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January 1, 2017Thrombosis and Haemostasis

Risk assessment models for venous thromboembolism in acutely ill medical patients

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Why the study?

Which risk assessment model (RAM) should be routinely used to identify acutely ill medical patients requiring VTE thromboprophylaxis?

Population

11 studies assessing acutely ill medical patients

Design

Systematic_review

Authors

ASAnna K. StuckCleveland ClinicDSDavid SpirkUniversity of BernJSJil Schaudt

Discussion

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Overview

No RAM is clearly superior for VTE risk stratification in medical inpatients; leaves open the optimal tool for routine thromboprophylaxis decisions.

Structured PICO

Which risk assessment model (RAM) should be routinely used to identify acutely ill medical patients requiring VTE thromboprophylaxis?

P
Population
11 studies assessing acutely ill medical patients
I
Intervention
Risk assessment models (RAMs) for venous thromboembolism (VTE) including 4-Element RAM, Caprini RAM, full logistic model, Geneva risk score, IMPROVE-RAM, Kucher Model, Multivariable Model, and Padua Prediction Score
O
Outcome
Validity and applicability for clinical decision-making (rates of thromboprophylaxis or clinical outcomes)

Implementing validated VTE risk assessment models like the Kucher Model, Padua Prediction Score, or Geneva Risk Score may improve the adequacy of thromboprophylaxis in acutely ill medical patients.

Cite This Study

Stuck et al. (2017) studied this question.

synapsesocial.com/papers/6a701ff7660549caf2c4af73https://doi.org/10.1160/th16-08-0631
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