在接受初级全关节和膝关节整形手术的患者中,对深静脉血栓形成风险的预测名录:一项回顾性研究
Zhencan Lin1,2, Hao Sun1, Deng Li1
1Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong China, 510120, China.
Thrombosis journal
|October 12, 2023
概括
一种新的名图可以帮助预测部或膝关节手术后的深静脉血栓 (DVT). 该工具可以早期识别患有DVT风险较高的患者,从而改善及时治疗.
科学领域:
- 整形外科手术 整形外科手术
- 血管医学 血管医学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 深静脉血栓塞 (DVT) 预测关节切除术后具有挑战性.
- 早期的DVT诊断和治疗对于患者的结果至关重要.
研究的目的:
- 开发和验证用于在全关节整形术和膝关节整形术后早期DVT检测的预测性名录.
主要方法:
- 在238名患者身上,使用多变量逻辑回归开发了一个名图.
- 对79名患者进行了内部验证.
- 诺莫图的预测性能与卡普里尼分数进行了比较.
主要成果:
- 在手术后的第7天,DVT发生在15.97% (发育) 和11.39% (验证) 的患者中.
- 手术部位 (膝盖与部),腿部胀和血栓-抗血栓复合物 (TAT) 是显著的预测因素.
- 与卡普里尼得分相比,该名图显示出更高的预测准确性 (AUC 0.836和0.957).
结论:
- 开发的诺米图有效地识别了在关节整形术后患有DVT风险的患者.
- 结合手术部位,腿部胀和TAT水平有助于早期DVT风险分层.
相关概念视频
Venous Thrombosis III: Interprofessional Care
10
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
10
Venous Thrombosis IV: Nursing Management
14
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
14
Venous Thrombosis I: Introduction
12
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
12
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
13
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
13
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Pulmonary Embolism III: Nursing Management
15
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
15


