Risk assessment of venous thromboembolism in emergency patients in Beijing
10.3760/cma.j.issn.1671-0282.2023.06.015
- VernacularTitle:北京地区急诊患者静脉血栓栓塞风险评估
- Author:
Mingying XU
1
;
Yuhong MI
;
Wei GU
;
Xinzhu LI
;
Dandan WANG
;
Zhiwei LIU
;
Xuan QI
;
Jianguo LI
Author Information
1. 首都医科大学附属北京安贞医院急诊危重症中心，北京 100029
- Keywords:
Venous thromboembolism;
Padua score;
Caprini score;
HAS-BLED Score;
Beijing;
Emergency Medicine Department
- From:
Chinese Journal of Emergency Medicine
2023;32(6):802-805
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the risk of venous thromboembolism (VTE) and anticoagulation-related bleeding of acute critical emergency patients staying in the emergency department at least 72 h, so as to improve the ability of emergency physicians to identify risk factors of VTE and their awareness of safety prevention in these patients.Methods:Multicenter emergency internal medicine patients meeting the inclusion criteria at the same time were collected. Padua and Caprini scores were used to evaluate the risk of VTE and the HAS-BLED score was used to assess the risk of anticoagulation-related bleeding.Results:A total of 930 emergency patients from 7 medical centers were enrolled in our study from January 15, 2021 to March 15, 2021. The proportion of high-risk population with VTE was 50.22% with Padua score and 78.49% with Caprini score, respectively. The proportion of high-risk bleeding (HAS-BLED score) was 40.43%.Conclusions:More than half of the acute critical ill patients who stay in emergency department for more than 72 h are at high risk of VTE. This group of patients have a relatively low risk of anticoagulation-related bleeding.
