Description

Arlikar et al reported a risk score for hospital-associated venous thromboembolism (HA-VTE) in a critically-ill pediatric patient. This can help to identify a patient who may benefit from more aggressive management. The authors are from Johns Hopkins University, University of South Florida, and the University of Colorado.


Patient: critically-ill pediatric patient, excluding cardiothoracic surgery

 

Outcome: hospital-associated venous thromboembolism (HA-VTE)

 

Parameters:

(1) central venous catheter (CVC; odds ratio 26.6))

(2) length of stay for the hospitalization in days (odds ratio 20.2)

(3) significant infection (odds ratio 3.4)

 

Parameter

Finding

Points

central venous catheter

absent

0

 

present

8

length of stay

< 4 days

0

 

>= 4 days

6

significant infection

absent

0

 

present

1

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

minimum score: 0

maximum score: 15

The higher the score the greater the risk of HA-VTE.

 

Total Score

Risk Group

Risk HA-VTE

0 to 6

very low

0.03%

7 to 14

low

1.3%

15

moderate

8.8%

 


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