07 July 2021: Clinical Research
Application of the RCOG Risk Assessment Model for Evaluating Postpartum Venous Thromboembolism in Chinese Women: A Case-Control Study
Ying-Zhou Ge 123ACDEF , Chen Zhang 123CD , Yan-Qing Cai 123ABE* , He-Feng Huang 123AEG**DOI: 10.12659/MSM.929904
Med Sci Monit 2021; 27:e929904
Supplementary Table 2 VTE events.
| Patient | VTE event | Confirmed time* | RCOG score | Risk factor** | Anticoagulant during pregnancy |
|---|---|---|---|---|---|
| 1 | DVT (both) | Day 2 | 5 | Age >35 years, elective caesarean section, surgical procedure in pregnancy or puerperium | No |
| 2 | DVT (left) | Day 2 | 1 | Elective caesarean section | No |
| 3 | DVT (right) +PE | Day 3 | 8 | Previous VTE (PE during puerperium), family history of VTE, age >35 years, elective caesarean section, preterm birth | No |
| 4 | DVT (both) +PE | Day 2 | 3 | Caesarean section in labour, immobility | No |
| 5 | DVT (left) +PE | Day 2 | 2 | Smoker, elective caesarean section | No |
| 6 | DVT (left) | Day 4 | 6 | Low-risk thrombophilia (APS), age >35 years, elective caesarean section, surgical procedure in pregnancy or puerperium | Heparin since 1 trimester |
| 7 | DVT (left) | Day 3 | 5 | Family history of VTE, age >35 years, BMI >30, gross varicose veins, elective caesarean section | No |
| 8 | DVT (left) +PE | Day 3 | 3 | Age >35 years, caesarean section in labour | No |
| 9 | DVT (both) +PE | Day 2 | 1 | Elective caesarean section | No |
| 10 | DVT (both) | Day 2 | 4 | Medical comorbidities, elective caesarean section | No |
| 11 | DVT (both) | Day 3 | 4 | Elective caesarean section, surgical procedure in pregnancy or puerperium | No |
| 12 | DVT (both) | 10+ weeks, Day 2 | 5 | Smoker, previous VTE (DVT found in 1 trimester in this pregnancy) | LMWH since 1 trimester |
| 13 | DVT (left) | Day 3 | 2 | Family history of VTE, elective caesarean section | No |
| 14 | DVT (both) | Day 2 | 2 | Caesarean section in labour | No |
| 15 | DVT (right) | Day 2 | 6 | Age >35 years, current systemic infection, caesarean section in labour, preterm birth, immobility | No |
| 16 | DVT (both) | Day 3 | 2 | Caesarean section in labour | No |
| 17 | DVT (left) | Day 3 | 3 | Age >35 years, caesarean section in labour | No |
| 18 | DVT (right) | Day 2 | 5 | Age >35 years, elective caesarean section, surgical procedure in pregnancy or puerperium | No |
| 19 | DVT (both) +PE | 7+ weeks, Day 3 | 6 | Previous VTE (non-surgical DVT, and DVT found in 1st trimester in this pregnancy), family history of VTE, low-risk thrombophilia (APS) | LMWH since 1 trimester |
| 20 | DVT (left) | Day 2 | 4 | Family history of VTE, pre-eclampsia, caesarean section in labour | No |
| 21 | DVT (left) | Day 4 | 3 | Low-risk thrombophilia (APS), caesarean section in labour | No |
| 22 | DVT (left) | Day 3 | 4 | Smoker, age >35 years, caesarean section in labour | No |
| 23 | DVT (left) +PE | Day 3 | 2 | Caesarean section in labour | No |
| 24 | DVT (left) +PE | Day 2 | 3 | Age >35 years, caesarean section in labour | No |
| 25 | DVT (left) +PE | Day 2 | 2 | Family history of VTE, elective caesarean section | No |
| 26 | DVT (left) | Day 3 | 1 | Elective caesarean section | No |
| 27 | DVT (left) +PE | Day 3 | 2 | Multiple pregnancy, elective caesarean section | No |
| 28 | DVT (right) +PE | Day 4 | 10 | Age >35 years, pre-eclampsia, multiple pregnancy, caesarean section in labour, PPH, preterm birth, surgical procedure in pregnancy or puerperium | No |
| 29 | DVT (both) | Day 2 | 3 | Age >35 years, caesarean section in labour | No |
| 30 | DVT (left) | Day 5 | 5 | Age >35 years, parity >3, caesarean section in labour, current systemic infection | No |
| 31 | DVT (left) | Day 2 | 3 | Medical comorbidities | No |
| 32 | DVT (both) | 30+weeks, Day 2 | 11 | Previous VTE (prenatal DVT in this pregnancy), low-risk thrombophilia (APS), family history of VTE, multiple pregnancy, elective caesarean section, surgical procedure in pregnancy or puerperium | LMWH since 3rd trimester |
| 33 | DVT (left) +PE | Day 3 | 3 | Age >35 years, caesarean section in labour | No |
| 34 | DVT (left) | Day 3 | 1 | Elective caesarean section | No |
| 35 | DVT (left) | Day 6 | 3 | Multiple pregnancy, elective caesarean section, preterm birth | No |
| 36 | DVT (left) | Day 4 | 3 | Caesarean section in labour, current systemic infection | No |
| 37 | DVT (right) | Day 2 | 3 | Caesarean section in labour, current systemic infection | No |
| 38 | DVT (right) | Day 2 | 3 | Family history of VTE, caesarean section in labour | No |
| VTE – venous thromboembolism; DVT – deep venous thrombosis; PE – pulmonary embolism; APS – antiphospholipid syndrome; LMWH – low-molecular-weight heparin. * “Confirmed Time” refers to the time of initial diagnosis of VTE before and/or after delivery. Day 2, Day 3, etc. indicate the second or third day, respectively, after childbirth. ** Artificial reproductive technology/in vitro fertilization and ovarian hyperstimulation syndrome are risk factors for VTE antenatally, so they are not included in this table for postpartum VTE assessment. | |||||