Caprini量表评估老年糖尿病病人静脉血栓栓塞症的效果

doi:10.3969/j.issn.1003-9198.2023.12.011

Abstract

Abstract: Objective To analyze the assessment effect of Caprini scale on venous thromboembolism (VTE) in the elderly patients with diabetes and the risk factors of the incidence of VTE. Methods The clinical data of 1573 elderly patients with diabetes who were hospitalized at West China Hospital, Sichuan University from January 2017 to September 2021 were collected. Among them, 306 patients presenting with VTE were assigned to the VTE group, while 1267 patients without VTE were assigned to the non-VTE group. The score and risk stratification of Caprini scale were compared between the two groups. Univariate analysis and Multivariate Logistic regression analysis were used to analyze the influencing factors for VTE in the elderly patients with diabetes. Results The score and the proportion of high-risk patients in the VTE group were significantly higher than those in the non-VTE group (all P<0.01). Univariate analysis showed that there were statistically significant differences in the levels of D-dimer and fasting plasma glucose (FPG), the proportion of severe pulmonary disease, abnormal lung function, major surgery (>45 min), elevated transaminase, and bedridden patients of Internal Medicine between the two groups (P<0.05 or P<0.01). Multivariate Logistic regression analysis showed that abnormal lung function, major surgery (>45 min), bedridden patients of Internal Medicine, D-dimer and FPG were the independent influencing factors for VTE in the elderly patients with diabetes. Conclusions Caprini scale can be used to assess the risk of VTE in the elderly patients with diabetes. However, Caprini scale lacks blood glucose. In the future, it is necessary to develop a simple and easy thrombosis assessment scale for the elderly patients with diabetes.

Key words: aged, diabetes, venous thromboembolism, Caprini scale

CLC Number:

FAN Ting-yong, YUAN Li, YANG Xiao-ling, CHEN Qian. Assessment effect of Caprini scale on venous thromboembolism in elderly patients with diabetes[J]. Practical Geriatrics, 2023, 37(12): 1233-1237.

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Assessment effect of Caprini scale on venous thromboembolism in elderly patients with diabetes

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