Al-Ogaili Ahmed, Fuentes Harry E, Tafur Alfonso J, Caprini Joseph
Department of Internal Medicine, John H. Stroger Jr, Hospital of Cook County, Chicago, IL, USA -
Department of Internal Medicine, John H. Stroger Jr, Hospital of Cook County, Chicago, IL, USA.
Int Angiol. 2018 Aug;37(4):269-276. doi: 10.23736/S0392-9590.18.03982-2. Epub 2018 Apr 11.
Venous thromboembolism (VTE) is a major source of morbidity and mortality among patients diagnosed with cancer. In addition to an increased risk of VTE, patients with cancer are at higher risk of bleeding while receiving therapeutic anticoagulation. Aggressive and targeted thromboprophylaxis is a crucial practice to avoid the dreaded complications of VTE. Risk assessment models (RAM) are tools developed to identify high-risk patients in whom thromboprophylaxis is beneficial. This review describes the most validated VTE RAMs in patients with cancer.
静脉血栓栓塞症(VTE)是癌症确诊患者发病和死亡的主要原因。除了VTE风险增加外,癌症患者在接受治疗性抗凝时出血风险更高。积极且有针对性的血栓预防是避免VTE可怕并发症的关键措施。风险评估模型(RAM)是为识别血栓预防有益的高危患者而开发的工具。本综述描述了在癌症患者中最有效的VTE RAM。