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ACCP和NICE指南对普通外科手术病人静脉血栓栓塞症风险评估的比较分析

刘凤林

中国实用外科杂志2017,Vol.37Issue(2):119-124,6.
中国实用外科杂志2017,Vol.37Issue(2):119-124,6.DOI:10.19538/j.cjps.issn1005-2208.2017.02.05

ACCP和NICE指南对普通外科手术病人静脉血栓栓塞症风险评估的比较分析

Comparative analysis of risk assessment of venous thromboembolism between American College of Chest Physicians Evidence-Based Clinical Practice Guidelines and British National Institute for Health and Care Excellence Guidelines

刘凤林1

作者信息

  • 1. 复旦大学附属中山医院普外科,上海200032
  • 折叠

摘要

Abstract

It is a critical issue for the prophylaxis of venous thromboembolism (VTE) to stratify the patients into different risk levels correctly. The American College of Chest Physicians (ACCP) Evidence-Based Clinical Practice Guideline made its recommendations of VTE prophylaxis based on the calculating score of Caprini's risk assessment model, a validated assessment tool for VTE risks in various clinical settings, while the updated British National Institute for Health and Care Excellence (NICE) Guideline established an independent procedure to judge the VTE risks in hospitalized patients. Although both approaches are evidence-based, whether they will result to equal effectiveness of risk assessment is still unknown. Moreover, no definite conclusion has been drawn on which one is more practical in the real-world clinical situation. Comprehensive understanding of the different strategies for VTE risk assessment would be helpful to clinical strategy making.

关键词

静脉血栓栓塞症/风险评估/指南/美国胸科医师学会/英国国家健康与护理卓越研究院

Key words

venous thromboembolism/risk assessment/guideline/American College of Chest Physicians/British National Institute for Health and Care Excellence

分类

医药卫生

引用本文复制引用

刘凤林..ACCP和NICE指南对普通外科手术病人静脉血栓栓塞症风险评估的比较分析[J].中国实用外科杂志,2017,37(2):119-124,6.

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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