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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Characterization of Venous Thromboembolism Risk in Medical Inpatients Using Different Clinical Risk Assessment Models
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Characterization of Venous Thromboembolism Risk in Medical Inpatients Using Different Clinical Risk Assessment Models

机译:不同临床风险评估模型的医疗住院患者静脉血栓栓塞风险的表征

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Background: Symptomatic venous thromboembolism (VTE) occurs in about 1% of patients within 3 months after admission to a medical unit. Recent evidence for thromboprophylaxis in an unselected medical inpatient population has suggested only a modest net benefit. Consequently, guidelines recommend careful risk stratification to guide thromboprophylaxis. Objectives: To compare candidacy for thromboprophylaxis according to 4 risk stratification models: a regional preprinted order (PPO) set used in the study institution, the Padua Prediction Score, and the IMPROVE predictive and associative risk assessment models. Methods: A retrospective review of health records was undertaken for patients with no contraindication to pharmacologic thromboprophylaxis who were admitted to the internal medicine service of a teaching hospital between April and July 2013. Results: Of the 298 patients in the study cohort, 238 (80.0%) received pharmacologic thromboprophylaxis on admission, ordered according to the regional PPO.
机译:背景:在入场后3个月内患者症状静脉血栓栓塞(VTE)发生在约1%的患者中。最近未选择的医疗住院人口中血栓抑制性的证据表明只有一个适度的净利润。因此,指导方针建议仔细的风险分层引导血栓血管丙基。目标:根据4个风险分层模型比较致癌素的候选性:在研究机构,帕多瓦预测得分和改进预测和联合风险评估模型中使用的区域预印令(PPO)。方法:对健康记录的回顾性审查是针对2013年4月和7月至7月之间的教学医院内科服务的药物血栓前血管科学的患者进行了回顾性。结果:298名患者在研究队列,238(80.0 %)根据区域PPO接受预定的药理学血浆丙灭绝。

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