ArticleFrontiers in medicine2026
Single-center retrospective feasibility and implementation analysis of dynamic Caprini assessment-based graded nursing for in-hospital VTE risk management in a meniscoplasty-dominant arthroscopic meniscus surgery cohort.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To evaluate the feasibility and implementation outcomes of dynamic Caprini assessment-based graded nursing for in-hospital venous thromboembolism (VTE) risk management in a meniscoplasty-dominant arthroscopic meniscus surgery cohort. Methods: This single-center, retrospective, observational implementation analysis included 90 adult patients who underwent arthroscopic meniscus surgery between January 2024 and December 2025. Caprini assessments were completed at admission (T1), postoperative day 1 (T2), and discharge (T3), and nursing/prophylaxis delivery was assigned according to dynamic risk stratification. Feasibility endpoints included completion of serial assessments, risk-concordant prophylaxis delivery, documentation completeness, and discharge satisfaction. The primary clinical outcome was clinically detected in-hospital deep vein thrombosis (DVT), confirmed by symptom-triggered lower-extremity duplex ultrasonography; pulmonary embolism (PE) was assessed when clinically suspected. Results: Serial Caprini assessment and risk classification were completed in all 90 patients. Basic preventive nursing was delivered to 90/90 patients, mechanical prophylaxis to 73/73 T2 moderate/high-risk patients, and low-molecular-weight heparin (LMWH) to 26/26 T2 high-risk patients. The mean Caprini score increased from T1 (1.87 ± 1.11) to T2 (3.84 ± 1.34, Conclusion: Dynamic Caprini assessment-based graded nursing was feasible to implement within this single-center meniscoplasty-dominant cohort. The findings describe protocol delivery and clinically detected in-hospital outcomes only and do not establish causal efficacy or total perioperative DVT incidence.
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