创伤患者静脉血栓栓塞症风险预测评估工具的比较
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女,硕士,主管护师

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华中科技大学同济医学院附属同济医院科研基金资助项目(2018C22)


Comparison of risk prediction and assessment tools for venous thromboembolism in trauma patients
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    目的 比较静脉血栓形成危险度评分(RAPT)、创伤血栓评分系统(TESS)、AUTAR血栓风险评估表(AUTAR)、Caprini风险评估模型(Caprini)四种评估工具对创伤患者深静脉血栓形成的预测价值,为临床科学选用静脉血栓栓塞症风险预测评估工具提供参考。方法 便利选取318例住院创伤患者,应用RAPT、TESS、AUTAR、Caprini四种评估工具对患者进行连续性评估,计算各评分表的最佳临界值、灵敏度、特异度、预测值和ROC曲线下面积。结果 RAPT、TESS、AUTAR、Caprini四种评估工具的ROC曲线下面积分别为0.849、0.860、0.653、0.578;最佳临界值分别为11.5、6.5、15.5、9.5分;灵敏度分别为88.7%、84.9%、57.7%、65.1%;特异度分别为70.3%、74.1%、75.5%、47.2%。结论 RAPT、TESS、AUTAR、Caprini评估工具均能在一定程度上预测创伤患者深静脉血栓发生风险,其中TESS用于创伤患者的预测效力较为理想。

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    Objective To compare the predictive value of Risk Assessment Profile for Thromboembolism (RAPT), Trauma Embolic Scoring System (TESS), Autar Deep Vein Thrombosis Risk Assessment Scale (AUTAR) and Caprini Risk Assessment Model (Caprini) for deep vein thrombosis in trauma patients, to provide a reference for the clinical scientific selection of venous throm-boembolism (VTE) risk prediction and assessment tools.Methods A total of 318 hospitalized trauma patients were conveniently selected and assessed continuously using the RAPT, TESS, AUTAR, and Caprini Risk Assessment Model.The optimal critical va-lues, sensitivity, specificity, predictive values, and areas under the Receiver Operating Characteristic (ROC) curve were calculated for each tools.Results The areas under the ROC curve of RAPT, TESS, AUTAR and Caprini were 0.849, 0.860, 0.653 and 0.578, respectively; the optimal critical values were 11.5, 6.5, 15.5, and 9.5 points, respectively; the sensitivities were 88.7%, 84.9%, 57.7%, and 65.1%, respectively; and the specificities were 70.3%, 74.1%, 75.5%, and 47.2%, respectively.Conclusion The RAPT, TESS, AUTAR, and Caprini can predict the risk of deep vein thrombosis in trauma patients to a certain extent, among which the TESS risk assessment model demonstrates superior predictive performance for trauma patients.

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朱利思,汤曼力,谭杰,胡露红,肖欢,张严丽.创伤患者静脉血栓栓塞症风险预测评估工具的比较[J].护理学杂志,2025,(13):37-41

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  • 收稿日期:2025-01-08
  • 最后修改日期:2025-03-29
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  • 在线发布日期: 2025-07-31