作者
Shannon C Walker, Benjamin French, Ryan P Moore, Henry J Domenico, Jonathan P Wanderer, Amanda S Mixon, C Buddy Creech, Daniel W Byrne, Allison P Wheeler
发表日期
2023/10/2
期刊
JAMA Network Open
卷号
6
期号
10
页码范围
e2337789-e2337789
出版商
American Medical Association
简介
Importance
Rates of hospital-acquired venous thromboembolism (HA-VTE) are increasing among pediatric patients. Identifying at-risk patients for whom prophylactic interventions should be considered remains challenging.
Objective
To determine whether use of a previously validated HA-VTE prognostic model, together with pediatric hematologist review, could reduce pediatric inpatient rates of HA-VTE.
Design, Setting, and Participants
This pragmatic randomized clinical trial was performed from November 2, 2020, through January 31, 2022, at a single-center academic children’s hospital (Monroe Carell Jr Children’s Hospital at Vanderbilt). All pediatric hospital admissions (aged <22 years) under inpatient status were included and randomized.
Intervention
All patients had an HA-VTE probability automatically calculated daily, which was visible to the hematology research team for patients in the intervention group …
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