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

Pannucci, Christopher J.; Fleming, Kory I.

doi:10.1016/j.jvsv.2017.10.016

Cited by 23 publications

(11 citation statements)

References 34 publications

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“…Retrospective database reviews have flaws since it is not known if all of the questions were presented to the patient and to their level of understanding. 45 Family history is often overlooked during the history process. A history of past VTE or family VTE history is one of the most powerful risk factors responsible for postoperative thrombosis.…”

Section: Discussionmentioning

confidence: 99%

Implementation and Validation of the 2013 Caprini Score for Risk Stratification of Arthroplasty Patients in the Prevention of Venous Thrombosis

Krauss

Segal

Cronin

et al. 2019

Clin Appl Thromb Hemost

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Appropriate chemoprophylaxis choice following arthroplasty requires accurate patient risk assessment. We compared the results of our prospective department protocol to the Caprini risk assessment model (RAM) retrospectively in this study group. Our goal was to determine whether the department protocol or the Caprini score would identify venous thromboembolism (VTE) events after total joint replacement. A secondary purpose was to validate the 2013 Caprini RAM in joint arthroplasty and determine whether patients with VTE would be accurately identified using the Caprini score. A total of 1078 patients met inclusion criteria. A Caprini score of 10 or greater is considered high risk and a score of 9 or less is considered low risk. The 2013 version of the Caprini RAM retrospectively stratified 7 of the 8 VTE events correctly, while only 1 VTE was identified with the prospective department protocol. This tool provided a consistent, accurate, and efficacious method for risk stratification and selection of chemoprophylaxis.

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Section: Discussionmentioning

confidence: 99%

Implementation and Validation of the 2013 Caprini Score for Risk Stratification of Arthroplasty Patients in the Prevention of Venous Thrombosis

Krauss

Segal

Cronin

et al. 2019

Clin Appl Thromb Hemost

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“…40 Pannucci and Fleming have stressed the importance of faceto-face patient interviews rather than relying on record review. 41 One of the most common errors is failure to ask all of the pertinent questions. Retrospective database reviews are flawed since it is not known if all of the questions were presented to the patient or if their responses reflected an accurate interpretation of the question.…”

Section: Completion Guidelinesmentioning

confidence: 99%

Completion of the Updated Caprini Risk Assessment Model (2013 Version)

Cronin

Dengler

Krauss

et al. 2019

Clin Appl Thromb Hemost

174

145

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The Caprini risk assessment model (RAM) has been validated in over 250 000 patients in more than 100 clinical trials worldwide. Ultimately, appropriate treatment options are dependent on precise completion of the Caprini RAM. As the numerical score increases, the clinical venous thromboembolism rate rises exponentially in every patient group where it has been properly tested. The 2013 Caprini RAM was completed by specially trained medical students via review of the presurgical assessment history, medical clearances, and medical consults. The Caprini RAM was completed for every participant both preoperatively and predischarge to ensure that any changes in the patient's postoperative course were captured by the tool. This process led to the development of completion guidelines to ensure consistency and accuracy of scoring. The 2013 Caprini scoring system provides a consistent, thorough, and efficacious method for risk stratification and selection of prophylaxis for the prevention of venous thrombosis.

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“…Some studies [20,21] have found that the annual incidence of DVT in children younger than 15 is less than 0.005%, but the annual incidence of DVT in adults over 80 years old increased significantly to 0.5%. The main reasons for the high incidence of DVT in elderly patients may be explained as follows: with the increase of age, the activities of elderly patients reduce accordingly, and the blood flow speed in the veins slows down, resulting in less and slower blood flow in the veins of the lower limbs [22,23]. Besides, older women often have hypertension, hyperlipidemia, diabetes, etc.…”

Section: Discussionmentioning

confidence: 99%

Risk factors of deep vein thrombosis of lower extremity in patients undergone gynecological laparoscopic surgery: what should we care

Qing

2021

BMC Women's Health

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Background Deep vein thrombosis (DVT) significantly influences the prognosis of patients. It’s necessary to analyze the risk factors for postoperative DVT in patients undergone gynecological laparoscopic surgery. Methods Patients who underwent gynecological laparoscopic surgery from January 1, 2018 to May 31, 2020 were included. The characteristics and clinical data of DVT and non DVT patients were collected and analyzed. Logistic regression analysis was performed to identify the risk factors of DVT in patients undergone gynecological laparoscopic surgery. Results A total of 355 patients undergone gynecological laparoscopic surgery were included, the incidence of postoperative DVT was 11.55%. There were significant differences in the age, hypertension, D-dimer, duration of surgery, intraoperative pneumoperitoneum pressure, duration of days in bed between DVT and non-DVT groups (all p < 0.05), and there were no significant difference in the BMI, diabetes, hyperlipidemia, ASA classification and intraoperative blood transfusion between DVT and non-DVT groups (all p > 0.05). Age > 50 years (OR 4.246, 95% CI 1.234–7.114), hypertension (OR 2.219, 95% CI 1.153–4.591), D-dimer > 0.5 mg/L (OR 3.914, 95% CI 1.083–5.229), duration of surgery ≥ 60 min (OR 2.542, 95% CI 1.101–4.723), intraoperative pneumoperitoneum pressure ≥ 15 mmHg (OR 3.845, 95% CI 1.119–5.218), duration of days in bed > 3 days (OR 1.566, 95% CI 1.182–1.994) was the independent risk factors for DVT in patients undergone gynecological laparoscopic surgery (all p < 0.05). Conclusions The incidence of postoperative DVT in patients undergone gynecological laparoscopic surgery is high, and those high-risk factors should be targeted to intervene in order to reduce the postoperative DVT.

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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

Cited by 23 publications

References 34 publications

Implementation and Validation of the 2013 Caprini Score for Risk Stratification of Arthroplasty Patients in the Prevention of Venous Thrombosis

Implementation and Validation of the 2013 Caprini Score for Risk Stratification of Arthroplasty Patients in the Prevention of Venous Thrombosis

Completion of the Updated Caprini Risk Assessment Model (2013 Version)

Risk factors of deep vein thrombosis of lower extremity in patients undergone gynecological laparoscopic surgery: what should we care

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