Abstract 85: An Examination Of Venous Thromboembolism Risk Using Caprini Scores Amongst Outpatient Aesthetic Surgery Patients Who Receive No Chemoprophylaxis

Trostler, Michael; Jannsen, P.; Pannucci, Christopher J.; Khan, Sami U.

doi:10.1097/01.gox.0000516605.71761.d5

Cited by 5 publications

(3 citation statements)

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“…Instead, Pannucci et al 4 recommend risk mitigation. Trostler et al 10 reported that 200 Caprini scores would need to be evaluated to find 1 aesthetic surgery outpatient with a score ≥7.…”

Section: The Unpredictability Of Vtesmentioning

confidence: 99%

Abandoning Caprini Scores and Chemoprophylaxis (“Bloodletting 2.0”): A Call for Action

Swanson

2023

Ann Plast Surg

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Section: The Unpredictability Of Vtesmentioning

confidence: 99%

Abandoning Caprini Scores and Chemoprophylaxis (“Bloodletting 2.0”): A Call for Action

Swanson

2023

Ann Plast Surg

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“…Furthermore, by the end of the 12-month study period, only 4% of patients in the study population who received a Caprini RAM assessment scored 7 or higher. This low rate suggests surgical centers that perform mostly elective outpatient procedures may encounter a limited number of patients who should receive chemoprophylaxis 15,16 . For patients with a Caprini score 7 or higher, the number needed to treat to prevent 1 VTE is 71.4; therefore, the number of patients needed to be screened to prevent a VTE would be 1771 4 .…”

Section: Discussionmentioning

confidence: 99%

“…This low rate suggests surgical centers that perform mostly elective outpatient procedures may encounter a limited number of patients who should receive chemoprophylaxis. 15,16 For patients with a Caprini score 7 or higher, the number needed to treat to prevent 1 VTE is 71.4; therefore, the number of patients needed to be screened to prevent a VTE would be 1771. 4 This is a worthy effort given the high morbidity and mortality associated with VTE.…”

Section: Discussionmentioning

confidence: 99%

A Roadmap to Implementing Venous Thromboembolism Risk Stratification and Mitigation

et al. 2021

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Introduction: Venous thromboembolism (VTE) is a life-threatening postoperative complication that carries high morbidity and mortality for plastic surgery patients. In 2011, the American Society of Plastic Surgeons recommended the adoption of a VTE risk stratification and mitigation; however, successful implementation of VTE prophylaxis protocols has not been well described. To address and reduce the VTE burden at our academic center, a risk assessment protocol was implemented for patients undergoing outpatient plastic surgery procedures. Method: All patients who received outpatient plastic surgery between August 2018 and July 2019 were eligible for the VTE modified Caprini risk assessment screening. Sampling of practice patterns was done by chart review from the first week of each month. The study was divided into 3 phases to assess the relationship of screening compliance rates with each protocol change. Compliance was defined as completion of VTE Caprini screening with documentation in patients' charts. Results: Over the 12-month study period, 277 patients met the inclusion criteria. From August to November 2018 (phase 1), patients were screened at the initial clinic visit with an average compliance rate of 11.1%. In December 2018 (phase 2), patients were screened on the day of surgery, with an average compliance rate of 47.1%. From January to July 2019 (phase 3), surgeons recorded the numerical Caprini score into the patient's electronic medical record with a subsequent compliance rate of 61.3%. The overall compliance during the 12 months was 44.8%. The median calculated Caprini score for this population was 4 (range, 1-7). Conclusions: Standardization of VTE risk assessment is vital for patient safety and outcomes. Successful implementation and long-term protocol sustainability are not a simple goal. In this study, protocol compliance greatly improved after tailoring the guidelines to the specific institutional needs and workflow. These results reinforce the importance of continuous protocol review and modification to ensure optimal departmental buy-in and sustainability.

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Comparison of face-to-face interaction and the electronic medical record for venous thromboembolism risk stratification using the 2005 Caprini score

Pannucci

Fleming

2018

Journal of Vascular Surgery: Venous and Lymphatic Disorders

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Abstract 85: An Examination Of Venous Thromboembolism Risk Using Caprini Scores Amongst Outpatient Aesthetic Surgery Patients Who Receive No Chemoprophylaxis

Cited by 5 publications

References 0 publications

Abandoning Caprini Scores and Chemoprophylaxis (“Bloodletting 2.0”): A Call for Action

Abandoning Caprini Scores and Chemoprophylaxis (“Bloodletting 2.0”): A Call for Action

A Roadmap to Implementing Venous Thromboembolism Risk Stratification and Mitigation

Comparison of face-to-face interaction and the electronic medical record for venous thromboembolism risk stratification using the 2005 Caprini score

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