Abstract

PEREZ CASTRO Y VAZQUEZ, Jorge A.. Modified Caprini's checklist as a strategy to apply a safety program for the patient in the prevention of thromboembolic disease. Cir. gen [online]. 2011, vol.33, n.3, pp.151-155. ISSN 1405-0099.

Objective: To assess whether the modified Caprini risk stratification list for the evaluation of risk factors in venous thromboembolic disease is useful for the daily surgical practice and to evaluate the current status of knowledge on thromboprophylaxis. Setting: National Meeting of General Surgeons-2009, Hacienda de San Miguel Regla, Hgo. Mexican Association of General Surgery, A.C. Design: Prospective, cross-sectional, comparative, observational study. Statistical analysis: Percentages as summary measure for qualitative variables and Yates' chi-square test. Material and methods: We performed a study with 93 opinion leaders in Surgery of the whole country, and a presentation was used to point out the knowledge and most important evidences regarding thromboprophylaxis. Thereafter, in small groups, a typical clinical case and the modified Caprini risk assessment list were presented and discussed in each working table and for each clinical case for 2 to 3 min to provide an answer, based on clinical evidence. This exercise was performed five times with diverse cases; all surgical in nature and with different grades of difficulty. At the end of the exercise, a perception interview was performed regarding knowledge acquisition with two questions, aimed at finding out if the surgeon is aware and is continuously updated on the subject, and a third question to explore whether the tool is or not useful for the surgeon's daily activity. Results: We delivered 93 questionnaires, corresponding to 100% of the attendants; 66 were solved completely. The validation tool seemed to be useful in 97%. A comparison was made between the questions exploring whether the participant had obtained new knowledge or had only up-dated it. We found statistically significant difference, since to the first question more than half of the surveyed participants indicated that they did not acquire new knowledge; however, when responding to whether the performed exercise had refreshed that knowledge, most responses were positive (P < 0.001). Conclusion: A continuous medical education on thromboprophylaxis must be maintained and it is accepted that the modified Caprini risk assessment list is useful for the daily practice.

Keywords : Safety; thromboprophylaxis; thromboembolic disease.

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