Evidence map›Paper›PMID 29540637›Full record

ArticleJournal of atherosclerosis and thrombosis2018

Assessment of the Risk of Venous Thromboembolism in Medical Inpatients using the Padua Prediction Score and Caprini Risk Assessment Model.

Haixia Zhou, Yuehong Hu, Xiaoqian Li, Lan Wang, Maoyun Wang, Jun Xiao, Qun Yi

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 5 pooled it
8.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 5 syntheses or guidelines pooled it, 119 citations in OpenAlex.

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  7. Risk Assessment in Chinese Hospitalized Patients Comparing the Padua and Caprini Scoring Algorithms.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis · 2018
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13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Haixia ZhouDepartment of Respiratory and Critical Medicine, West China Hospital, Sichuan University.
Yuehong HuDepartment of Respiratory and Critical Medicine, West China Hospital, Sichuan University.
Xiaoqian LiDepartment of Respiratory and Critical Medicine, West China Hospital, Sichuan University.
Lan WangDepartment of Respiratory and Critical Medicine, West China Hospital, Sichuan University.
Maoyun WangDepartment of Respiratory and Critical Medicine, West China Hospital, Sichuan University.
Jun XiaoIntensive Care Unit, West China Hospital, Sichuan University.
Qun YiDepartment of Respiratory and Critical Medicine, West China Hospital, Sichuan University.
West China Hospital of Sichuan University · CNSichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe optimal risk assessment model (RAM) to stratify the risk of venous thromboembolism (VTE) in medical inpatients is not known. We examined and compared how well the Padua Prediction Score (PPS) and the Caprini RAM stratify VTE risk in medical inpatients.

methodsWe undertook a retrospective case-control study among medical inpatients admitted to a large general hospital in China during a 4-year period. In total, 902 cases were confirmed to have VTE during hospitalization and 902 controls were selected randomly to match cases by medical service.

resultsThe VTE risk increased significantly with an increase of the cumulative PPS or Caprini RAM score. A PPS and Caprini RAM "high risk" classification was, respectively, associated with a 5.01-fold and 4.10-fold increased VTE risk. However, the Caprini RAM could identify 84.3% of the VTE cases to receive prophylaxis according to American College of Chest Physicians guidelines, whereas the PPS could only identify 49.1% of the VTE cases. In the medical inpatients studied, five risk factors seen more frequently in VTE cases than in controls in the Caprini RAM were not included in the PPS. The Caprini RAM risk levels were linked almost perfectly to in-hospital and 6-month mortality.

conclusionsBoth the PPS and Caprini RAM can be used to stratify the VTE risk in medical inpatients effectively, but the Caprini RAM may be considered as the first choice in a general hospital because of its incorporation of comprehensive risk factors, higher sensitivity to identify patients who may benefit from prophylaxis, and potential for prediction of mortality.

Indexed as

Models, TheoreticalCase-Control StudiesChinaFemaleFollow-Up StudiesHospitalizationHumansInpatientsMaleMiddle AgedPrognosisRetrospective StudiesRisk AssessmentVenous ThromboembolismCaprini risk assessment modelMedical inpatientsMortalityPadua Prediction ScoreVenous thromboembolism

Identifiers

PMID29540637
PMCPMC6224205
OpenAlexW2793111061

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.