PMID- 34192948
OWN - NLM
STAT- MEDLINE
DCOM- 20211208
LR  - 20211214
IS  - 1758-1125 (Electronic)
IS  - 0268-3555 (Linking)
VI  - 36
IP  - 10
DP  - 2021 Dec
TI  - Inter-observer reliability of a risk assessment model for venous thromboembolism 
      in acutely-ill medical hospitalized patients: Results from a prospective cohort 
      study.
PG  - 827-834
LID - 10.1177/02683555211021226 [doi]
AB  - OBJECTIVES: To analyze the inter-observer reliability of risk for venous 
      thromboembolism (VTE) in a population of adult acutely-ill medical patients. 
      METHODS: In this prospective cohort study, we collected risk factors and risk 
      classification for VTE using RAM IMPROVE7. Kappa statistics was used to evaluate 
      inter-observer reliability between lead clinicians and trained researchers. We 
      evaluated occurrence of VTE in patients with mismatched classification. RESULTS: 
      We included 2,380 patients, median age 70 years (interquartile range [IQR], 
      58-79), 56.2% female. Adjusted Kappa for VTE risk factors ranged from substantial 
      (0.64, 95% confidence interval [CI], 0.61-0.67) for "immobilization", to almost 
      perfect (0.98; 95% CI 0.97-0.99) for "thrombophilia"; risk classification was 
      0.64 (95% CI 0.60-0.67). Divergent risk classification occurred in 434 patients 
      (18.2%) of whom seven (1.6%) developed VTE. CONCLUSION: Despite substantial to 
      almost perfect reliability between observers for risk factors and risk 
      classification, lead clinicians tended to underestimate the risk for VTE.
FAU - Ferreira, Cassia Rl
AU  - Ferreira CR
AUID- ORCID: 0000-0001-6187-2011
AD  - University Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Minas 
      Gerais, Brazil.
AD  - Hospital Governador Israel Pinheiro, Belo Horizonte, Minas Gerais, Brazil.
FAU - de Bastos, Marcos
AU  - de Bastos M
AD  - Hospital Governador Israel Pinheiro, Belo Horizonte, Minas Gerais, Brazil.
AD  - Faculdade da Saude e Ecologia Humana (FASEH), Vespasiano, Minas Gerais, Brazil.
FAU - Diniz, Mirella L
AU  - Diniz ML
AD  - University Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Minas 
      Gerais, Brazil.
FAU - Mancini, Renan A
AU  - Mancini RA
AD  - University Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Minas 
      Gerais, Brazil.
FAU - Raposo, Yan S
AU  - Raposo YS
AD  - Faculdade da Saude e Ecologia Humana (FASEH), Vespasiano, Minas Gerais, Brazil.
FAU - Alves, Samara Mpg
AU  - Alves SM
AD  - Hospital Governador Israel Pinheiro, Belo Horizonte, Minas Gerais, Brazil.
FAU - Rezende, Suely M
AU  - Rezende SM
AD  - University Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Minas 
      Gerais, Brazil.
AD  - Department of Internal Medicine, Faculty of Medicine, Universidade Federal de 
      Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
LA  - eng
PT  - Journal Article
DEP - 20210701
PL  - England
TA  - Phlebology
JT  - Phlebology
JID - 9012921
RN  - 0 (Anticoagulants)
SB  - IM
MH  - Aged
MH  - Anticoagulants
MH  - Female
MH  - Hospitalization
MH  - Humans
MH  - Male
MH  - Prospective Studies
MH  - Reproducibility of Results
MH  - Risk Assessment
MH  - Risk Factors
MH  - *Venous Thromboembolism/diagnosis/epidemiology
OTO - NOTNLM
OT  - Venous thromboembolism
OT  - interobserver reliability
OT  - risk assessment model
OT  - risk stratification
OT  - thromboprophylaxis
EDAT- 2021/07/02 06:00
MHDA- 2021/12/15 06:00
CRDT- 2021/07/01 05:36
PHST- 2021/07/02 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
PHST- 2021/07/01 05:36 [entrez]
AID - 10.1177/02683555211021226 [doi]
PST - ppublish
SO  - Phlebology. 2021 Dec;36(10):827-834. doi: 10.1177/02683555211021226. Epub 2021 
      Jul 1.