[1]刘维袁莹刘敏龙李昀阁冯依凡杨栩超刘倩杨志芳.患者入院24 h内VTE风险评估现状与影响因素分析[J].中国卫生质量管理,2023,30(07):33-37.[doi:10.13912/j.cnki.chqm.2023.30.7.08 ]
　LIU Wei,YUAN Ying,LIU Minlong.Analysis of Status Quo and Influencing Factors of Venous Thromboembolism Risk Assessment Within 24 h after Admission[J].Chinese Health Quality Management,2023,30(07):33-37.[doi:10.13912/j.cnki.chqm.2023.30.7.08 ]

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患者入院24 h内VTE风险评估现状与影响因素分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第30卷期数: 2023年07期页码: 33-37 栏目: 医疗质量出版日期: 2023-07-15

Title:: Analysis of Status Quo and Influencing Factors of Venous Thromboembolism Risk Assessment Within 24 h after Admission

作者:: 刘维袁莹刘敏龙李昀阁冯依凡杨栩超刘倩杨志芳; 西安大兴医院

Author(s):: LIU Wei; YUAN Ying; LIU Minlong; Xi'an Daxing Hospital

关键词:: 静脉血栓栓塞症; 入院24 h; 风险评估; 医疗质量

Keywords:: Venous Thromboembolism; Within 24 Hours of Admission; Risk Assessment; Medical Quality

分类号:: R197.323

DOI:: 10.13912/j.cnki.chqm.2023.30.7.08

文献标志码:: A

摘要:: 目的了解患者入院24 h内静脉血栓栓塞症（VTE）风险评估现状与影响因素，为医务人员精准预防VTE提供参考。方法通过HIS调取2021年10月1日-2022年6月30日41 053例全部出院患者信息，对入院24 h内完成风险评估患者VTE发生情况以及影响因素进行分析。所得数据采用SPSS 19.0软件进行统计分析。结果完成入院24 h内VTE风险评估患者32 099例，评估率为78.19%，其中外科（80.22%）明显高于内科（76.41%），差异具有统计学意义（χ2=87.025，P＜0.001）。入院24 h内完成风险评估的16 698例内科患者中，VTE总发生率为7.49%，高危患者VTE发生率显著高于低危患者（χ2=2 666.273，P＜0.001）。入院24 h内完成风险评估的15 401例外科患者中，VTE总发生率为5.83%，高危、中危、低危患者VTE发生率比较差异具有统计学意义（χ2=1 326.843，P＜0.001）。性别、年龄、科别是患者发生VTE的影响因素。结论入院24 h内完成VTE风险评估,可以帮助医务人员识别高危患者，甄别风险因素。医疗机构有必要对所有患者进行入院24 h内VTE风险全覆盖筛查评估，以实现精准预防。

Abstract:: ObjectiveTo investigate the status quo and influencing factors of risk assessment of patients with venous thromboembolism (VTE) within 24 h after admission, and to provide reference for medical personnel to accurately prevent VTE.MethodsThrough HIS retrieval of all 41 053 discharged patients from October 1, 2021 to June 30, 2022, VTE occurrence and influencing factors of patients who completed risk assessment within 24 hours after admission were analyzed. The obtained data were statistically analyzed by SPSS 19.0 software.ResultsThe risk assessment rate of patients within 24 h after admission was 78.19% with 32 099 cases, among which the surgery department (80.22%) was significantly higher than the internal medicine department (76.41%), the difference was statistically significant (χ2=87.025, P< 0.001). Among 16 698 patients in internal medicine department who completed the risk assessment within 24 h after admission, the total incidence of VTE was 7.49%, and the incidence of VTE in high-risk patients was significantly higher than that in low-risk patients (χ2=2 666.273, P< 0.001). Among 15 401 surgical patients who completed the risk assessment within 24 h after admission, the total incidence of VTE was 5.83%, and there was significant difference in the incidence of VTE among high-risk, medium-risk and low-risk patients (χ2=1 326.843, P< 0.001). Gender, age and department were the factors affecting the occurrence of VTE.Conclusion Completing a VTE risk assessment within 24 hours of admission can help healthcare professionals identify high-risk patients and identify risk factors. It is necessary for medical institutions to conduct comprehensive screening and assessment of VTE risk within 24 hours of admission for all patients, in order to achieve precise prevention.

参考文献/References:

［1］张文一，李帅，张璇.住院患者VTE标准化防治管理体系构建与应用［J］.中国卫生质量管理，2021，29（7）：22-25. ［2］刘成刚，赵志勇，孙仁峰.基于三级医院评审标准的静脉血栓栓塞症防控策略研究［J］.中国卫生质量管理，2022，30（4）：39-41. ［3］李缘婷，米雪纯，田莹.Caprini风险评估的临床应用对ICU预防静脉血栓栓塞（VTE）的影响研究进展［J］.吉林医学，2019，40（10）：2384-2387. ［4］顾建华，王代军，谌艳.基于大数据的静脉血栓栓塞症防控管理信息系统的构建与应用［J］.现代医药卫生，2022，38（17）：3041-3044. ［5］李海燕，张玲娟.住院患者静脉血栓栓塞症预防护理与管理专家共识［J］.解放军护理杂志，2021，38（6）：17-21. ［6］兰欣，张婷，卫荣.医护交互VTE信息化平台的构建与应用［J］.中国卫生质量管理，2020，27（5）：83-86. ［7］刘翠，王筱慧，陆清声.静脉血栓栓塞症发生情况调查及对策探讨［J］.中国卫生质量管理，2016，23（4）：46-47. ［8］全国肺栓塞和深静脉血栓形成防治能力建设办公室.全国肺栓塞和深静脉血栓形成防治能力建设项目三级医院中心建设标准及评分细则（2021版）［EB/OL］.（2021-10）［2022-10-26］.http://www.thrombosischina.cn/wp-content/uploads/2021/11/%E4%B8%89%E7%BA%A7%E5%8C%BB%E9%99%A2%E4%B8%AD%E5%BF%83%E5%BB%BA%E8%AE%BE%E6%A0%87%E5%87%86%E5%8F%8A%E8%AF%84%E5%88%86%E7%BB%86%E5%88%99-%EF%BC%882021%E7%89%88%EF%BC%89.pdf. ［9］HUSCH M.Electronie alerts to prevent venous thromboembolism among hospitalized patients［J］.New England Journalof Medicine，2005，42（1）：178. ［10］赵静.Caprini 静脉血栓风险评估表在呼吸科住院患者中的使用价值［J］.中国实验诊断学，2021，25（1）：19-22. ［11］TAO JJ，LOU FL，LIU YT.The role of vitamin D in the relationship between gender and deep vein thrombosis among stroke patients［J］.Frontiers in Nutrition，2021，8：1-10. ［12］LU Y，ZHOU ZY，LIU YK，et al.Gender differences of venous thromboembolism risk after total hip and total knee arthroplasty：a meta-analysis［J］.J Thromb Thrombolysis，2016，41：556-562. ［13］石佳，贾佳，李国福.危重症患者静脉血栓栓塞症风险评估及预防研究进展［J］.中国实用内科杂志，2019，39（2）：185-188. ［14］VIARASILPA T，PANYAVAC HIRAPORN N，MARASHI SM，et al.Prediction of symptomatic venous thromboembolism in critically ill patients：the ICU-Venous Thromboembolism Score［J］.Critical Care Medicine，2020，48（6）：e470-e479.

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更新日期/Last Update: 2023-07-15