RISK ASSESSMENT FOR VTE: ALL ARE NOT EQUAL
Journal Title: IJSR-International Journal Of Scientific Research - Year 2019, Vol 8, Issue 5
Abstract
Venous Thromboembolism [VTE] risk assessment has become common in most hospitals. However, the comparison of effectiveness between quantitative and qualitative risk assessments is sparse in the literature. We performed a comparative analysis between a quantitative and qualitative assessment in 146 consecutive adult trauma patients. Of the 146 patients enrolled, 64 of whom had no contraindications to VTE prophylaxis, 99 were men and 47 were women. Mean population age was 52.3 years and mean injury severity score [ISS] was 20.0 (+ 9.9). ISS did not correlate with VTE risk. Elderly patients were found to be at higher risk for development of VTE. The non-quantitative risk assessment assigned 38 low risk, 80 moderate risk and 28 high risk patients. Each grouping was re-evaluated to provide a mean quantitative risk for each category of the non-quantitative assessment: 1.5 points for low risk, 3 points for moderate risk, and 3.96 for high risk. Based on recommended guidelines of the quantitative risk score, adequacy of VTE prophylaxis was assessed for each non-quantitative category: 72.2% for low risk, 64.7% for moderate risk and 58.3% for high risk. After re-evaluating all patients using the quantitative risk score, adequacy of VTE prophylaxis was assessed again: 100% for low risk, 83% for moderate risk, 74% for high risk, and 29% for very high risk. We found that the qualitative assessment tended to underscore the risk and therefore resulted in an under-treatment of the highest risk patients. Our data shows that quantitative assessment is superior to qualitative risk assessment.
Authors and Affiliations
Krishna Akella, Akella Chendrasekhar*
Keywords
Related Articles
- EP ID EP580919
- DOI -
- Views 57
- Downloads 0
CHROMOHYSTEROSCOPY ROLE IN EVALUATION OF INTRAUTERINE CAVITY LESIONS IN PERIMENOPAUSAL WOMEN OF AUB
Aim: To evaluate the role of chromohysteroscopy in detection of intracavitary lesions in perimenopausal women with abnormal uterine bleeding. Methods: This was a prospective study conducted in 100 perimenopausal women wi...
ROLE OF EXTRINSIC MUSCLE INVOLVEMENT IN TONGUE CANCER: WORSE OR NOT- A REVIEW
AJCC 8th edition recently exclude the extrinsic muscle invasion (EMI) from the T staging including depth as the only criteria up to T3 stage. We review the prognostic and predictive role of EMI and found it to be an impo...
ORTHOKERATINIZED ODONTOGENIC CYST MIMICKING AS DENTIGEROUS CYST - CASE REPORT
Orthokeratinized Odontogenic Cyst (OOC) is an uncommon developmental odontogenic cyst which exhibits peculiar clinical and pathological aspects in comparison with other developmental odontogenic cysts like Dentigerous cy...
THE ROLE OF OPTICAL INTERNAL URETHROTOMY AT PRESENT SCENARIO
BACKGROUND Urethral stricture Is a relatively common urological disorder which every urologist encounters in his regular urological practice. They pose a significant Problem from both clinical and economic point of view....
EVALUATION OF THE CO-RELATION BETWEEN THE VERTICAL DIMENSION OF OCCLUSION AND THE LENGTH OF THE RIGHT-HAND PALM- AN ANTHROPOMETRIC STUDY
CONTEXT: The accurate determination of vertical jaw relation is extremely important for successfully achieving comfort, function and esthetics for an edentulous patient. AIM: The aim of this study was to find a correlati...