The Caprini risk assessment model predicted deep vein thrombosis with an area under the curve of 0.701 in patients undergoing laparoscopic colorectal cancer surgery.
Cohort (n=148)
No
Does the Caprini risk assessment model predict deep vein thrombosis in patients undergoing laparoscopic surgery for colorectal cancer?
The Caprini risk assessment model is a valid tool for predicting venous thromboembolism in patients undergoing laparoscopic colorectal cancer surgery.
p-value: p=<.001
ABSTRACT: Application of the Caprini risk assessment model was explored in patients with deep vein thrombosis (DVT) after laparoscopic colorectal cancer surgery.This study was a prospective study. The risk factors for DVT were assessed with a survey at baseline and on the morning of surgery, first day after surgery and sixth day by using repeated blood vessels on color Doppler ultrasound of the lower limbs, and the intraoperative and postoperative conditions were recorded.Among 148 surgical patients, 24.3% had asymptomatic DVT. According to the risk stratification, the incidence of DVT was related to the Caprini score (P < .001). The area under the curve of the Caprini model was 0.701 ± 0.047 (95% CI: 0.609-0.793, P<.001). The Youden index was 0.368, while the critical point was 10.5 in the Caprini model, corresponding to a sensitivity of 0.806 and a specificity of 0.563. Age, cardiovascular disease, intraoperative blood loss, postoperative fever, preoperative preparation, and hospital stay were higher in DVT patients than in patients without DVT. Moreover, the incidence of DVT in patients with a lithotomy position was higher than that in patients with a scissors position. In binary logistic regression analysis, the independent risk factors for DVT development were age, intraoperative blood loss, and preoperative preparation time.The Caprini model can be used for the prediction of venous thromboembolism in laparoscopic colorectal cancer surgery patients. The thrombosis risk assessment model must be established in line with patients undergoing endoscopic malignant tumor surgery.
Lu et al. (Fri,) conducted a cohort in Deep vein thrombosis in laparoscopic colorectal cancer surgery (n=148). Caprini risk assessment model was evaluated on Area under the curve (AUC) for predicting deep vein thrombosis (95% CI 0.609-0.793, p=<.001). The Caprini risk assessment model predicted deep vein thrombosis with an area under the curve of 0.701 in patients undergoing laparoscopic colorectal cancer surgery.
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