Reliability of Risk Assessment for Intra-Hospital Venous Thromboembolism: An Exploratory Cross-Sectional Study

Figures & data

Table 1 General Characteristics of Patients from Surgical and Non-Surgical Departments

	Total N=881	Surgical N=285		Non-Surgical N=596
		Priority N=100	Non-Priority N=185	Priority N=390	Non-Priority N=206
Age (Median, IQR)	67(55–76)	62.5(55–70)	64(50–73)	69(61–80)	69(54–80)
Gender (n,%)
Male	500(56.75%)	61(61.00%)	117(63.24%)	209(53.59%)	113(54.85%)
Female	381(43.25%)	39(39.00%)	68(36.76%)	181(46.41%)	93(45.15%)
VET score by doctors ^a	2(1–4)	4(3–6)	3(2–4)	2(1–3)	1(0–2)
Low risk	639(72.53%)	33(33.00%)	127(68.65%)	310(79.49%)	169(82.04%)
Moderate-high risk	242(27.47%)	67(67.00%)	58(31.35%)	80(20.51%)	37(17.96%)
VET score by nurses ^a	3(1–4)	3(2–4)	3(2–5)	3(1–4)	3(0–4)
Low risk	506(57.43%)	51(51.00%)	109(58.92%)	238(61.03%)	108(52.43%)
Moderate-high risk	375(42.57%)	49(49.00%)	76(41.08%)	152(38.97%)	98(47.57%)
ADL score	95(60–100)	100(95–100)	100(55–100)	95(60–100)	85(55–100)

Note: ^aThe Caprini risk assessment scale is used in surgical departments and the Padua risk assessment scale is used in non-surgical departments.

Table 2 Consistency of VET Scores Between Doctors and Nurses in Each Department

		Agreement	Expected Agreement	Kappa	95% CI	P
Non-surgical departments ^a		46.14%	17.19%	0.3496	(0.3149,0.3843)	<0.0001
	Priority departments	48.97%	19.32%	0.3676	(0.3217,0.4135)	<0.0001
	Respiratory ICU	44.44%	25.61%	0.2532	(0.1464,0.3600)	<0.0001
	Cardiovascular medicine	50.00%	26.76%	0.3173	(0.2181,0.4165)	<0.0001
	Emergency internal medicine	30.00%	22.55%	0.0962	(0.0156,0.1768)	0.0097
	Oncology	73.63%	50.18%	0.4707	(0.3409,0.6005)	<0.0001
	Non-priority departments	40.78	17.16%	0.2851	(0.2296,0.3406)	<0.0001
	VIP clinical department	64.15%	42.04%	0.3814	(0.2287,0.5341)	<0.0001
	Neurology	18.00%	10.03%	0.0886	(0.0343,0.1429)	0.0007
	Geriatrics	60.38%	27.45%	0.4539	(0.3134,0.5944)	<0.0001
Surgical departments ^a		39.30%	13.51%	0.2982	(0.2535,0.3429)	<0.0001
	Priority departments	38.00%	12.97%	0.2876	(0.2190,0.3562)	<0.0001
	Gastrointestinal surgery	38.00%	12.97%	0.2876	(0.2190,0.3562)	<0.0001
	Non-priority departments	40.00%	14.57%	0.2977	(0.2405,0.3549)	<0.0001
	Traumatology	40.00%	11.54%	0.3217	(0.2478,0.3956)	<0.0001
	Urology	40.00%	19.13%	0.2581	(0.1664,0.3498)	<0.0001
Priority departments		46.73%	17.37%	0.3554	(0.3170,0.3938)	<0.0001
Non-priority departments		40.41%	13.50%	0.3111	(0.2735,0.3487)	<0.0001

Note: ^aThe Caprini risk assessment scale is used in surgical departments and the Padua risk assessment scale is used in non-surgical departments.

Table 3 Consistency of VET Risk Assessment Between Doctors and Nurses in Each Department

		Agreement	Expected Agreement	Kappa	95% CI	P
Non-surgical departments ^a		69.63%	54.89%	0.3268	(0.2570,0.3966)	<0.0001
	Priority departments	71.79%	56.50%	0.3516	(0.2618,0.4414)	<0.0001
	Respiratory ICU	78.79%	65.87%	0.3785	(0.1837,0.5733)	0.0001
	Cardiovascular medicine	71.00%	71.00%	0.0000	-	-
	Emergency internal medicine	56.00%	44.00%	0.2143	(0.0771,0.3515)	0.0011
	Oncology	82.42%	65.68%	0.4877	(0.2827,0.6927)	<0.0001
	Non-priority departments	65.53%	51.56%	0.2885	(0.1805,0.3965)	<0.0001
	VIP clinical department	90.57%	81.24%	0.4972	(0.2404,0.7540)	0.0001
	Neurology	44.00%	41.20%	0.0476	(−0.0300,0.1252)	0.1144
	Geriatrics	81.13%	50.16%	0.6214	(0.3552,0.8876)	<0.0001
Surgical departments ^a		75.44%	50.75%	0.5012	(0.3852,0.6172)	<0.0001
	Priority departments	76.00%	49.66%	0.5232	(0.3401,0.7063)	<0.0001
	Gastrointestinal surgery	76.00%	49.66%	0.5232	(0.3401,0.7063)	<0.0001
	Non-priority departments	75.14%	53.33%	0.4673	(0.3264,0.6082)	<0.0001
	Traumatology	75.29%	50.52%	0.5007	(0.2896,0.7118)	<0.0001
	Urology	75.00%	57.56%	0.4109	(0.2243,0.5975)	<0.0001
Priority departments		72.65%	53.59%	0.4107	(0.3247,0.4967)	<0.0001
Non-priority departments		70.08%	52.83%	0.3657	(0.2761,0.4553)	<0.0001

Note: ^aThe Caprini risk assessment scale is used in surgical departments and the Padua risk assessment scale is used in non-surgical departments.

Table 4 Consistency of Mobility Impairment and Thrombosis Potential Assessments Between Doctors and Nurses in Non-Surgical Departments

	Agreement	Expected Agreement	Kappa	95% CI	P
Mobility impairment	69.13%	55.20%	0.3109	(0.2478,0.3740)	<0.0001
Thrombosis potential	93.79%	93.91%	−0.0194	(−0.0815,0.0427)	0.7300

Data Sharing Statement

All data generated or analysed during this study are included in this published article.