Evidence map›Paper›PMID 41668166›Full record

ArticleTrials2026

Development and evaluation of a clinical pharmacist-led full-course management model for venous thromboembolism prophylaxis in orthopedic trauma patients: study protocol for a randomized controlled trial.

Ruping Ni, Ping Huang, Zhaowen Gao, Dongli Lu, Linfang Huang, Huijuan Xie, Zhenghua Jiang, Zhaochun Wu

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Ruping Ni *Department of Clinical Pharmacy, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, Fujian Province, 353000, China.
Ping Huang *Department of Pharmacy Management, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, Fujian Province, 353000, China.
Zhaowen GaoDepartment of Orthopedic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, Fujian Province, 353000, China.
Dongli LuDepartment of Clinical Pharmacy, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, Fujian Province, 353000, China.
Linfang HuangDepartment of Clinical Pharmacy, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, Fujian Province, 353000, China.
Huijuan XieDepartment of Pharmacy Management, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, Fujian Province, 353000, China.
Zhenghua JiangDepartment of Clinical Pharmacy, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, Fujian Province, 353000, China. 798563491@qq.com.
Zhaochun WuDepartment of Clinical Pharmacy, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, Fujian Province, 353000, China. 53018640@qq.com.ORCID http://orcid.org/0000-0001-8093-496X

Funding

Natural Science Foundation of Fujian Province 2024J011600Startup Fund for scientific research, Fujian Medical University 2023QH1258
6 · The paper itself

Abstract

backgroundVenous thromboembolism (VTE) is a common and potentially fatal complication in orthopedic trauma patients, particularly following lower limb and hip-related fractures. While pharmacological prophylaxis is the cornerstone of prevention for patients at moderate to high risk, its use is a balance between efficacy and bleeding risk. Clinical pharmacists play an increasingly important role in optimizing pharmacotherapy, but evidence for the effectiveness of a comprehensive, pharmacist-led management model spanning both inpatient and outpatient care for VTE prophylaxis in this population is scarce.

methodsThis is a single-center, prospective, randomized controlled trial. One hundred seventy eligible orthopedic trauma patients at risk for VTE will be randomly allocated in a 1:1 ratio to either the intervention group or the control group. The intervention group will receive a pharmacist-led, full-course management model, which includes personalized VTE risk (Caprini score) and bleeding risk assessment, medication reconciliation, patient education, dosing optimization, adverse event monitoring, and structured follow-up via telephone at 21, 35, and 90 days post-discharge. The control group will receive standard medical care without this structured pharmacist intervention. The primary outcome is the incidence of symptomatic and asymptomatic VTE within 90 days post-surgery. Secondary outcomes include the incidence of major and clinically relevant non-major bleeding events, medication adherence (measured by Medication Possession Ratio). Data will be analyzed on an intention-to-treat basis. DISCUSSION: This randomized controlled trial aims to generate high-quality evidence on the effectiveness of a clinical pharmacist-led management model for improving outcomes in orthopedic trauma patients requiring VTE prophylaxis.

trial registrationThe study has been registered in the Chinese Clinical Trial Registry (retrospectively registered no. ChiCTR2500107932) on 21 August 2025, at https://www.chictr.org.cn/showproj?proj=279391 .

Indexed as

AnticoagulantsOrthopedic ProceduresPharmacistsVenous ThromboembolismHemorrhageHumansMedication AdherenceMedication ReconciliationPatient Education as TopicProfessional RoleProspective StudiesRandomized Controlled Trials as TopicRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeAnticoagulantsAnticoagulationClinical pharmacistOrthopedic traumaPharmaceutical careRandomized controlled trialVenous thromboembolismVTE

Identifiers

PMID41668166
PMCPMC13001261

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.