Risk stratification of thromboembolic complications development in surgical patients

Author:

Popandopulo K. I.1ORCID,Porhanov V. A.2ORCID,Karipidi G. K.1ORCID,Vagin I. V.2ORCID,Bazlov S. B.1ORCID,Popov A. Yu.3ORCID

Affiliation:

1. Kuban State Medical University

2. Kuban State Medical University; Scientific Research Institute – Ochapovsky Regional Clinical Hospital #1

3. Scientific Research Institute – Ochapovsky Regional Clinical Hospital #1

Abstract

Aim. Creating a mathematically based scale of risk stratification of thromboembolic complications in patients with acute abdominal organs pathology requiring urgent surgical treatment.Material and methods. This work is based on data from 185 case reports of patients with acute surgical diseases of the abdominal organs that had undergone emergency operations. Clinical and statistical analyses were carried out and the most significant risk factors for venous thromboembolic complications were identified. By digitally estimating the specific gravity of each of the factors, the method of sequential probability ratio criterion was applied to the obtained data.Results and discussion. Based on a retrospective analysis of clinical records, 13 most informative prognostic criteria for thromboembolic complications formed in the prognostic table were identified. Each sign, depending on its value, had a specific gravity. For the convenient using of the prognostic scale in practice, the indicators of natural logarithms are translated into arbitrary units (points). The results are checked on available archival records. The overall forecast reliability was 97%.Conclusion. The proposed prognostic scale made it possible to optimize the likelihood of a feasibility study in patients with acute diseases of the abdominal organs.

Publisher

Scientific Research Institute - Ochapovsky Regional Clinical Hospital No 1

Subject

General Earth and Planetary Sciences,General Environmental Science

Reference11 articles.

1. Тарабрин О.А., Щербаков С.С. Особенности диагностики нарушений гемостаза и оптимизация инфузионной терапии при тяжелом течении деструктивного панкреатита. Медицина неотложных состояний. 2014. №2(57). С. 40-44. [Tarabrin OA, Shcherbakov SS. Features of diagnosis of hemostatic disorders and optimization of infusion therapy for severe destructive pancreatitis. Meditsina neotlozhnykh sostoyanij. 2014;2(57):40-4. (In Russ.)].

2. Кручинина М.В., Громов А.А., Рабко А.В., Абдуллаева П.А. и др. Аспиринорезистентность как маркер риска венозных тромбоэмболических осложнений. Атеросклероз. 2018. №14(4). C. 40-55. [Kruchinina MV, Gromov AA, Rabko AV, Abdullaeva PA, et al. Aspirin resistence as a risk marker for venous thromboembolic complications. Ateroskleroz. 2018;14(4):40-55. (In Russ.)]. DOI: 10.15372/ater20180405

3. Бурячковская Л.И., Ломакин Н.В., Сумароков А.Б., Широков Е.А. Эффективность и безопасность антитромботич ской терапии (венозный тромбоз и тромбоэмболия легочной артерии): шкалы и алгоритмы. Терапия. 2019. Т. 5, №4(30). С. 10-20. [Buryachkovskaya LI, Lomakin NV, Sumarokov AB, Shirokov EA. Efficacy and safety of antithrombic therapy [venous thrombosis and pulmonary artery thrombembolia]: scales and algorithms. Terapiya. 2019;5(4(30)):10-20. (In Russ.)]. DOI: 10.18565/therapy.2019.4.10-20

4. Баринов В.Е., Лобастов К.В., Счастливцев И.В., Цаплин С.Н. и др. Предикторы развития венозных тромбоэмболических осложнений у оперированных пациентов из группы высокого риска. Флебология. 2014. Т. 8, №1. С. 21-32. [Barinov VE, Lobastov KV, Schastlivtsev IV, Tsaplin SN, et al. Predictors of venous thromboembolism in the high risk surgical patients. Flebologiya. 2014;8(1):21-32. (In Russ.)].

5. Бояринцев В.В., Аленчева Э.В., Лобастов К.В., Баринов В.Е. Возможности и перспективы применения интермиттирующей пневматической компрессии в составе комплексной профилактики послеоперационных венозных тромбоэмболических осложнений. Кремлевская медицина. Клинический вестник. 2016. №2. С. 12-19. [Boyarintsev VV, Alencheva EV, Lobastov KV, Barinov VE. The intermitting pneumatic compression as a component of complex prophylactic measures to prevent postoperative venous thromboembolytic complications. Kremlevskaya medicina. Klinicheskij vestnik. 2016;2:12-9. (In Russ.)].

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