Key result
Risk assessment models identify up to 20-fold variation in postoperative VTE risk among surgical patients.
Why the study?
Do risk assessment models accurately stratify postoperative VTE risk in surgical patients?
Do risk assessment models accurately stratify postoperative VTE risk in surgical patients?
Risk assessment models are useful for stratifying surgical patients to guide mechanical and pharmacological VTE prophylaxis.
May support individualized postoperative VTE prophylaxis; leaves open prospective validation of risk models.
Venous thromboembolism (VTE) is one of the most common and feared complications in surgical patients, and its prevention has been the subject of a Call to Action from the Surgeon General of the United States. Here, we review the literature on the use of risk assessment models for the stratification of surgical patients into risk groups to guide the administration of pharmacoprophylaxis. Despite some disagreement in the literature and among various guidelines, there is good evidence that risk stratification identifies a 7- to 20-fold variation in postoperative VTE risk among the overall surgical population, including patients at both low and high risk. This information is useful to providers who are making decisions about mechanical prophylaxis and pharmacoprophylaxis.
No takes yet. Share an insight, caveat, or question.
Jacobs et al. (2017) conducted a review in Venous thromboembolism. Risk assessment models was evaluated on Postoperative VTE risk. Risk assessment models identify a 7- to 20-fold variation in postoperative venous thromboembolism risk among the overall surgical population.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: