Application of Caprini risk assessment model in the implementation of VTE individualized protection scheme in COPD patients

Objective To explore the application effect of Caprini risk assessment model in patients with chronic obstructive pulmonary disease (COPD) undergoing individualized protection of venous thromboembolism (VTE). Methods A total of 60 cases of COPD patients admitted to the department of respiratory medicine of the hospital from January to June 2017 were selected as the control group. Caprini risk assessment and VTE risk classification were conducted within 24 hours upon admission, and conventional protective measures were adopted.60 patients who visited the hospital from January to June in 2018 were selected as the intervention group. Caprini risk assessment and VTE risk classification were conducted within 8 hours upon admission. Individualized protection scheme was implemented on the basis of routine care.The differences between the two groups were compared and analyzed. Results The incidence of PTE/DVT on day 14 in the intervention group was 3.34%, significantly lower than that of the control group (16.67%), and the difference was statistically significant (P<0.05). The levels of D-D and Fbg in the intervention group were lower than those in the control group, and the difference was statistically significant (P<0.05). The levels of PT, aPPT and TT in the intervention group were higher than those in the control group, and the differences were statistically significant (P<0.05). The length of stay in the intervention group was (16.2±3.2) days, significantly shorter than that in the control group (19.4±4.1) days, and the difference was statistically significant (P<0.05). The nursing satisfaction of the intervention group was (94.6±3.4)points, which was significantly higher than that of the control group (89.5±4.8)points, and the difference was statistically significant (P<0.05). Conclusions The implementation of VTE individualized protection measures based on Caprini evaluation model for COPD patients can significantly reduce the incidence and case fatality of VTE in COPD patients and improve the prognosis of patients. Key words: Venous thromboembolism; Chronic obstructive pulmonary disease; Caprini assessment model