|
|
Line 80: |
Line 80: |
| |- | | |- |
| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |5-10|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |7.2% | | | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |5-10|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |7.2% |
| |}
| |
|
| |
| ==IMPROVE-DD score for VTE risk stratification==
| |
| IMPROVEDD [[Venous thromboembolism|VTE]] risk score assesses the risk of VTE among hospitalized medical patients. While the IMPROVE predictive score includes 4 independent risk factors for VTE which are present at admission, IMPROVE associative score includes 7 variables present either at admission or during hospitalization; however the timing of the presence of some of the factors compared to the onset of VTE is not available.<ref name="pmid21436241">{{cite journal| author=Spyropoulos AC, Anderson FA, Fitzgerald G, Decousus H, Pini M, Chong BH et al.| title=Predictive and associative models to identify hospitalized medical patients at risk for VTE. | journal=Chest | year= 2011 | volume= 140 | issue= 3 | pages= 706-14 | pmid=21436241 | doi=10.1378/chest.10-1944 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21436241 }} </ref>
| |
|
| |
| ===Calculation of the IMPROVE Associative Score===
| |
| {| style="cellpadding=0; cellspacing= 0; width: 600px;"
| |
| |-
| |
| | style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align="center" | '''Variable'''|| style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align="center" | '''Score'''<ref name="pmid21436241">{{cite journal| author=Spyropoulos AC, Anderson FA, Fitzgerald G, Decousus H, Pini M, Chong BH et al.| title=Predictive and associative models to identify hospitalized medical patients at risk for VTE. | journal=Chest | year= 2011 | volume= 140 | issue= 3 | pages= 706-14 | pmid=21436241 | doi=10.1378/chest.10-1944 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21436241 }} </ref>
| |
| |-
| |
| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" | Prior episode of [[VTE]]|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" | 3
| |
| |-
| |
| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |[[Thrombophilia]]|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |2
| |
| |-
| |
| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |Paralysis of the lower extremity during the hospitalization|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |2
| |
| |-
| |
| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |Current [[malignancy]]|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |2
| |
| |-
| |
| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |D-dimer ≥ 2x Upper Limit of Normal (ULN)|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |2
| |
| |-
| |
| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |Immobilization for at least 7 days|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |1
| |
| |-
| |
| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |[[ICU]] or [[CCU]] admission|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |1
| |
| |-
| |
| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |Age more than 60 years|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |1
| |
| |}
| |
|
| |
| ===Interpretation of the IMPROVEDD Associative Score===
| |
| {| style="cellpadding=0; cellspacing= 0; width: 600px;"
| |
| |-
| |
| | style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align="center" | '''Score'''|| style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align="center" | '''Predicted VTE risk through 3 months'''<ref name="pmid21436241">{{cite journal| author=Spyropoulos AC, Anderson FA, Fitzgerald G, Decousus H, Pini M, Chong BH et al.| title=Predictive and associative models to identify hospitalized medical patients at risk for VTE. | journal=Chest | year= 2011 | volume= 140 | issue= 3 | pages= 706-14 | pmid=21436241 | doi=10.1378/chest.10-1944 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21436241 }} </ref>
| |
| |-
| |
| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" | 0|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |0.4%
| |
| |-
| |
| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |1|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |0.6%
| |
| |-
| |
| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |2|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |0.8%
| |
| |-
| |
| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |3|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |1.2%
| |
| |-
| |
| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |4|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |1.6%
| |
| |-
| |
| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |5-10|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |2.2%
| |
| |} | | |} |
|
| |
|