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- Title
Use of the abdominal wall fat index determined ultrasonographically for assessing the risk of post-operative pulmonary embolism.
- Authors
Nishikawa, N.; Kurabayashi, T.; Tomita, M.; Matsushita, H.; Aoki, Y.; Tanaka, K.
- Abstract
<bold>Objective: </bold>To assess the usefulness of the abdominal wall fat index (AFI) for predicting pulmonary embolism (PE) after gynecologic surgery.<bold>Method: </bold>The subjects were 115 female patients who underwent laparotomy for gynecologic disease. They were divided into low-dose heparin therapy (n=28) and control, without heparin (n=87) groups. The AFI ratio of the maximum preperitoneal fat thickness to the minimum subcutaneous fat thickness was determined using ultrasonography.<bold>Result: </bold>Post-operative PE occurred in four control patients. If the cut-off value of the AFI for predicting PE development was set at more than or equal to 0.85, the sensitivity was 1.00 and the specificity was 0.60 (P=0.03). If we restricted the criteria, and set the cut-off value of the AFI to more than or equal to 0.85 in patients with hypertension [systolic blood pressure (BP)>/=140 mmHg, diastolic BP>/=90 mmHg or patients were taking antihypertensive medication], the sensitivity and specificity were 0. 75 and 0.92, respectively (P=0.001).<bold>Conclusion: </bold>Visceral fat obesity is a risk factor for PE after gynecologic surgery, and the AFI is useful for predicting PE and for whom post-operative low-dose heparin therapy may be indicated.
- Publication
International Journal of Gynecology & Obstetrics, 2000, Vol 68, Issue 3, p241
- ISSN
0020-7292
- Publication type
journal article
- DOI
10.1016/S0020-7292(99)00196-4