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Determination of Risk Factors for Venous Thromboembolism by an Adapted Caprini Scoring System in Surgical Patients

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Tuberculosis and Lung Disease Department, Hanoi Medical University, Hanoi 100000, Vietnam
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Department of Neurology, Hanoi Medical University, Hanoi 100000, Vietnam
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Director Board, Cho Ray Hospital, Ho Chi Minh City 700000, Vietnam
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Center for Health Insurance and Multilateral Payment in The Northern Region, Viet Nam Social Security, Hanoi 100000, Vietnam
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Department of General Administration, Bach Mai Hospital, Hanoi 100000, Vietnam
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Director Board, Viet Duc Hospital, Hanoi 100000, Vietnam
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Institute for Research and Development, Duy Tan University, 03 QuangTrung, Danang 550000, Vietnam
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Faculty of Biology, Hanoi National University of Education, Hanoi Vietnam 100000, Vietnam
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School of Odonto Stomatology, Hanoi Medical University, Hanoi Vietnam 100000, Vietnam
*
Author to whom correspondence should be addressed.
They are co-first authors.
Former address: Centre for Molecular Medicine Norway (NCMM), Gaustadalléen 2, 0349 Oslo, Norway.
J. Pers. Med. 2019, 9(3), 36; https://doi.org/10.3390/jpm9030036
Received: 3 June 2019 / Revised: 2 July 2019 / Accepted: 16 July 2019 / Published: 17 July 2019
Venous thromboembolism (VTE) is a frequent preventable complication among surgical patients. Precise risk assessment is a necessary step for providing appropriate thromboprophylaxis and reducing mortality as well as morbidity caused by VTE. We carried out this work to define the rate of VTE postoperatively, following a Caprini score, and to determine VTE risk factors through a modified Caprini risk scoring system. This multicenter, observational, cohort study involved 2,790,027 patients who underwent surgery in four Vietnamese hospitals from 01/2017 to 12/2018. All patients who were evaluated before surgery by using a Caprini risk assessment model (RAM) and monitored within 90 days after surgery. The endpoint of the study was ultrasound-confirmed VTE. Our data showed that the 90-day postoperative VTE was found in 3068 patients. Most of VTE (46.97%) cases were found in the highest risk group (Caprini score > 5). A total of 37.19% were observed in the high risk group, while the rest (15.84%) were from low to moderate risk groups. The likelihood of occurring VTE was heightened 2.83 times for patients with a Caprini score of 3–4, 4.83 times for a Caprini score of 5–6, 8.84 times for a score of 7–8, and 11.42 times for a score of >8, comparing to ones with a score of 0 to 2 (all p values < 0.05). Thus, the frequency of postoperative VTE rises substantially, according to the advanced Caprini score. Further categorizing patients among the highest risk group need delivering more appropriate thromboprophylaxis. View Full-Text
Keywords: venous thromboembolism; Caprini score; risk assessment model; risk stratification; thromboembolism prophylaxis venous thromboembolism; Caprini score; risk assessment model; risk stratification; thromboembolism prophylaxis
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MDPI and ACS Style

Hanh, B.M.; Cuong, L.Q.; Son, N.T.; Duc, D.T.; Hung, T.T.; Hung, D.D.; Giang, T.B.; Hiep, N.H.; Xuyen, H.T.H.; Nga, N.T.; Chu, D.-T. Determination of Risk Factors for Venous Thromboembolism by an Adapted Caprini Scoring System in Surgical Patients. J. Pers. Med. 2019, 9, 36. https://doi.org/10.3390/jpm9030036

AMA Style

Hanh BM, Cuong LQ, Son NT, Duc DT, Hung TT, Hung DD, Giang TB, Hiep NH, Xuyen HTH, Nga NT, Chu D-T. Determination of Risk Factors for Venous Thromboembolism by an Adapted Caprini Scoring System in Surgical Patients. Journal of Personalized Medicine. 2019; 9(3):36. https://doi.org/10.3390/jpm9030036

Chicago/Turabian Style

Hanh, Bui M.; Cuong, Le Q.; Son, Nguyen T.; Duc, Duong T.; Hung, Tran T.; Hung, Duong D.; Giang, Tran B.; Hiep, Nguyen H.; Xuyen, Hoang T.H.; Nga, Nguyen T.; Chu, Dinh-Toi. 2019. "Determination of Risk Factors for Venous Thromboembolism by an Adapted Caprini Scoring System in Surgical Patients" J. Pers. Med. 9, no. 3: 36. https://doi.org/10.3390/jpm9030036

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