title: Validation of a venous thromboembolism risk assessment model in hospitalized chinese patients: a case-control study.
abstract: OBJECTIVE
  The appropriate selection of hospitalized patients for venous thromboembolism(VTE) prophylaxis is an important unresolved issue. We sought to validate the Caprini model, a famous individual VTE risk assessment model(RAM), in hospitalized Chinese patients.
  
  
  METHODS
  We performed a retrospective case-control study among unselected hospitalized patients admitted to a comprehensive hospital in China. A total of 347 patients were confirmed to have VTE during hospitalization, and 651 controls were randomly selected to match the patients according to medical service. Both the patients and controls were retrospectively assessed for the risk of VTE using the Caprini RAM.
  
  
  RESULTS
  The average Caprini cumulative risk score in the patients was significantly higher than that observed in the controls(4.69±2.58 vs 3.16±1.82, p＜0.0001). Compared with that observed in the low-risk group, a classification of high-risk according to the Caprini model was associated with a 1.65-fold increased risk of VTE(95%CI 1.05-2.61), while that of highest-risk was associated with a 4.84-fold increased risk of VTE(95%CI 3.06-7.64). After further stratifying the highest risk level with a cumulative risk score of ≥5 into scores of 5-6, 7-8 and ≥9, the patients with a score of 5-6 were found to exhibit a 3.33-fold increased risk of VTE(95%CI 2.06-5.40), those with a score 7-8 exhibited a 9.41-fold increased risk of VTE(95%CI 4.90-18.08) and those with a score of ≥9 exhibited a 24.69-fold(95%CI 7.98-76.40) increased risk of VTE compared with their low-risk counterparts.
  
  
  CONCLUSIONS
  Our study suggests that the Caprini RAM can be used to effectively stratify hospitalized Chinese patients into VTE risk categories based on individual risk factors. The classification of the highest risk level with a cumulative risk score of ≥5 provided significantly more clinical information, and further stratification of this group of patients is needed.
authors.affiliation: Department of Respiratory Medicine, West China Hospital, Sichuan University.
authors.forename: Haixia
authors.initials: H
authors.lastname: Zhou
authors.forename: Lan
authors.initials: L
authors.lastname: Wang
authors.forename: Xiaoling
authors.initials: X
authors.lastname: Wu
authors.forename: Yongjiang
authors.initials: Y
authors.lastname: Tang
authors.forename: Jing
authors.initials: J
authors.lastname: Yang
authors.forename: Bo
authors.initials: B
authors.lastname: Wang
authors.forename: Yu
authors.initials: Y
authors.lastname: Yan
authors.forename: Binmiao
authors.initials: B
authors.lastname: Liang
authors.forename: Ke
authors.initials: K
authors.lastname: Wang
authors.forename: Xuemei
authors.initials: X
authors.lastname: Ou
authors.forename: Maoyun
authors.initials: M
authors.lastname: Wang
authors.forename: Yulin
authors.initials: Y
authors.lastname: Feng
authors.forename: Qun
authors.initials: Q
authors.lastname: Yi
mesh_terms: D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D002681:China / Q000453:epidemiology; D005260:Female; D006760:Hospitalization; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D012189:Retrospective Studies; D018570:Risk Assessment; D054556:Venous Thromboembolism / Q000453:epidemiology*