Validate Padua prediction score′s ability to predict the risk of venous thromboembolism in medical inpatients / 中国实用护理杂志

ABSTRACT

Objective To explore the Padua risk assessment model for the application of the prevention of VTE in medical inpatients. Methods A cross-sectional surgery research method was used. A total of 3 990 patients were interviewed of a hospital between June and August in 2017. The Padua assessment model was used to screen patients for VTE risk assessment. Results 3990 patients were interviewed, in which,a high VTE risk was found in 757 cases, accounting for 18.97%. The number and ratio of patients with high risk of VTE in Respiration department (158/32.18%), Endocrinology department (48/7.00%), Neurology department (91/20.31%), Nephrology department (102/18.58%), Gastroenterology epartment (41/8.63% ), Cardiology department (139/29.45% ), Hematology department (69/ 17.12% ) and Medical oncology department (109/23.40% ). Patients with high risk VTE in 11 risk factors were (246/32.5% ), (58/7.66% ), (531/70.15% ), (4/0.53% ), (92/12.15% ), (493/64.99% ), (74/9.78% ), (89/11.76% ), (131/17.31% ), (25/3.30% ), (72/9.51% ), two groups compare between age≥70 and <70 was statistically significant (χ2=952.20, P=0.00), two group compare between mobility and reduced mobility was statistically significant (χ2=1832.28, P=0.00). Conclusions Medical inpatients have a high risk of VTE, it is suggested that include VTE in clinical quality evaluation standard, establish an effective system of VTE risk management. The Padua risk assessment model has been easy to use. Some medical department should be special attention, and has been great significance to early screening and prevention.