Risk Assessment in Chinese Hospitalized Patients Comparing the Padua and Caprini Scoring Algorithms

作者：Xiaolan Chen, Lei Pan, Hui Deng, Jingyuan Zhang, Xinjie Tong, He Huang, Min Zhang, Jianlin He, Joseph A. Caprini, Yong Wang · 发表于：Clinical and Applied Thrombosis/Hemostasis · 年份：2018 · DOI：10.1177/1076029618797465 · 被引用次数：45 · 研究领域：Venous Thromboembolism Diagnosis and Management、Central Venous Catheters and Hemodialysis、Acute Myocardial Infarction Research

The current venous thromboembolism (VTE) guidelines recommend all patients to be assessed for the risk of VTE using risk assessment models (RAMs). The study was to evaluate the performance of the Caprini and Padua RAMs among Chinese hospitalized patients. We reviewed data from 189 patients with deep venous thrombosis (DVT) and 201 non-DVT patients. Deep venous thrombosis risk factors were obtained from all patients. The sensitivity and specificity of the Caprini and Padua scores for all patients were calculated. The receiver operating curve (ROC) and the area under the ROC curve (AUC) were used to evaluate the performance of each score. We documented that age, acute infection, prothrombin time (PT), D-dimer, erythrocyte sedimentation rate, blood platelets, and anticoagulation were significantly associated with the occurrence of DVT ( P < .05). These results were true for all medical and surgical patients group (G1), as well as the analysis of medical versus surgical patients (G2). Finally, analysis of the scores in patients with and without cancer was also done (G3). The Caprini has a higher sensitivity but a lower specificity than the Padua ( P < .05). Caprini has a better predictive ability for the first 2 groups ( P < .05). We found Caprini and Padua scores have a similar predictive value for patients with cancer ( P > .05), while Caprini has a higher predictive ability for no cancer patients in G3 than Padua ( P < .05). For Chinese hospitalized patients, Caprini has a hig...