Assessing the Risk and Incident of Deep Vein Thrombosis in ICU Trauma Patients, Ramathibodi Hospital using Caprini Score
Article Sidebar
Main Article Content
Abstract
This prospective observational study aimed to determine the incidence of deep vein thrombosis (DVT), assess the validity and reliability of Caprini Risk Assessment Model (RAM) and classify the DVT prophylaxis relative to degrees of DVT risk. The Caprini RAM was translated to Thai by the researchers. All patients, who were admitted in ICU trauma during data collection period, were scored independently by two nurses (on duty nurse and the researcher) using the Caprini RAM. Data were analyzed using descriptive statistics and Cohen’s Kappa coefficient.
The results of this study consisting of 101 patients revealed that the Kappa coefficient of the Caprini RAM was .665. The incidence of venous thromboembolism (VTE) was found in 4 patients (3.96%), of which two patients (1.98%) experienced DVT and pulmonary embolism (PE) and the other two patients (1.98%) faced only PE. The patients who developed DVT had the Caprini RAM score of 11 points or more. Therefore, Caprini RAM-Thai version was quite accurate confirmed by its validity and reliability. Nurses can use the Caprini RAM to assess DVT risk of the patients. In addition, the risk level should be re-assigned in order to provide appropriate prophylaxis.
Article Details
References
2. Boddi M, Peris A. Deep vein thrombosis in intensive care. Adv Exp Med Biol. 2017;906:167-81.
3. Minet C, Potton L, Bonadona A, et al. Venous thrombo embolism in ICU: main characteristics, diagnosis and thromboprophylaxis. Crit Care. 2015;19(1):287.
4. Ejaz A, Ahmed MM, Tasleem A, et al. Thromboprophylaxis in Intensive Care Unit Patients: A Literature Review. Cureus. 2018;10(9):e3341.
5. Boonyawat K, Crowther MA. Venous thromboembolism prophylaxis in critically ill patients. Semin Thromb Hemost. 2015;41(1):68-74.
6. Supparerk P, Monravee T, Suvit S, et al. Incidence and associated factors of deep vein thrombosis in Thai surgical ICU patients without chemoprophylaxis: One Year Study. J Med
Assoc Thai. 2015;98(5):472-8.
7. Chibbaro S, Cebula H, Todeschi J, et al. Evolution of prophylaxis protocols for venous thromboembolism in neurosurgery: results from a prospective comparative study on low
molecular-weight heparin, elastic stockings, and intermittent pneumatic compression devices. World Neurosurg. 2018;109:e510-16.
8. Scolaro JA, Taylor RM, Wigner NA. Venous thromboembolism in orthopedic trauma. J Am Acad Orthop Surg. 2015;23(1):1-6.
9. Nunno A, Li Y, Pieters TA, et al. Risk factors and associated complications of symptomatic venous thromboembolism in patients with craniotomy for meningioma. World Neurosurg.
2019;122:e1505-10.
10. Ganau M, Prisco L, Cebula H, et al. Risk of deep vein thrombosis in neurosurgery: state of the art on prophylaxis protocols and best clinical practices. J Clin Neurosci. 2017;45:60-6.
11. Sermsathanasawaddi N, Thongrod R, yakira K, et al. Prevalence of perioperative asymptomatic proximal deep vein thrombosis in Thai gynaecologic cancer patients. J Med Assoc
Thai. 2014;97(2):153-8.
12. Bauersachs RM. Clinical presentation of deep vein thrombosis and pulmonary embolism. Best Pract Res Clin Haematol. 2012;25(3):243-51.
13. Jeraq M, Cote DJ, Smith TR. Venous thromboembolism in brain tumor patients. Adv Exp Med Biol. 2017;906:215-28.
14. Caprini JA. Thrombosis Risk Assessment as a Guide to Quality Patient Care. Dis Mon. 2005;51(2-3):70-8.
15. Marauyad Y, Pranee S. Sampling for research [Internet]. 2018 [cited 2019 Aug 20]. Available from: http://www.fsh.mi.th/km/wp-content/uploads/2014/04/resch.pdf. Thai.
16. Pannucci CJ, Bailey SH, Dreszer G, et al. Validation of Caprini risk assessment model in plastic and reconstructive surgery patients. J Am Coll Surg. 2011; 212(1):105-12.
17. Pasunun P. Evaluation of inter-rater reliability using Kappa statistics. J Faculty Applied Art. 2015; 8(1):2-20. Thai.
18. Champon W, Kidakorn K, Suthas H, et al. Deep venous thrombosis in surgical intensive care unit: prevalence and risk factors. Asian J Surg. 2009;32(2):85–8.
19. Obi AT, Pannucci CJ, Nackashi Andrew, et al. Validation of the Caprini Venous Thromboembolism Risk Assessment Model in Critically Ill Surgical patients. JAMA Surg.
2015;150(10):941-8.
20. Bahl V, Hu HM, Henke PK, Wakefield TW, Campbell DA, Caprini JA. A validation study of retrospective venous thromboembolism risk scoring method. Ann Surg. 2010; 251(2):344-50.
