Correlation of Wells Score, Caprine Score, and Padua Score with Risk of Hypercoagulation Condition Based on D-dimer in Intra-articular, Periarticular, and Degenerative Fracture Patients of Inferior Extremity

Thomas Erwin Christian Junus Huwae; Ahmad Heifan; Muhammad Alwy Sugiarto

doi:10.3889/oamjms.2021.7252

Authors

Thomas Erwin Christian Junus Huwae Department of Orthopaedics and Traumatology
Ahmad Heifan Department of Orthopaedics and Traumatology, Faculty of Medicine, Universitas Brawijaya, RSUD Dr. Saiful Anwar, Malang, Indonesia
Muhammad Alwy Sugiarto Department of Orthopaedics and Traumatology, Faculty of Medicine, Universitas Brawijaya, RSUD Dr. Saiful Anwar, Malang, Indonesia https://orcid.org/0000-0001-8203-7728

DOI:

https://doi.org/10.3889/oamjms.2021.7252

Keywords:

Caprini score, Padua score, Wells score, Deep vein thrombosis, D-dimer, Hypercoagulation

Abstract

BACKGROUND: Surgery for large joint areas can increase risk of venous thromboembolism, which can be in the form of pulmonary embolism or deep vein thrombosis (DVT). As much as, 40–60% of hemostasis abnormalities, specifically hypercoagulable diseases, are suspected of causing this condition. The risk of developing DVT can be assessed using a physiological examination such as Wells score, Caprini score, and Padua score. The scoring systems assess some of the patient’s symptoms and risk factors for increasing the incidence of DVT. Hypercoagulation conditions can be assessed using D-dimer, which is often considered a gold standard in measuring hypercoagulation conditions or as an indicator of DVT.

AIM: We aimed to investigate correlation of Wells Score, Caprine Score, and Padua Score with risk of hypercoagulation condition based on d-dimer in intra-articular, periarticular, and degenerative fracture patients of inferior extremity.

METHODS: This study used a cross-sectional design and was conducted on 34 participants that undergoing periarticular surgery. This study compared the Wells, Caprini, and Padua scores test against hypercoagulation conditions confirmed by the D-dimer examination.

RESULTS: The correlation between Wells, Padua, Caprini scores, and D-dimer was 0.676, 0.023, and 0.395, respectively.

CONCLUSION: There was a significant relationship between the Padua scores and the D-dimer.

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