使用血栓栓塞风险评分来改善外科手术患者的血栓预防。
Use of a thromboembolic risk score to improve thromboprophylaxis in surgical patients.
作者信息
Harinath G, St John P H
机构信息
Llandough Hospital, Penarth, South Glamorgan.
出版信息
Ann R Coll Surg Engl. 1998 Sep;80(5):347-9.
Two hundred admissions to a general surgical ward were audited prospectively before and after the introduction of a thromboembolic risk score. This was based on the Thromboembolic Risk Factors (THRIFT) Consensus Group guidelines for thrombo-prophylaxis. The results showed an overall improvement in compliance from 65% to 79%. High risk patients formed 24% of the patients studied. In this group, compliance improved significantly from 14% to 58%. The overall prevalence of important thromboembolic risk factors was calculated. Of the patients, 26.5% had a Body Mass Index (BMI) of > 25, and 10% gave a past or family history of thromboembolism. Of female patients, 24% were taking oestrogens. We conclude that quantitative assessment of all patients for thromboembolic risk can improve the implementation of thromboprophylaxis, particularly in high risk patients.
在引入血栓栓塞风险评分前后，对普外科病房的200例入院患者进行了前瞻性审核。该评分基于血栓栓塞风险因素（THRIFT）共识小组的血栓预防指南。结果显示，总体依从性从65%提高到了79%。高风险患者占所研究患者的24%。在这组患者中，依从性从14%显著提高到了58%。计算了重要血栓栓塞风险因素的总体患病率。在患者中，26.5%的体重指数（BMI）>25，10%有血栓栓塞的既往史或家族史。女性患者中，24%正在服用雌激素。我们得出结论，对所有患者进行血栓栓塞风险的定量评估可以改善血栓预防措施的实施，尤其是在高风险患者中。
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