Caprini assessment utilization and impact on patient safety in gynecologic surgery

Lewis, G.K.; Spaulding, Aaron; Brennan, Emily; Bakkum-Gamez, Jamie N.; Dinh, Tri A.; Colibaseanu, Dorin T.; Casler, John D.; Edwards, Michael A.

doi:10.1007/s00404-023-07038-0

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…The Khorana model is applicable to patients with malignancies [ 22 ]. While the Caprini model is primarily designed for assessing thrombosis risk in surgical patients [ 15 ], its predictive efficacy is limited when applied to non-surgical and gynecological patients [ 26 , 30 ]. On the other hand, the PADUA model was validated in a cohort study by Barbar et al [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, the optimal threshold of Caprini is different according to different clinical departments [ 24 ]. The ACCP guidelines recommend adopting a Caprini for gynecological patients [ 21 ].Whereas, the majority of gynecologic patients in the Caprini were at moderate or high risk [ 25 ], the applicability of Caprini in gynecologic surgical patients remains controversial [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

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Validation of a pulmonary embolism risk assessment model in gynecological inpatients

Jin,

Li,

et al. 2024

Thrombosis J

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Objective To compare the predictive efficacy of the PADUA and Caprini models for pulmonary embolism (PE) in gynecological inpatients, analyze the risk factors for PE, and validate whether both models can effectively predict mortality rates. Methods A total of 355 gynecological inpatients who underwent computed tomography pulmonary angiography (CTPA) were included in the retrospective analysis. The comparative assessment of the predictive capabilities for PE between the PADUA and Caprini was carried out using receiver operating characteristic (ROC) curves. Logistic regression analysis was used to identify risk factors associated with PE. Additionally, Kaplan–Meier survival analysis plots were generated to validate the predictive efficacy for mortality rates. Results Among 355 patients, the PADUA and Caprini demonstrated the area under the curve (AUC) values of 0.757 and 0.756, respectively. There was no statistically significant difference in the AUC between the two models (P = 0.9542). Multivariate logistic analysis revealed immobility (P < 0.001), history of venous thromboembolism (VTE) (P = 0.002), thrombophilia (P < 0.001), hormonal treatment (P = 0.022), and obesity (P = 0.019) as independent risk factors for PE. Kaplan–Meier survival analysis demonstrated the reliable predictive efficacy of both the Caprini (P = 0.00051) and PADUA (P = 0.00031) for mortality. ROC for the three- and six-month follow-ups suggested that the Caprini model exhibited superior predictive efficacy for mortality. Conclusions The PADUA model can serve as a simple and effective tool for stratifying high-risk gynecological inpatients before undergoing CTPA. The Caprini model demonstrated superior predictive efficacy for mortality rates.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Validation of a pulmonary embolism risk assessment model in gynecological inpatients

Jin,

Li,

et al. 2024

Thrombosis J

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Identification of key risk factors for venous thromboembolism in urological inpatients based on the Caprini scale and interpretable machine learning methods

Liu,

Yang,

Cheng

et al. 2024

Thrombosis J

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Best Practices for Optimizing Patients Undergoing Surgical Procedures to Prevent Postoperative Venous Thromboembolism: A Quality Improvement Project

Gerhold,

McLoughlin,

Culpepper

et al. 2024

Cureus

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IntroductionCurrent studies suggest that both chemical and mechanical venous thromboembolism (VTE) prophylaxis is underused, which is concerning due to the potential lethality of VTEs. The Caprini risk score is a preoperative VTE risk assessment that determines a patient's risk of enduring a VTE. The objective of this study was to examine postoperative cases of VTE to determine if accurate VTE risk stratification was performed and whether appropriate VTE prophylaxis was administered. MethodsA retrospective analysis was conducted on 23 reported cases of VTE that occurred at a Central Florida hospital from April 1, 2021, to March 31, 2022. Relevant demographic and medical information was gathered from each patient chart to calculate an individual Caprini risk score and determine the type of chemical VTE prophylaxis that was received. ResultsOut of 23 reported cases of VTE in surgical patients, 17 were ultimately determined to have suffered VTE associated with their hospitalization and surgery. Thirteen out of 17 (76%) received appropriate perioperative chemical deep vein thrombosis (DVT) prophylaxis based on the calculated Caprini risk score and corresponding recommendations. Four out of 17 (24%) were determined to have received insufficient perioperative chemical DVT prophylaxis. ConclusionConsistent utilization of a DVT/pulmonary embolism (PE) risk stratification tool, such as the Caprini risk score calculator, is essential in the prevention of postoperative VTE. Hospitals can improve the utilization of such a tool and thereby reduce the number of embolic events by making it more visible and accessible to the overseeing provider in the electronic medical record (EMR).

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Caprini assessment utilization and impact on patient safety in gynecologic surgery

Cited by 3 publications

References 21 publications

Validation of a pulmonary embolism risk assessment model in gynecological inpatients

Validation of a pulmonary embolism risk assessment model in gynecological inpatients

Identification of key risk factors for venous thromboembolism in urological inpatients based on the Caprini scale and interpretable machine learning methods

Best Practices for Optimizing Patients Undergoing Surgical Procedures to Prevent Postoperative Venous Thromboembolism: A Quality Improvement Project

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