Venous Thromboembolism Prediction in Postoperative Urogynecology Patients: The Utility of Risk Assessment Tools
| Autor: | Mali Schneiter, Jessica Heft, Rony Adam, Alison Goulder |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Urology Population 030232 urology & nephrology MEDLINE Risk management tools Risk Assessment Urogynecology 03 medical and health sciences 0302 clinical medicine Postoperative Complications Risk Factors medicine Humans education Aged Retrospective Studies Aged 80 and over education.field_of_study 030219 obstetrics & reproductive medicine business.industry Incidence (epidemiology) Obstetrics and Gynecology Retrospective cohort study Venous Thromboembolism Middle Aged Plastic Surgery Procedures Emergency medicine Cohort Surgery Female business Venous thromboembolism |
| Zdroj: | Female pelvic medicinereconstructive surgery. 26(8) |
| ISSN: | 2154-4212 |
| Popis: | Objectives The aim of the study was to evaluate the utility of risk assessment tools (Rogers and Caprini Score models) in predicting venous thromboembolism (VTE) in a urogynecology patient population. Methods All surgical patients underwent a procedure in the operating room with 1 of 7 female pelvic medicine and reconstructive surgery.Attendings from January 1 to December 31, 2015, were investigated. Rogers and Caprini Scores were calculated for each patient as well as the occurrence of any VTE in the 30 days after surgery. Patients were then grouped into risk categories based on the American College of Chest Physicians guidelines. Results A total of 783 patients were identified and included in this study. The average patient age was 58 years (range = 18-89 years). The average operative time was 109 minutes (range = 4-491 minutes). Most patients obtained a Rogers Score of 5 (32%) and a Caprini Score of 4 (34%). Based on Caprini scoring, the American College of Chest Physicians category distribution was as follows: 10% low risk, 61% moderate risk, and 29% high risk. Based on Rogers scoring, this distribution was as follows: 96.8% very low risk, 3.1% low risk, and 0.1% moderate risk. Two VTE events were identified in the cohort. Overall, the incidence of VTE was 0.26%. Conclusions The standard VTE risk assessment tools grade urogynecology patients very differently. Although the Caprini Scale seems to appropriately differentiate individual patient VTE risk, the Rogers Scale does not adequately stratify this risk, thus potentially limiting its use within this population. |
| Databáze: | OpenAIRE |
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