PREVENTION OF THROMBOEMBOLIC COMPLICATIONS OF SURGICAL PATIENTS.
Summary. Aim. To analyze the clinical significance of the Caprini scale for the prevention of venous thromboembolic complications (VTEС) in urgent surgical patients.
Materials and methods. The study is based on a retrospective assessment of inpatient medical records of 58 patients in the surgical department, who were divided into three clinical groups according to the characteristics of the Caprini scale.
The results. The first clinical group - 11 (19%) patients with low risk VTEС. Prevention of VTEС was carried out only using compression stockings. The second clinical group consisted of 25 (43.1%) patients with moderate risk of VTEС. Prevention of VTEС was performed using compression stockings for (4.4 ± 0.6) days and the introduction of enoxaparin at a dose of 2000 anti-Xa IO 1 time per day for 5 days. The third clinical group consisted of 22 (37.9%) patients at high risk of VTEС. Prevention of VTEС was performed using compression stockings, the use of enoxaparin by subcutaneous injection at a dose of 4000 anti-Xa IO 1 time per day for 7 days.
Conclusions. The study found that the Caprini scale is effective for assessing the risk of VTEС and allows you to choose rational tactics for the prevention of thromboembolic complications in urgent surgical patients.
2. Kucher N, Spirk D, Baumgartner I. Lack of prophylaxis before the onset of acute venous thromboembolism among hospitalized cancer patients: the SWISS Venous ThromboEmbolism Registry (SWIVTER). Ann Oncol, 2010; 21: 931-935.
3. Tapson VF. Venous thromboembolism prophylaxis in acutely ill hospitalized medical patients: findings from the International Medical Prevention Registry on Venous Thromboembolism. Chest, 2007; 132: 936-945.