Padua评分和“中国专家建议”对神经内科住院患者VTE风险的预测价值比较  

Comparison of Padua score and“Chinese expert recommendation”in predicting the risk of VTE in neurology inpatients

作　　者：程冉 张雅宁 王海燕[1] 李红梅[1] CHENG Ran;ZHANG Yaning;WANG Haiyan;LI Hongmei(Qilu Hospital of Shandong University,Jinan 250012,China)

机构地区：[1]山东大学齐鲁医院神经内科,济南250012

出　　处：《当代护士（中旬刊）》2022年第7期5-8,共4页Modern Nurse

摘　　要：目的探讨Padua评分和《内科住院患者静脉血栓栓塞症预防中国专家建议》(简称“中国专家建议”)对神经内科住院患者静脉血栓栓塞症风险的预测作用。方法采用方便抽样法,选取281例神经内科住院患者为研究对象,使用一般资料调查表、Padua评分、“中国专家建议”进行调查;通过绘制ROC曲线,比较两种方法对神经内科住院患者静脉血栓栓塞症的预测能力。结果有12例患者出现静脉血栓栓塞症,发生率为4.3%;Padua评分与“中国专家建议”的ROC曲线下面积分别为0.934(95%CI=0.881~0.987,P<0.001)和0.781(95%CI=0.654~0.908,P=0.001)。Padua评分预测神经内科住院患者并发VTE的最佳截断值为4分,灵敏度为83.3%,特异度为85.5%。结论Padua评分和“中国专家建议”均能在一定程度上预测神经内科住院患者静脉血栓栓塞症的发生风险,其中“中国专家建议”可以用于即时评估,适用于新入院患者静脉血栓栓塞症的早期筛查;Padua评分的预测能力更好,更适用于患者住院期间静脉血栓栓塞症风险的动态评估。Objective To investigate the predictive effects of Padua score and Chinese Expert Recommendation on Prevention of Venous Thromboembolism in Internal Medicine Inpatients(Referred to as“Chinese expert recommendation”)on the risk of venous thromboembolism in inpatients of neurology.Methods A total of 281 inpatients in neurology department were selected by convenient sampling method.General data questionnaire,Padua score and“Chinese expert recommendation”were used to investigate.By drawing ROC curve,the prediction ability of the two methods for the occurrence of venous thromboembolism in neurology inpatients was compared.Results Venous thromboembolism occurred in 12 patients(4.3%);The area under ROC curve of Padua score and“Chinese expert recommendation”were 0.934(95%CI=0.881~0.987,P<0.001)and 0.781(95%CI=0.654~0.908,P=0.001).The best truncation value of Padua score was 4 points,the sensitivity was 83.3%,and the specificity was 85.5%.Conclusion Both Padua score and“Chinese expert recommendation”can predict the risk of venous thromboembolism in neurology inpatients to a certain extent.The“Chinese expert recommendation”can be used for immediate assessment and early screening of venous thromboembolism in new patients;Padua scores were more predictive and more suitable for dynamic assessment of venous thromboembolism risk during hospitalization.

关 键 词：Padua评分 中国专家建议 静脉血栓栓塞症 

分 类 号：R473.74[医药卫生—护理学]