Tham Tristan, Costantino Peter
Department of Otolaryngology, New York Head and Neck Institute, Zucker School of Medicine at Hofstra Northwell, New York City, NY, USA.
J Perioper Pract. 2019 May;29(5):129-134. doi: 10.1177/1750458919826794. Epub 2019 Jan 23.
Our objective was to compare the venous thromboembolism outcomes in two of the most commonly utilised venous thromboembolism assessment tools, the Caprini system and the University of Michigan system, in a high risk head and neck surgery population. Currently, there is a lack of data reporting the validation of well known scoring systems in this patient population. Established risk factors for venous thromboembolism were included in the data collection process. We retrospectively evaluated all patients with the Caprini Risk Assessment and the University of Michigan Health System (UMHS) Scores. Out of all the risk factors, only length of surgery was found to be associated with venous thromboembolism. The mean Caprini scores in those with and without venous thromboembolism were 8.00 ± 3.00 and 6.86 ± 1.45, respectively. The mean UMHS scores in those with and without venous thromboembolism were 6.85 ± 1.28 and 6.54 ± 1.20, respectively. Both scoring systems were not found to be associated with venous thromboembolism.
我们的目标是在高风险头颈外科手术人群中，比较两种最常用的静脉血栓栓塞评估工具——卡普里尼系统和密歇根大学系统——的静脉血栓栓塞结局。目前，缺乏关于这一患者群体中知名评分系统验证情况的数据报告。在数据收集过程中纳入了既定的静脉血栓栓塞风险因素。我们对所有患者进行了卡普里尼风险评估和密歇根大学健康系统（UMHS）评分的回顾性评估。在所有风险因素中，仅手术时长被发现与静脉血栓栓塞有关。发生和未发生静脉血栓栓塞患者的卡普里尼评分均值分别为8.00±3.00和6.86±1.45。发生和未发生静脉血栓栓塞患者的UMHS评分均值分别为6.85±1.28和6.54±1.20。未发现这两种评分系统与静脉血栓栓塞有关。
