验证和修改卡普里尼风险评估模型,以评估关节关节整形术后的静脉血栓栓塞
Liang Qiao1,2,3,4, Yao Yao1,3,4, Dengxian Wu1,3,4
1Division of Sports Medicine and Adult Reconstructive Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, PR China.
Thrombosis and haemostasis
|July 4, 2023
概括
卡普里尼风险评估模型 (RAM) 有效地预测了关节塑造术后静脉血栓栓塞 (VTE) 风险. 卡普里尼分数为9或更高表明VTE发展的风险显著增加.
科学领域:
- 整形外科手术 整形外科手术
- 血管医学 血管医学
- 医疗风险评估 医疗风险评估
背景情况:
- 卡普里尼风险评估模型 (RAM) 被广泛用于评估静脉血栓塞栓症 (VTE) 风险.
- 关节塑造术患者的高卡普里尼分数通常将他们归类为高风险的VTE,这促使人们对其关节塑造术后的实用性进行辩论.
研究的目的:
- 评估Caprini RAM在预测进行关节整形手术的患者静脉瘤风险方面的有效性.
- 确定卡普里尼得分与该患者群体中静脉瘤发病率之间的相关性.
主要方法:
- 从2015年8月到2021年12月,对3807名关节整形手术患者进行了回顾性分析.
- 使用Caprini RAM和血管多普勒超声波进行手术前评估.
- 卡普里尼得分的比较,在患有VTE和没有VTE的患者之间进行.
主要成果:
- 11.35%的患者患有静脉瘤,其中0.84%有症状,10.51%无症状.
- 在卡普里尼得分较高的患者中,VTE发生率显著更高 (10.10 ± 2.23对比9.35 ± 2.14,p < 0.001).
- 在卡普里尼得分和静脉瘤发病率之间发现了强烈的相关性 (r = 0.775,p = 0.003);得分≥9确定了高风险患者.
结论:
- 卡普里尼RAM显示了与关节形成术患者的静脉瘤发生的显著相关性.
- 较高的卡普里尼分数与发展VTE的可能性增加有关.
- 卡普里尼分数高于9或更高,意味着手术后风险特别高.
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