Abstract:
Background: This network meta-analysis comprehensively compared the accuracy of the currently commonly used venous thromboembolism (VTE) assessment scale for screening peripherally inserted central catheter-associated VTE.
Methods: We conducted a comprehensive literature search to obtain relevant studies on diagnostic accuracy. Two researchers independently screened the literature, extracted data, and evaluated the risk of bias. ANOVA was performed via R software to implement diagnostic network meta-analysis via the Bayesian method to evaluate the predictive power of the dominance index.
Results: A total of 9 studies were included, including 3837 patients, and involved 8 VTE assessment scales. The network meta-analysis showed that the Maneval scale had the highest superior index, followed by the Seeley scale, and the Michigan scale had the lowest superior index.
Conclusion: Currently, limited evidence indicates that the Maneval scale and Seeley scale have good diagnostic test accuracy, and clinical medical staff can choose them preferentially when screening for peripherally inserted central catheter-associated VTE risks.
Reference:Wang X, Guo C, Yang Y, Zhou C, Tian C. Diagnostic value of several venous thromboembolism assessment scales for peripherally inserted central catheters-associated venous thromboembolism: A network meta-analysis. Medicine (Baltimore). 2025 Oct 10;104(41):e45058. doi: 10.1097/MD.0000000000045058. PMID: 41088707.