Risk Stratification and Nursing Strategy for Recurrent Readmission in Primary Venous Thromboembolism: A Study Based on NT ‐ proBNP and Factor VIII

Le résumé fourni par la source

To identify factors influencing recurrent readmission in patients diagnosed with Venous thromboembolism (VTE) who underwent interventional or surgical procedures and propose an evidence-based nursing strategy. This retrospective cohort study included 121 patients with VTE admitted to Shanxi Bethune Hospital (February 2022-February 2025). Patients were divided into recurrence and non-recurrence groups based on readmission. Independent predictors were identified using logistic regression. Model performance was assessed by ROC curves, nomograms, and calibration plots. Recurrent readmission occurred in 24 patients (19.83%). Independent predictors included BMI (OR = 1.625), NT-proBNP (OR = 1.014), factor VIII (OR = 1.032), MMAS-8 (OR = 0.587), and AHSMSRS scores (OR = 0.950). The combined model showed excellent predictive accuracy (AUC = 0.849; 95% CI: 0.767-0.930), with good calibration. Elevated BMI, NT-proBNP, and factor VIII, along with poor medication adherence and self-management, predict VTE recurrence. Early identification and targeted nursing interventions may reduce readmission rates.

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