported but would help shed some light on which patients are at higher absolute risk.

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