{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T05:21:18Z","timestamp":1787721678312,"version":"build-2784847793"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the feasibility and implementation outcomes of dynamic Caprini assessment-based graded nursing for in-hospital venous thromboembolism (VTE) risk management in a meniscoplasty-dominant arthroscopic meniscus surgery cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This single-center, retrospective, observational implementation analysis included 90 adult patients who underwent arthroscopic meniscus surgery between January 2024 and December 2025. Caprini assessments were completed at admission (T1), postoperative day 1 (T2), and discharge (T3), and nursing\/prophylaxis delivery was assigned according to dynamic risk stratification. Feasibility endpoints included completion of serial assessments, risk-concordant prophylaxis delivery, documentation completeness, and discharge satisfaction. The primary clinical outcome was clinically detected in-hospital deep vein thrombosis (DVT), confirmed by symptom-triggered lower-extremity duplex ultrasonography; pulmonary embolism (PE) was assessed when clinically suspected. Results: Serial Caprini assessment and risk classification were completed in all 90 patients. Basic preventive nursing was delivered to 90\/90 patients, mechanical prophylaxis to 73\/73 T2 moderate\/high-risk patients, and low-molecular-weight heparin (LMWH) to 26\/26 T2 high-risk patients. The mean Caprini score increased from T1 (1.87 \u00b1 1.11) to T2 (3.84 \u00b1 1.34,\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001) and decreased at T3 (2.68 \u00b1 1.51,\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001 vs. T2). Moderate-to-high risk classification increased from 26.7% at T1 to 81.1% at T2. Clinically detected in-hospital DVT occurred in 2\/90 patients (2.2%; exact 95% CI, 0.3\u20137.8%), both distal; PE occurred in 0\/90 patients (0%; 95% CI, 0.0\u20134.0%); and minor bleeding occurred in 1\/90 patient (1.1%; 95% CI, 0.0\u20136.0%). No major bleeding was observed. Mean satisfaction was 98.5 \u00b1 1.2 points.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dynamic Caprini assessment-based graded nursing was feasible to implement within this single-center meniscoplasty-dominant cohort. The findings describe protocol delivery and clinically detected in-hospital outcomes only and do not establish causal efficacy or total perioperative DVT incidence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1838532","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T04:41:45Z","timestamp":1787719305000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Single-center retrospective feasibility and implementation analysis of dynamic Caprini assessment-based graded nursing for in-hospital VTE risk management in a meniscoplasty-dominant arthroscopic meniscus surgery cohort"],"prefix":"10.3389","volume":"13","author":[{"given":"Xiaomei","family":"Li","sequence":"first","affiliation":[{"name":"Department of Orthopedics, The Fuyang Affiliated Hospital of Anhui Medical University","place":["Fuyang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jimin","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Fuyang Affiliated Hospital of Anhui Medical University","place":["Fuyang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Fuyang Affiliated Hospital of Anhui Medical University","place":["Fuyang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"101221","DOI":"10.1016\/j.cpsurg.2022.101221","article-title":"Thrombosis prophylaxis in surgical patients using the Caprini risk score.","volume":"9","author":"Wilson","year":"2022","journal-title":"Curr Probl 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A systematic review of direct clinical comparisons.","volume":"251","author":"Morris","year":"2010","journal-title":"Ann Surg."},{"key":"B15","doi-asserted-by":"publisher","first-page":"573","DOI":"10.7326\/0003-4819-147-8-200710160-00010","article-title":"The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies.","volume":"147","author":"von Elm","year":"2007","journal-title":"Ann Intern Med"},{"key":"B16","doi-asserted-by":"publisher","first-page":"3898","DOI":"10.1182\/bloodadvances.2019000975","article-title":"American society of hematology 2019 guidelines for management of venous thromboembolism: prevention of venous thromboembolism in surgical hospitalized patients.","volume":"3","author":"Anderson","year":"2019","journal-title":"Blood Adv"},{"key":"B17","volume-title":"Discovering Statistics Using IBM SPSS Statistics.","author":"Field","year":"2023"},{"key":"B18","doi-asserted-by":"publisher","first-page":"ITC129","DOI":"10.7326\/AITC202209200","article-title":"Deep venous thrombosis.","volume":"175","author":"Duffett","year":"2022","journal-title":"Ann Intern Med"},{"key":"B19","doi-asserted-by":"publisher","first-page":"CD005258","DOI":"10.1002\/14651858.CD005258.pub4","article-title":"Combined intermittent pneumatic leg compression and pharmacological prophylaxis for prevention of venous thromboembolism in high-risk patients.","volume":"1","author":"Kakkos","year":"2022","journal-title":"Cochrane Database Syst Rev."},{"key":"B20","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1186\/s12959-024-00636-1","article-title":"Combination of graduated compression stockings and intermittent pneumatic compression is better in preventing deep venous thrombosis than graduated compression stockings alone for patients following gynecological surgery: a meta-analysis.","volume":"22","author":"Lu","year":"2024","journal-title":"Thromb J"},{"key":"B21","doi-asserted-by":"publisher","first-page":"1401","DOI":"10.1016\/j.jvsv.2022.05.003","article-title":"Systematic review of venous thromboembolism risk categories derived from Caprini score.","volume":"10","author":"Hayssen","year":"2022","journal-title":"J Vasc Surg Venous Lymphat Disord."}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1838532\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T04:41:51Z","timestamp":1787719311000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1838532\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,26]]},"references-count":21,"alternative-id":["10.3389\/fmed.2026.1838532"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2026.1838532","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,26]]},"article-number":"1838532"}}