scholarly journals Implementation and Validation of the 2013 Caprini Score for Risk Stratification of Arthroplasty Patients in the Prevention of Venous Thrombosis

2019 ◽  
Vol 25 ◽  
pp. 107602961983806 ◽  
Author(s):  
Eugene S. Krauss ◽  
Ayal Segal ◽  
MaryAnne Cronin ◽  
Nancy Dengler ◽  
Martin L. Lesser ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Risk Stratification ◽  
Total Joint Replacement ◽  
Joint Arthroplasty ◽  
Assessment Model ◽  
Study Group ◽  
Risk Assessment Model ◽  
Inclusion Criteria ◽  
Secondary Purpose ◽  
Selection Of

Appropriate chemoprophylaxis choice following arthroplasty requires accurate patient risk assessment. We compared the results of our prospective department protocol to the Caprini risk assessment model (RAM) retrospectively in this study group. Our goal was to determine whether the department protocol or the Caprini score would identify venous thromboembolism (VTE) events after total joint replacement. A secondary purpose was to validate the 2013 Caprini RAM in joint arthroplasty and determine whether patients with VTE would be accurately identified using the Caprini score. A total of 1078 patients met inclusion criteria. A Caprini score of 10 or greater is considered high risk and a score of 9 or less is considered low risk. The 2013 version of the Caprini RAM retrospectively stratified 7 of the 8 VTE events correctly, while only 1 VTE was identified with the prospective department protocol. This tool provided a consistent, accurate, and efficacious method for risk stratification and selection of chemoprophylaxis.

Safe Selection of Outpatient Joint Arthroplasty Patients With Medical Risk Stratification: the “Outpatient Arthroplasty Risk Assessment Score”

2017 ◽  
Vol 32 (8) ◽  
pp. 2325-2331 ◽  
Author(s):  
R. Michael Meneghini ◽  
Mary Ziemba-Davis ◽  
Marshall K. Ishmael ◽  
Alexander L. Kuzma ◽  
Peter Caccavallo
Keyword(s):  
Risk Assessment ◽  
Risk Stratification ◽  
Joint Arthroplasty ◽  
Medical Risk ◽  
Assessment Score ◽  
Selection Of

scholarly journals Commercial Vehicles Incapacity Risk Analysis in the Transport Company

2019 ◽  
Vol 49 (4) ◽  
pp. 321-340
Author(s):  
Andrzej Niewczas ◽  
Łukasz Mórawski ◽  
Ewa Dębicka ◽  
Anna Borucka
Keyword(s):  
Risk Assessment ◽  
Risk Analysis ◽  
Transport System ◽  
Operational Research ◽  
Risk Model ◽  
Assessment Model ◽  
Risk Assessment Model ◽  
Commercial Vehicles ◽  
Selection Of

Abstract A proposal was presented to assess the incapacity risk of commercial vehicles performing transport tasks under market conditions. The risk assessment model in the form of cost was used, which is based on the determination of operational efficiency, referring the probable costs of ensuring the reliability of the transport system to the estimated threshold income. It includes costs: incidental repairs, unplanned downtime and resulting from the presumed loss of client’s trust. Operational research were carried out on a group of several dozen vehicles, registering their operational states during several years of use. The results of the research confirmed the suitability of the incapacity risk model for predicting potential expenses for guarantee the vehicle’s continuity of running in the company and to verify the selection of the vehicle brand and the period of use.

scholarly journals Lessons Learned: Using the Caprini Risk Assessment Model to Provide Safe and Efficacious Thromboprophylaxis Following Hip and Knee Arthroplasty

2020 ◽  
Vol 26 ◽  
pp. 107602962096145
Author(s):  
Eugene S. Krauss ◽  
MaryAnne Cronin ◽  
Nancy Dengler ◽  
Barry G. Simonson ◽  
Paul Enker ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Risk Stratification ◽  
Patient Outcomes ◽  
Lessons Learned ◽  
Assessment Model ◽  
Risk Assessment Model ◽  
Vein Thrombosis ◽  
Hip And Knee Arthroplasty ◽  
Improving Patient Care ◽  
Deep Vein

Two of the more common potential complications after arthroplasty are venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolus (PE), and excess bleeding. Appropriate chemoprophylaxis choices are essential to prevent some of these adverse events and from exacerbating others. Risk stratification to prescribe safe and effective medications in the prevention of postoperative VTE has shown benefit in this regard. The Department of Orthopaedic Surgery at Syosset Hospital/Northwell Health, which performs over 1200 arthroplasties annually, has validated and is using the 2013 version of the Caprini Risk Assessment Model (RAM) to stratify each patient for risk of postoperative VTE. This tool results in a culling of information, past and present, personal and familial, that provides a truly thorough evaluation of the patient’s risk for postoperative VTE. The Caprini score then guides the medication choices for thromboprophylaxis. The Caprini score is only valuable if the data is properly collected, and we have learned numerous lessons after applying it for 18 months. Risk stratification requires practice and experience to achieve expertise in perioperative patient evaluation. Having access to pertinent patient information, while gaining proficiency in completing the Caprini RAM, is vital to its efficacy. Ongoing, real time analyses of patient outcomes, with subsequent change in process, is key to improving patient care.

scholarly journals Completion of the Updated Caprini Risk Assessment Model (2013 Version)

2019 ◽  
Vol 25 ◽  
pp. 107602961983805 ◽  
Author(s):  
MaryAnne Cronin ◽  
Nancy Dengler ◽  
Eugene S. Krauss ◽  
Ayal Segal ◽  
Nicole Wei ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Clinical Trials ◽  
Venous Thromboembolism ◽  
Treatment Options ◽  
Assessment Model ◽  
Risk Assessment Model ◽  
Postoperative Course ◽  
Appropriate Treatment ◽  
Presurgical Assessment ◽  
Selection Of

The Caprini risk assessment model (RAM) has been validated in over 250 000 patients in more than 100 clinical trials worldwide. Ultimately, appropriate treatment options are dependent on precise completion of the Caprini RAM. As the numerical score increases, the clinical venous thromboembolism rate rises exponentially in every patient group where it has been properly tested. The 2013 Caprini RAM was completed by specially trained medical students via review of the presurgical assessment history, medical clearances, and medical consults. The Caprini RAM was completed for every participant both preoperatively and predischarge to ensure that any changes in the patient’s postoperative course were captured by the tool. This process led to the development of completion guidelines to ensure consistency and accuracy of scoring. The 2013 Caprini scoring system provides a consistent, thorough, and efficacious method for risk stratification and selection of prophylaxis for the prevention of venous thrombosis.

Risk assessment model for venous thromboembolism in hospitalized surgical and non-surgical patients in the 4th Hungarian Antithrombotic Guidelines entitled “Diminution and Treatment of Venous Thromboembolism”

2010 ◽  
Vol 151 (34) ◽  
pp. 1365-1374 ◽  
Author(s):  
Marianna Dávid ◽  
Hajna Losonczy ◽  
Miklós Udvardy ◽  
Zoltán Boda ◽  
György Blaskó ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Venous Thromboembolism ◽  
Assessment Model ◽  
Surgical Patients ◽  
Risk Assessment Model

A kórházban kezelt sebészeti és belgyógyászati betegekben jelentős a vénásthromboembolia-rizikó. Profilaxis nélkül, a műtét típusától függően, a sebészeti beavatkozások kapcsán a betegek 15–60%-ában alakul ki mélyvénás trombózis vagy tüdőembólia, és az utóbbi ma is vezető kórházi halálok. Bár a vénás thromboemboliát leggyakrabban a közelmúltban végzett műtéttel vagy traumával hozzák kapcsolatba, a szimptómás thromboemboliás események 50–70%-a és a fatális tüdőembóliák 70–80%-a nem a sebészeti betegekben alakul ki. Nemzetközi és hazai felmérések alapján a nagy kockázattal rendelkező sebészeti betegek többsége megkapja a szükséges trombózisprofilaxist. Azonban profilaxis nélkül marad a rizikóval rendelkező belgyógyászati betegek jelentős része, a konszenzuson alapuló nemzetközi és hazai irányelvi ajánlások ellenére. A belgyógyászati betegek körében növelni kell a profilaxisban részesülők arányát és el kell érni, hogy trombózisrizikó esetén a betegek megkapják a hatásos megelőzést. A beteg trombóziskockázatának felmérése fontos eszköze a vénás thromboembolia által veszélyeztetett betegek felderítésének, megkönnyíti a döntést a profilaxis elrendeléséről és javítja az irányelvi ajánlások betartását. A trombózisveszély megállapításakor, ha nem ellenjavallt, profilaxist kell alkalmazni. „A thromboemboliák kockázatának csökkentése és kezelése” című, 4. magyar antithromboticus irányelv felhívja a figyelmet a vénástrombózis-rizikó felmérésének szükségességére, és elsőként tartalmazza a kórházban fekvő belgyógyászati és sebészeti betegek kockázati kérdőívét. Ismertetjük a kockázatbecslő kérdőíveket és áttekintjük a kérdőívekben szereplő rizikófaktorokra vonatkozó bizonyítékokon alapuló adatokat.

Signature Analysis: Statistical Models and Their Application to FA

1996 ◽  
Author(s):  
C.K. Lakshminarayan ◽  
S. Pabbisetty ◽  
O. Adams ◽  
F. Pires ◽  
M. Thomas ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Failure Analysis ◽  
Statistical Models ◽  
Essential Elements ◽  
Assessment Model ◽  
Signature Analysis ◽  
Risk Assessment Model ◽  
Sample Sizes ◽  
Reliability Engineering ◽  
Semiconductor Chips

Abstract This paper deals with the basic concepts of Signature Analysis and the application of statistical models for its implementation. It develops a scheme for computing sample sizes when the failures are random. It also introduces statistical models that comprehend correlations among failures that fail due to the same failure mechanism. The idea of correlation is important because semiconductor chips are processed in batches. Also any risk assessment model should comprehend correlations over time. The statistical models developed will provide the required sample sizes for the Failure Analysis lab to state "We are A% confident that B% of future parts will fail due to the same signature." The paper provides tables and graphs for the evaluation of such a risk assessment. The implementation of Signature Analysis will achieve the dual objective of improved customer satisfaction and reduced cycle time. This paper will also highlight it's applicability as well as the essential elements that need to be in place for it to be effective. Different examples have been illustrated of how the concept is being used by Failure Analysis Operations (FA) and Customer Quality and Reliability Engineering groups.

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