静脉血栓塞栓症风险评估和医疗病患者的预防实践中的不准确性
Brandyn D Lau1,2,3, Aditya Bhave4, Jennifer C Yui5
1Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD.
Blood advances
|May 23, 2025
概括
在住院患者中不准确的静脉血栓塞栓症 (VTE) 风险评估导致预防和伤害不佳. 提高VTE风险评估的准确性对于患者安全和有效的预防管理至关重要.
科学领域:
- 内部医学 内部医学
- 血液学 血液学 血液学
- 患者安全 患者安全
背景情况:
- 静脉血栓塞栓症 (VTE) 对住院的医疗病患者构成重大风险.
- 预防VTE造成的伤害需要准确的风险评估和预防策略.
研究的目的:
- 评估帕多瓦VTE风险评估工具的准确性.
- 评估VTE预防实践和患者的治疗结果.
- 将专家的VTE风险评估与招生提供者的评估进行比较.
主要方法:
- 对4021名住院医疗病患者的回顾性分析.
- 血液学主体专家 (SME) 完成了帕多瓦VTE风险评估.
- 中小企业评估与招生提供者评估和VTE结果的比较.
主要成果:
- 提供商和中小企业对整体VTE风险的协议为65.3%.
- 中小企业将28.7%的患者确定为高风险患者,这些患者最初被归类为低风险患者.
- 不适当的预防与错误分类患者的21例住院VTE事件有关.
- 在患有VTE的患者中,未使用的VTE预防剂量较高 (19.6%对15.2%).
结论:
- 不准确的VTE风险评估导致不理想的VTE预防和可避免的VTE事件.
- 使用结构化数据自动化VTE风险评估可以提高准确性.
- 建议将定量流动性措施纳入VTE风险评估.
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