[Consistency evaluation between patient-completed and physician-completed Caprini scores]

Area of Science:

• Medical Diagnostics
• Health Informatics
• Clinical Risk Assessment

Background:

• Venous thromboembolism (VTE) risk assessment is crucial for inpatient care.
• The Caprini score is a widely used tool for VTE risk stratification.
• Evaluating patient-completed risk assessments can enhance healthcare accessibility and efficiency.

Purpose of the Study:

• To assess the consistency between patient-completed and physician-completed Caprini scores.
• To validate a novel WeChat applet for patient-driven Caprini scoring.
• To determine the reliability of patient self-assessment in VTE risk stratification.

Main Methods:

• A diagnostic study involving 200 inpatients across various departments.
• Development of a WeChat applet for patients to input data for Caprini score calculation.
• Prospective collection of clinical data and comparison of scores from patient-applet and physician assessments.

Main Results:

• No significant difference was found between patient-completed (4.8±2.5) and physician-completed (4.7±2.5) Caprini scores (P=0.336).
• Strong positive correlation (r=0.98, P<0.0001) and excellent consistency (Cohen's κ=0.97, P<0.0001) were observed.
• Patient completion time was slightly longer (2.4±1.2 min) than physician completion (2.0±1.0 min), but clinically insignificant.

Conclusions:

• Patient-completed Caprini scoring demonstrates excellent agreement with physician assessments.
• The developed WeChat applet is a reliable tool for patient self-assessment of VTE risk.
• This approach offers a viable method for improving VTE risk stratification accessibility and potentially patient engagement.