Author(s)

Jinfang Yue¹, Lingyun Zuo², Xiang Si², Juan Chen²

¹Department of the First Intensive Care Unit, Critical Care Medicine, The First People’s Hospital of Kashi District, Kashi, China.
²Department of Surgical Intensive Care Unit, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Background: To explore the application and reliability of Caprini thromboembolism risk assessment scale in the risk assessment of venous thromboembolism in acute and severe uygur patients. Methods: 160 cases of acute and severe Uighur patients with venous thrombo embolism (VTE) that were treated in our hospital from December 2017 to December 2018 were selected as the research group. 160 cases of acute and severe uygur patients without VTE admitted to our hospital in the same period were selected as the control group. Caprini thrombus risk assessment scale and Padua thrombus risk assessment scale were used to evaluate in both groups. The general data of the two groups were compared. The results of the two groups were consistent using Caprini and Padua blood clot risk assessment scales. Clinical efficacy of two different thrombosis risk assessment scales in risk assessment of VTE. Results: Group and control group in the gender distribution, backlog of red blood cells and platelet count have no significant difference (P > 0.05), the team average age, average hospitalization days were significantly less than control group (P < 0.05), the team hemoglobin level was significantly higher than that of control group (P < 0.05), the team of white blood cells were significantly lower than control group (P < 0.05). Caprini thrombosis score was used to evaluate 156 high-risk patients and 164 low-risk patients. A total of 75 cases of high-risk patients and 245 cases of low-risk patients were assessed by Padua thrombosis score, and the results of the two assessment methods were significantly different (X² = 6.956, P < 0.05). Consistency (Kappa coefficient) was 0.58, indicating medium consistency. The specificity of Caprini thrombus score was significantly lower than that of Padua thrombus score (P < 0.05), the sensitivity and negative predictive value of Caprini thrombus score were significantly higher than that of Padua thrombus score (P < 0.05), and there was no significant difference in the positive predictive value between the two groups (P > 0.05). Conclusion: The sensitivity, negative predictive value and positive predictive value of Caprini thrombosis risk assessment scale in VTE risk assessment of acute and severe uygur patients are very prominent, and the clinical efficacy is better, which is worthy of application.

Venous Thromboembolism, Critically Ill Patients, Uygur, Risk Assessment, Clinical Effectiveness

Yue, J. , Zuo, L. , Si, X. and Chen, J. (2019) Application and Reliability of Caprini Thrombus Risk Assessment Scale in Risk Assessment of Venous Thromboembolism in Acute and Severe Uygur Patients. International Journal of Clinical Medicine, 10, 596-603. doi: 10.4236/ijcm.2019.1011048.