Venous%20thromboembolism%20-%20prevention Diagnosis
Evaluation
Venous Thromboembolism (VTE) Risk Assessment Tools
Padua Risk Assessment Prediction Score
- Used to assess hospitalized patients’ risk for VTE
- Scores ≥4 indicated high VTE risk
Points | Medical History |
3 | Cancer, past VTE, immobile, thrombophilic |
2 | History of trauma or surgery 1 month prior to assessment |
1 | Age ≥70 years, congestive heart failure (CHF), acute myocardial infarction (MI), ischemic cerebrovascular accident, BMI ≥30, hormonal therapy, infections, rheumatologic diseases |
Adapted from Institute for Clinical Systems Improvement. Venous thromboembolism prophylaxis guideline. 2012.
- Pharmacoprophylaxis is suggested in patients at high risk for VTE but at low risk for bleeding
- Patients at high risk for both VTE and bleeding should also be given intermittent pneumatic compression
- No prophylactic measures are needed for patients at low risk for VTE and/or bleeding
Caprini VTE Risk Assessment
- Used to assess the risk for VTE of patients scheduled for surgery
- Points are given depending on different risk factors
Risk factors equivalent to 1 point each:
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Risk factors equivalent to 2 points each
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Risk factors equivalent to 1 point each for female patients:
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Risk factors equivalent to 3 points each:
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Risk factors equivalent to 5 points each:
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Adapted from Institute for Clinical Systems Improvement. Venous thromboembolism prophylaxis guideline. 2012.
VTE Risk Category | Caprini Score |
Very Low | 0 |
Low | 1-2 |
Moderate | 3-4 |
High | ≥5 |
Other Medical Conditions
- Acute MI (Please see Myocardial Infarction disease management chart for further information)
- Acute stroke (Please see Ischemic Stroke and Intracerebral Hemorrhage disease management charts for further information)
- Routine thromboprophylaxis is recommended in the following:
- Burn patients who have ≥1 additional VTE risk factors
- Intensive care unit (ICU) and septic patients
- Patients with severe respiratory disease