摘要
目的系统评价Caprini量表对住院患者静脉血栓栓塞症危险预测的有效性。方法计算机检索Cochrane、PubMed、OVID、CBM、中国知网、万方数据库中关于Caprini风险评估量表预测静脉血栓栓塞症的诊断性研究,根据纳入与排除标准进行文献筛选、质量评价和数据提取后,共纳入16篇文献共10884例患者,静脉血栓栓塞症(VTE)患者2825例。应用Meta-Disc1.4软件进行统计分析。结果结果显示合并灵敏度0.70(95%CI 0.68-0.72),合并特异度为0.63(95%CI 0.62-0.64),SROC曲线下面积为0.78。结论Caprini风险评估量表对住院患者静脉血栓栓塞症的预测有效性为中等水平。关于Caprini量表对静脉血栓栓塞症的预测有效性仍需更多临床研究来证实。
Objective To systematically evaluate the predictive validity of the Caprini risk assessment scale for venous thromboembolism risk in hospital patients.Methods Search articles of diagnostic study on the prediction of venous thromboembolism with the Caprini risk assessment scale from EBSCO,PubMed,OVID,CBM,CNKI and Wanfang database.According to inclusion and exclusion criteria,literature screening,quality evaluation and data extraction were performed,a total of 16 literatures and 10884 patients,including 2825 patients with venous thromboembolism(VTE),were included in the study.Meta-disc1.4 software was used for statistical analysis.Results The meta-analysis revealed that the pooled sensitivity was 0.70(95%Cl0.68-0.72),and the pooled specificity was 0.63(95%C10.62-0.64),and the AUC of SROC was 0.78.Conclusions The results suggest that the Caprini risk assessment scale has a moderate predictive validity in predicting venous thromboembolism.This research also revealed the possibility that the predictive validity of the Caprini assessment need more clinical high quality studies to be confirmed.
作者
熊德芝
张珊珊
王红霞
Xiong Dezhi;Zhang Shanshan;Wang Hongxia(Affiliated hospital of Binzhou Medical ColegeBinzhou,Shandong,256600,China;Central hospital of Laiwu city,Laiwu,Shandong,271100,China.)
出处
《齐齐哈尔医学院学报》
2022年第1期86-92,共7页
Journal of Qiqihar Medical University
