Key result
EMR integration of the Caprini risk model linked to ~63% more appropriate perioperative VTE chemoprophylaxis.
Why the study?
Appropriate perioperative VTE chemoprophylaxis in patients undergoing major elective nononcologic gynecologic surgery was suboptimal and needed improvement.
Does integration of the Caprini risk-assessment model into the electronic medical record improve appropriate perioperative VTE chemoprophylaxis in patients undergoing major elective nononcologic gynecologic surgery?
Cohort (n=166)
Does integration of the Caprini risk-assessment model into the electronic medical record improve appropriate perioperative VTE chemoprophylaxis in patients undergoing major elective nononcologic gynecologic surgery?
Absolute Event Rate: 47% vs 28.9%
p-value: p=0.016
Integrating the Caprini risk-assessment model into the EMR significantly improves the appropriate use of perioperative VTE chemoprophylaxis in nononcologic gynecologic surgery.
May support EMR integration of Caprini-RAM to raise appropriate VTE prophylaxis rates; leaves open impact on clinical events in nononcologic gynecologic surgery.
This quality-improvement retrospective cohort study of patients undergoing major elective nononcologic gynecologic surgery compares the proportion of patients receiving appropriate perioperative venous thromboembolism (VTE) chemoprophylaxis before and after a novel integration of the Caprini risk-assessment model (RAM) into the electronic medical record (EMR). A sample size of 83 patients in each group (166 total) was calculated to provide 80% power and show a 20% increase in appropriate administration of VTE prophylaxis, with an alpha of 0.05. Heparin was appropriately used in 24 patients (28.9%) in the pre-Caprini-RAM group and 39 patients (47.0%) in the post-Caprini-RAM group ( P =.016). There were no differences in bleeding events, transfusions, or other secondary outcomes. Integrating the Caprini-RAM into an EMR for patients undergoing nononcologic gynecologic surgery significantly improved appropriate use of VTE chemoprophylaxis.
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Akella et al. (2023) conducted a cohort in Major elective nononcologic gynecologic surgery (n=166). Caprini risk-assessment model (RAM) integration into the EMR vs. Pre-Caprini-RAM integration was evaluated on Appropriate perioperative venous thromboembolism (VTE) chemoprophylaxis (p=0.016). Integrating the Caprini risk-assessment model into the electronic medical record increased appropriate perioperative VTE chemoprophylaxis from 28.9% to 47.0% (P=0.016).
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