Evidence map›Paper›PMID 39805938›Full record

ArticleScientific reports2025

Caprini score combined with thrombotic molecular markers for predicting DVT in patients with traumatic fractures.

Zhengsheng Wu, Yaoqiang Du, Xiaofeng Cai, Qian Xu

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Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Zhengsheng Wu *Laboratory Medicine Center, Department of Transfusion Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, No.158 Shangtang Road, Hangzhou, 310014, Zhejiang, China.
Yaoqiang Du *Laboratory Medicine Center, Department of Transfusion Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, No.158 Shangtang Road, Hangzhou, 310014, Zhejiang, China.
Xiaofeng CaiCenter for Rehabilitation Medicine, Department of Neurology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.
Qian XuLaboratory Medicine Center, Department of Transfusion Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, No.158 Shangtang Road, Hangzhou, 310014, Zhejiang, China. gotothepark@163.com.

Funding

National Natural Science Foundation of China 82202605Zhejiang Provincial Medical and Health Science and Technology Project of China 2024KY020Zhejiang Provincial Medical and Health Science and Technology Project of China 2024KY637Zhejiang Provincial Medical and Health Science and Technology Project of China 2025KY583Zhejiang Traditional Chinese Medicine Science and Technology Program 2023ZL259Zhejiang Traditional Chinese Medicine Science and Technology Program 2025ZL184
6 · The paper itself

Abstract

Deep vein thrombosis (DVT) is one of the important factors leading to death in patients undergoing fracture surgery. This study aims to investigating the predictive value of the Caprini score combined with thrombus molecular markers for the risk of DVT in patients after traumatic fracture surgery. A total of 342 patients who underwent surgery for traumatic fractures were included in the study. The patients were divided into two groups based on the occurrence of DVT after surgery: the DVT group (n = 57) and the non-DVT group (n = 285). A univariate analysis and logistic regression analysis were conducted on clinical factors and laboratory indicators that might be associated with DVT in patients with traumatic fractures. A predictive model for DVT risk was then constructed by combining thrombus molecular markers with the Caprini score. The median age of all patients was 65 years (54-75 years), the postoperative Caprini score was 9 (6-11), and the length of hospital stay was 11 days (8-16 days). In univariate analysis, age (P = 0.029), postoperative Caprini score (P < 0.001), and length of hospital stay (P = 0.009) were significantly associated with the occurrence of DVT. Logistic regression analysis showed that the risk of developing DVT increased with higher postoperative Caprini scores (P < 0.001), longer hospital stays (P = 0.024), and higher PIC levels (P = 0.046). Among these, the postoperative Caprini score was the most effective factor for diagnosing DVT, with an area under the curve (AUC) of 0.814 (P < 0.001) and a diagnostic cutoff of 11 points. The overall diagnostic efficacy of individual thrombus molecular markers from highest to lowest was TM, DD, PIC, t-PAIC, and TAT, with all except TAT showing statistical significance. The combined diagnostic efficacy of the postoperative Caprini score and PIC also showed statistical significance (AUC = 0.869, P < 0.001). Thrombus molecular markers combined with the postoperative Caprini score have potential predictive value for the risk of DVT in patients after traumatic fracture surgery.

Indexed as

Fractures, BoneVenous ThrombosisAgedBiomarkersFemaleHumansLength of StayLogistic ModelsMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk FactorsROC CurveBiomarkersCaprini scoreDVTThrombotic molecular markersTraumatic fracture

Identifiers

PMID39805938
PMCPMC11730296

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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.