Implementation and Validation of the 2013 Caprini Score for Risk Stratification of Arthroplasty Patients in the Prevention of Venous Thrombosis
| Autor: | MaryAnne Cronin, Eugene S Krauss, Joseph A. Caprini, Martin Lesser, Nancy Dengler, Ayal Segal, Seungjun Ahn |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty lcsh:Diseases of the circulatory (Cardiovascular) system aspirin Patient risk medicine.medical_treatment apixaban risk stratification 030204 cardiovascular system & hematology Risk Assessment 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine Humans Prospective Studies rivaroxaban Aged Retrospective Studies Aged 80 and over Venous Thrombosis 030222 orthopedics Rivaroxaban business.industry chemoprophylaxis Anticoagulants Venous Thromboembolism Hematology General Medicine Middle Aged medicine.disease Arthroplasty humanities Venous thrombosis lcsh:RC666-701 Caprini risk assessment model Emergency medicine Chemoprophylaxis Risk stratification arthroplasty Female Original Article Apixaban Corrigendum business Risk assessment medicine.drug |
| Zdroj: | Clinical and Applied Thrombosis/Hemostasis, Vol 25 (2019) Clinical and Applied Thrombosis/Hemostasis |
| ISSN: | 1938-2723 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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