1 Department of Orthopaedic Surgery, Syosset Hospital, Syosset, NY, USA.
2 Emeritus, NorthShore University HealthSystem, Evanston, IL, USA.
Clin Appl Thromb Hemost. 2019 Jan-Dec;25:1076029619838052. doi: 10.1177/1076029619838052.
The Caprini risk assessment model (RAM) has been validated in over 250 000 patients in more than 100 clinical trials worldwide. Ultimately, appropriate treatment options are dependent on precise completion of the Caprini RAM. As the numerical score increases, the clinical venous thromboembolism rate rises exponentially in every patient group where it has been properly tested. The 2013 Caprini RAM was completed by specially trained medical students via review of the presurgical assessment history, medical clearances, and medical consults. The Caprini RAM was completed for every participant both preoperatively and predischarge to ensure that any changes in the patient's postoperative course were captured by the tool. This process led to the development of completion guidelines to ensure consistency and accuracy of scoring. The 2013 Caprini scoring system provides a consistent, thorough, and efficacious method for risk stratification and selection of prophylaxis for the prevention of venous thrombosis.
卡普里风险评估模型 (RAM) 在全球超过 100 项临床试验中的 25 万多名患者中得到了验证。最终，适当的治疗选择取决于对卡普里 RAM 的准确完成。随着数值评分的增加，在每个经过适当测试的患者群体中，临床静脉血栓栓塞的发生率呈指数级上升。2013 年卡普里 RAM 通过专门培训的医学生对术前评估史、医疗许可和医疗咨询的审查来完成。卡普里 RAM 对每个参与者都在术前和出院前完成，以确保工具捕捉到患者术后过程中的任何变化。这一过程导致了完成指南的制定，以确保评分的一致性和准确性。2013 年卡普里评分系统为风险分层和预防血栓形成的预防选择提供了一种一致、全面和有效的方法。
