Clinical and Applied Thrombosis/Hemostasis (Apr 2019)

Completion of the Updated Caprini Risk Assessment Model (2013 Version)

  • MaryAnne Cronin MS, PharmD,
  • Nancy Dengler RN, NP,
  • Eugene S. Krauss MD, FAAOS, FACS,
  • Ayal Segal MD,
  • Nicole Wei BS,
  • Madison Daly BA,
  • Frank Mota BS,
  • Joseph A. Caprini MD, FACS

DOI
https://doi.org/10.1177/1076029619838052
Journal volume & issue
Vol. 25

Abstract

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The Caprini risk assessment model (RAM) has been validated in over 250 000 patients in more than 100 clinical trials worldwide. Ultimately, appropriate treatment options are dependent on precise completion of the Caprini RAM. As the numerical score increases, the clinical venous thromboembolism rate rises exponentially in every patient group where it has been properly tested. The 2013 Caprini RAM was completed by specially trained medical students via review of the presurgical assessment history, medical clearances, and medical consults. The Caprini RAM was completed for every participant both preoperatively and predischarge to ensure that any changes in the patient’s postoperative course were captured by the tool. This process led to the development of completion guidelines to ensure consistency and accuracy of scoring. The 2013 Caprini scoring system provides a consistent, thorough, and efficacious method for risk stratification and selection of prophylaxis for the prevention of venous thrombosis.