Using the Caprini Risk Score to Increase VTE Awareness in the Community: The Know Your Score Project

Saadaldin, Hassan; Shetye, Prasad; Gavankar, Sanket; Laddu, Atul R.; Tafur, Alfonso; Caprini, Joseph A.

doi:10.1177/10760296221107020

Cited by 3 publications

(3 citation statements)

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“…These findings confirm and extend previous observations about VTE risk level and factors in the community. 7 Our results revealed that a total of 247 (26.6%) participants reported they had family blood clot history, and 130 (52.6%) participants were less than 40 years old. Family history is an important risk factor to predict VTE in those without a personal history of thrombosis having surgery.…”

Section: Discussionmentioning

confidence: 60%

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Using the Caprini Risk Score to Increase Awareness of Venous Thrombus Embolism in the Community: Know Your Score II

Huang,

Tariman,

Simonovich

et al. 2023

Clin Appl Thromb Hemost

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To assess individual participants’ baseline thrombosis risk calculated by Caprini Risk Score (CRS) before injury, illness, or hospitalization occur, to increase the awareness of venous thromboembolism (VTE) by viewing 2 short videos. A cross-sectional study was conducted online between August 2022 and January 2023 in the USA, UK, and India to assess the risk of thrombosis of individuals as a baseline. One nursing practitioner and 4 high school students were on the research team. Descriptive statistical methods were used in data analysis. A total of 928 usable completed questionnaires from 945 participants were analyzed. The mean CRS was 4.93 ± 3.175; 0 to 4 (N = 460, 49.6%), 5 to 8 (N = 394, 42.5%), and 9 (N = 74: 8.0%). History of blood clots (N = 247, 26.6%), <40 years old (N = 133, 52.6%); women on oral contraceptives (N = 324, 34.9%), history of smoking (30%), diabetes (26%), and inflammatory bowel disease (IBD; 17.3%). Top-level findings: High incidence of family history of thrombosis (26.6%), smoking, diabetes, contraceptives, and IBD. The average CRS (7.9) in patients over 75 years indicates that even a minor surgical procedure may be associated with significant VTE risk. We achieved an important goal by increasing awareness of VTE using this unique method involving high school students and a nurse working with friends and families to complete the CRS assessment. Encouraging the respondents to share information with their personal physicians prior to the event and keep these data in their medical file is a potential valuable source of saving time. This study emphasizes the importance of individuals collecting baseline information prior to illness or hospitalization.

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Section: Discussionmentioning

confidence: 60%

“…Important variables collected ahead of time, including family history of thrombosis, can result in a better estimation of a patient's risk and be very valuable to the treating physician in managing the patient. Previous research has demonstrated the value of gathering this information prior to getting ill. 7 …”

Section: Introductionmentioning

confidence: 99%

Using the Caprini Risk Score to Increase Awareness of Venous Thrombus Embolism in the Community: Know Your Score II

Huang,

Tariman,

Simonovich

et al. 2023

Clin Appl Thromb Hemost

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“…[ 60 ] The Caprini Risk Score is a comprehensive list of 41 thrombosis risk factors validated in >5 million patients. [ 61 ] It is the most widely used and validated RAM for surgical patients. [ 40 , 41 , 43 ] A retrospective study on arthroplasty patients reported that Caprini RAM provides an effective, consistent, and accurate method of VTE risk stratification in these surgical patients.…”

Section: Rams According To Underlying Conditionmentioning

confidence: 99%

A review of venous thromboembolism risk assessment models for different patient populations: What we know and don’t!

Mehta

Bhave

2023

Medicine

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Venous thromboembolism (VTE) is a common cause of morbidity and mortality in hospitalized patients. Globally, it is also the third leading vascular disease, after myocardial infarction and stroke. The incidence of VTE is reportedly higher in Western countries than in Asian countries. However, recent reports suggest an increasing incidence of VTE in Asian countries, including India. Since VTE is largely a preventable disease, early identification of risk factors can lead to disease prevention or the adoption of appropriate prophylactic measures. To this end, several VTE risk assessment models (RAMs) have been developed and validated for different populations who are at risk of developing VTE, such as hospitalized patients with medical illness/surgical indication, patients with cancer, and pregnant women. Evidence indicates that the systematic use of RAMs improves prophylaxis rates and lowers the burden of VTE. Given the increasing burden of VTE in the Indian population and poor prophylaxis rates, the implementation of systematic RAMs in routine clinical practice might ameliorate the disease burden in the country. We have assessed the evidence-based utilities of available RAMs and have delineated the most common and suitable RAMs for different populations including coronavirus disease 2019 affected patients. This review depicts the current status of implementation and validation of RAMs in the Indian scenario. It also highlights the need for additional validation studies, improved awareness, and implementation of RAMs in clinical practice for lowering the burden of VTE.

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