A Validation Study of a Retrospective Venous Thromboembolism Risk Scoring Method

@article{Bahl2010AVS,
  title={A Validation Study of a Retrospective Venous Thromboembolism Risk Scoring Method},
  author={Vinita Bahl and Hsou-mei Hu and Peter K. Henke and Thomas W. Wakefield and Darrell A. Jr. Campbell and Joseph Caprini},
  journal={Annals of Surgery},
  year={2010},
  volume={251},
  pages={344-350}
}
OBJECTIVES Validate a retrospective venous thromboembolism (VTE) risk scoring method, which was developed at the University of Michigan Health System and based on the Caprini risk assessment model, and assess the confounding effects of VTE prophylaxis. [] Key MethodMETHODS VTE risk factors were identified for 8216 inpatients from the National Surgical Quality Improvement Program using the retrospective scoring method.
View on Wolters Kluwer
acforum-excellence.org
417 Citations
Highly Influential Citations
18
Background Citations
56
Methods Citations
52
Results Citations
10

417 Citations

Citation Type

Citation Type

Determination of Risk Factors for Venous Thromboembolism by an Adapted Caprini Scoring System in Surgical Patients
TLDR
The data showed that the 90-day postoperative VTE was found in 3068 patients, and most of VTE cases were found in the highest risk group (Caprini score > 5), indicating that the frequency of postoperatively VTE rises substantially, according to the advanced CapRini score.
Prevalence of venous thromboembolism risk factors and prophylactic adequacy among general surgical patients in a tertiary care hospital
Assessing the risk for development of Venous Thromboembolism (VTE) in surgical patients using Adapted Caprini scoring system.
Evaluating post-operative venous thromboembolism risk in urology patients using a validated risk assessment model
TLDR
Venous thromboembolism may be difficult to diagnose, and clinicians may underestimate the risk for it to develop, so a validated risk assessment model which accounts for procedure-specific risks in urology may be useful.
Identifying Patients at High Risk for Venous Thromboembolism Requiring Treatment After Outpatient Surgery
TLDR
Thirty-day VTE risk after outpatient surgery can be quantified using a weighted risk index and identifies a high-risk subgroup of patients with 30- day VTE rates of 1.18%.
Risk assessment models for venous thromboembolism in hospitalised adult patients: a systematic review
TLDR
It is suggested that RAMs have generally weak predictive accuracy for VTE and there is insufficient evidence and too much heterogeneity to recommend the use of any particular RAM.
Venous Thromboembolism Risk, Prophylaxis and Outcome in Hospitalized Patients to Medical Wards of University Teaching Hospital
TLDR
Assessment of venous VTE risks and prophylaxis and outcome in hospitalized patients to medical wards of Tikur Anbessa Specialized Hospital (TASH) revealed that patients aged ≥ 60 years, and having stroke within one last month, were independent predictors for development of VTE events.
Inadequate venous thromboembolism risk stratification predicts venous thromboembolic events in surgical intensive care unit patients.
Validation of the Caprini Venous Thromboembolism Risk Assessment Model in Critically Ill Surgical Patients.
TLDR
The Caprini VTE risk assessment model is valid and supports the use of individual risk assessment in critically ill surgical patients, and patients with CapRini scores greater than 8 were significantly more likely to develop inpatient VTE events.
Stratifying the Risk of Venous Thromboembolism in Otolaryngology
TLDR
The Caprini risk assessment model effectively risk-stratifies otolaryngology patients for 30-day VTE events and allows otolARYngologists to identify patient subgroups who have a higher risk of VTE in the absence of chemoprophylaxis.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 38 REFERENCES
Efficacy and Safety of Venous Thromboembolism Prophylaxis in Highest Risk Plastic Surgery Patients
TLDR
The use of mechanical prophylaxis supplemented with low-molecular-weight heparin is strongly recommended as the first-line regimen for thromboprophylaxis in plastic surgery patients at highest risk for venous thromboembolism.
Differences of venous thromboembolic risks in vascular general and trauma surgery patients.
TLDR
The VTE-risk for surgical patients remains high, despite all efforts for prophylaxis, and it is recommended to emphasize more on short risk-assessment, adequate prophYLaxis and optimal dosage in order to prevent deep venous thrombosis and embolism disease.
Evaluating the Performance of a Previously Reported Risk Score To Predict Venous Thromboembolism: A VERITY Registry Study.
TLDR
The data suggest the value of this weighted risk score, perhaps using more sophisticated modeling to increase the accuracy of the score to predict thromboembolic events, would be highly valuable for routine integration of VTE assessment into clinical practice.
Assessment of venous thromboembolism risk and the benefits of thromboprophylaxis in medical patients.
TLDR
Evidence for the risk of VTE associated with different medical conditions and risk factors is reviewed, and a risk-assessment model for risk stratification in medical patients is presented which is hoped will provide a simple means of assisting clinicians in deciding whether thromboprophylaxis should be used in an individual patient.
Multivariable predictors of postoperative venous thromboembolic events after general and vascular surgery: results from the patient safety in surgery study.
Effective risk stratification of surgical and nonsurgical patients for venous thromboembolic disease.
Risk assessment model for venothromboembolism in post-hospitalized patients.
TLDR
A novel risk assessment model may be applied to identify patients who may be at increased risk of developing VTE post-hospitalization and those at high risk should be considered for anticoagulation therapy during the post- hospitalization period.
Risk factors for venous thrombosis in medical inpatients: validation of a thrombosis risk score
TLDR
VT was common among medical inpatients and one of three published risk scores was associated with risk of inpatient VT, which has not been previously reported.
Venous thromboembolism prophylaxis for the general surgical patient: where do we stand?
TLDR
New guidelines are intended to assist surgeons in making decisions in regard to DVT prophylaxis when performing surgical procedures and there is consensus that heparins are both effective and safe in preventing VTE in surgical patients.
Provider preferences for DVT prophylaxis.
...
1
2
3
4
...