{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T17:11:01Z","timestamp":1790097061162,"version":"4.0.1"},"reference-count":59,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Bariatric surgery is associated with an increased risk of postoperative venous thromboembolism (VTE). This study aimed to compare the predictive accuracy of the Caprini risk score (CRS 2005, 2010, and a population-specific version) for postoperative VTE in obese patients undergoing bariatric surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A prospective observational study was conducted from 2020 to 2025, involving 120 patients aged 26\u201375 years with obesity (BMI, 35-85\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) undergoing laparoscopic bariatric surgery. VTE risk factors were assessed, including visceral fat area by computed tomography, estimated fat apron weight (FAW), severe obstructive sleep apnea (sOSA), CO\n                      <jats:sub>2<\/jats:sub>\n                      -pneumoperitoneum pressure, and popliteal vein blood flow measured intraoperatively via Doppler ultrasound scan. The primary outcome combined asymptomatic and symptomatic deep vein thrombosis (DVT) and symptomatic pulmonary embolism (PE) within 30 days postoperatively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The incidence of postoperative VTE was 5.0% (95% CI, 2.3\u201310.5%), including one symptomatic PE (0.8%). Regression analysis identified CRS 2010, the estimated FAW, and sOSA as significant predictors of VTE. In the modified CRS, a FAW \u226511\u00a0kg was assigned 1 point, and the presence of sOSA was assigned 3 points. The improved predictive accuracy was observed with the CRS 2010, considering sOSA (AUC, 0.866; 95% CI, 0.794\u20130.939) and sOSA with FAW (AUC, 0.862; 95% CI, 0.784\u20130.939). The optimal cut-off value was \u226512 points (sensitivity 83%, specificity 81%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In bariatric surgery, CRS 2010 with sOSA and FAW showed a potential improvement in predicting postoperative VTE, with scores \u226512 indicating the highest risk. Although these findings remain preliminary and require further validation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02683555261490352","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T04:40:25Z","timestamp":1789792825000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative analysis of different modifications of the Caprini risk score in bariatric surgery"],"prefix":"10.1177","author":[{"given":"Alexander G.","family":"Khitaryan","sequence":"first","affiliation":[{"name":"Rostov State Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexey A.","family":"Orekhov","sequence":"additional","affiliation":[{"name":"Rostov State Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena Y.","family":"Kirtanasova","sequence":"additional","affiliation":[{"name":"Rostov State Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vladislav P.","family":"Evdokimov","sequence":"additional","affiliation":[{"name":"Rostov State Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3594-3433","authenticated-orcid":false,"given":"Valeriya V.","family":"Kozlova","sequence":"additional","affiliation":[{"name":"Institute of Surgery of the Pirogov Russian National Research Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5358-7218","authenticated-orcid":false,"given":"Kirill V.","family":"Lobastov","sequence":"additional","affiliation":[{"name":"Institute of Surgery of the Pirogov Russian National Research Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(25)00355-1"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/oby.24358"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.19897"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.12567"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-024-07184-7"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/00031348221103645"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-010-0279-8"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.53141"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.04.023"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.06.055"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2008.01.006"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/cvr\/cvx086"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/ejh.13560"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-63657-8_17"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/0268355516649333"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2012-303009"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.900357"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000151791.93571.70"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2011.02.015"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.23736\/S0392-9590.23.05177-5"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-045672"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000005843"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2026.102483"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182589e49"},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.7326\/M14-0697"},{"key":"e_1_3_5_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2015.09.004"},{"key":"e_1_3_5_28_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-45100-8"},{"key":"e_1_3_5_29_2","doi-asserted-by":"publisher","DOI":"10.3109\/07853890.2010.526138"},{"key":"e_1_3_5_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00592-003-0076-0"},{"key":"e_1_3_5_31_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12967-026-08409-2"},{"key":"e_1_3_5_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-022-05931-2"},{"key":"e_1_3_5_33_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1538-7836.2009.03678.x"},{"key":"e_1_3_5_34_2","doi-asserted-by":"publisher","DOI":"10.1111\/jth.13140"},{"key":"e_1_3_5_35_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002285"},{"key":"e_1_3_5_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2020.05.014"},{"key":"e_1_3_5_37_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1661385"},{"key":"e_1_3_5_38_2","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2013-05-427708"},{"key":"e_1_3_5_39_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-019-07134-w"},{"key":"e_1_3_5_40_2","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.2656"},{"key":"e_1_3_5_41_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-024-07124-5"},{"key":"e_1_3_5_42_2","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23021"},{"key":"e_1_3_5_43_2","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsaf344"},{"key":"e_1_3_5_44_2","first-page":"958","article-title":"Sleep apnea and venous thromboembolism","volume":"114","author":"Lippi G","year":"2015","unstructured":"Lippi G, Mattiuzzi C, Franchini M. Sleep apnea and venous thromboembolism. A systematic review 2015; 114: 958\u2013963. https:\/\/doi.org\/10.1160\/TH15-03-0188","journal-title":"A systematic review"},{"key":"e_1_3_5_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arbres.2026.02.012"},{"key":"e_1_3_5_46_2","first-page":"PA2291","article-title":"Comparison of STOP-BANG questionnaire (SBQ) & Epworth Sleepiness scale (ESS) to assess pre-test probability of Obstructive Sleep Apnoea (OSA)","volume":"50","author":"Thakkar N","year":"2017","unstructured":"Thakkar N, Salgia K, Singhal P, et al. Comparison of STOP-BANG questionnaire (SBQ) & Epworth Sleepiness scale (ESS) to assess pre-test probability of Obstructive Sleep Apnoea (OSA). Eur Respir J 2017; 50: PA2291. https:\/\/doi.org\/10.1183\/1393003.congress-2017.PA2291","journal-title":"Eur Respir J"},{"key":"e_1_3_5_47_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.950585"},{"key":"e_1_3_5_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2022.110993"},{"key":"e_1_3_5_49_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-024-02665-9"},{"key":"e_1_3_5_50_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000000634"},{"key":"e_1_3_5_51_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14145095"},{"key":"e_1_3_5_52_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtha.2025.05.020"},{"key":"e_1_3_5_53_2","doi-asserted-by":"publisher","DOI":"10.1111\/jth.15168"},{"key":"e_1_3_5_54_2","doi-asserted-by":"publisher","DOI":"10.1161\/ATVBAHA.114.304085"},{"key":"e_1_3_5_55_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004556"},{"key":"e_1_3_5_56_2","first-page":"CD005258","article-title":"Combined intermittent pneumatic leg compression and pharmacological prophylaxis for prevention of venous thromboembolism","volume":"1","author":"Kakkos S","year":"2022","unstructured":"Kakkos S, Kirkilesis G, Caprini JA, et al. Combined intermittent pneumatic leg compression and pharmacological prophylaxis for prevention of venous thromboembolism. Cochrane Database Syst Rev 2022; 1: CD005258. https:\/\/doi.org\/10.1002\/14651858.CD005258.pub4","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_5_57_2","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2023.1084511"},{"key":"e_1_3_5_58_2","first-page":"20251113","article-title":"Individualizing thromboprophylaxis: from fixed doses to targeted low-molecular-weight heparin use","volume":"40","author":"Kotsiou OS","year":"2025","unstructured":"Kotsiou OS, Charalampidis D, Malizos KN. Individualizing thromboprophylaxis: from fixed doses to targeted low-molecular-weight heparin use. Cardiovasc Drugs Ther 2025; 40: 20251113\u201320251186. https:\/\/doi.org\/10.1007\/s10557-025-07806-x","journal-title":"Cardiovasc Drugs Ther"},{"key":"e_1_3_5_59_2","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcvp\/pvae064"},{"key":"e_1_3_5_60_2","first-page":"20260702","article-title":"International expert Delphi consensus on thromboprophylaxis in metabolic and bariatric surgery","author":"Kermansaravi M","year":"2026","unstructured":"Kermansaravi M, Cohen RV, Shikora SA, et al. International expert Delphi consensus on thromboprophylaxis in metabolic and bariatric surgery. Sci Rep 2026: 20260702. https:\/\/doi.org\/10.1038\/s41598-026-60926-8","journal-title":"Sci Rep"}],"container-title":["Phlebology: The Journal of Venous Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02683555261490352","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02683555261490352","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02683555261490352","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T16:48:41Z","timestamp":1790095721000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02683555261490352"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,18]]},"references-count":59,"alternative-id":["10.1177\/02683555261490352"],"URL":"https:\/\/doi.org\/10.1177\/02683555261490352","relation":{},"ISSN":["0268-3555","1758-1125"],"issn-type":[{"value":"0268-3555","type":"print"},{"value":"1758-1125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,18]]},"article-number":"02683555261490352"}}