The Cardiovascular
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Padua prediction score for VTE risk

Venous thromboembolism risk in hospitalised medical patients.

Padua prediction score for VTE risk
Active cancer
Previous VTE (excluding superficial)
Reduced mobility (bed rest ≥3 days)
Known thrombophilia
Recent (≤1 month) trauma or surgery
Age ≥70 years
Heart and/or respiratory failure
Acute MI or ischaemic stroke
Acute infection or rheumatological disorder
Obesity (BMI ≥30)
Ongoing hormonal treatment
Result0 points

Low risk — routine pharmacological prophylaxis is generally not indicated; consider mechanical measures.

When to use

  • Deciding on pharmacological thromboprophylaxis in hospitalised, acutely ill medical (non-surgical) patients.

Formula

Weighted sum: active cancer, prior VTE, reduced mobility, thrombophilia (3 each); recent trauma/surgery (2); age ≥70, cardiac/respiratory failure, MI/stroke, infection/rheumatological disease, obesity, hormonal therapy (1 each). High risk ≥4.

References

  1. Barbar S, et al. A risk assessment model for the identification of hospitalized medical patients at risk for venous thromboembolism: the Padua Prediction Score. J Thromb Haemost. 2010;8(11):2450–7.