Treatise
Effect of different thrombus risk assessment tools in obstetric inpatients
Zhang Yifeng, Wang Xiaoya, Kong Wenwen, Zhao Xiaoran, Huang Zhenrong
Published 2023-03-21
Cite as Chin J Prac Nurs, 2023, 39(9): 670-675. DOI: 10.3760/cma.j.cn211501-20220217-00427
Abstract
ObjectiveTo compare the application value of Caprini thrombosis risk assessment scale and Shanghai venous thrombosis risk factor scale in predicting venous thromboembolism in hospitalized maternal patients.
MethodsThis was a case-control study. A total of 67 pregnant women complicated with venous thromboembolism in the Obstetrics Department of Shandong Provincial Hospital Affiliated to Shandong First Medical University from January 2010 to September 2021 were retrospectively analyzed. And 144 pregnant women without venous thromboembolism in the same period were selected. Two venous thrombosis risk assessment tools were used to evaluate the pregnant women, and the predictive effectiveness and accuracy of the two assessment tools were compared.
ResultsThe effects of the two risk assessment tools for venous thrombosis were different before and after delivery with statistical difference (Z=8.15, 5.97, both P<0.01), but the Shanghai venous thrombosis risk factor scale (83.9%, 67.3%) was superior to Caprini thrombosis risk assessment scale (52.1%, 45.0%) in the accuracy of prenatal and postnatal prediction. The area under receiver operating characteristic curve showed that the Shanghai venous thrombosis risk factor rating scale (0.863) was significantly superior to the Caprini thrombosis risk assessment scale (0.748) after delivery.
ConclusionsThe Shanghai venous thrombosis risk factor scale is more valuable than the Caprini thrombosis risk assessment scale in the early risk identification of venous thromboembolism in pregnant women.
Key words:
Venous thromboembolism; Risk assessment; Forecasting; Maternal
Contributor Information
Zhang Yifeng
Department of Obstetrics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
Wang Xiaoya
Department of Obstetrics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
Kong Wenwen
Department of Obstetrics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
Zhao Xiaoran
Department of Obstetrics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
Huang Zhenrong
Department of Obstetrics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China