Padua Scoring System for Venous Thromboembolism Risk and Prophylaxis in Hospitalized Medical Patients
Clinical Feature:
No (0 points)Yes (3 points) <-- Active cancer?
No (0 points)Yes (3 points) <-- Previous Venous Thromboembolism (VTE)?
No (0 points)Yes (3 points) <-- Reduced mobility?
No (0 points)Yes (3 points) <-- Known thrombophilic condition?
No (0 points)Yes (2 points) <-- Recent trauma or surgery?
No (0 points)Yes (1 point) <-- Age 70+ years?
No (0 points)Yes (1 point) <-- Heart or respiratory failure?
No (0 points)Yes (1 point) <-- Acute MI or ischemic stroke?
No (0 points)Yes (1 point) <-- Acute infection or rheumatologic disorder?
No (0 points)Yes (1 point) <-- Obesity?
No (0 points)Yes (1 point) <-- Ongoing hormonal treatment?
Score: numberscore=(variable_1)+(variable_2)+(variable_3)+(variable_4)+(variable_5)+(variable_6)+(variable_7)+(variable_8)+(variable_9)+(variable_10)+(variable_11) out of 14 points (4 points or more is high risk)
Recommendation --> resultscore=(variable_1)+(variable_2)+(variable_3)+(variable_4)+(variable_5)+(variable_6)+(variable_7)+(variable_8)+(variable_9)+(variable_10)+(variable_11);score>3?'High risk - pharmacologic prophylaxis is indicated. If high risk for bleeding, use mechangical prophylaxis.':'Low risk.'
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reference:
#1 Barbar S, Noventa F, Rossetto V, Ferrari A, Brandolin B, Perlati M, De Bon E, Tormene D, Pagnan A, Prandoni P. A risk assessment model for the identification of hospitalized medical patients at risk for venous thromboembolism: the Padua Prediction Score. J Thromb Haemost. 2010 Nov;8(11):2450-7. doi: 10.1111/j.1538-7836.2010.04044.x. PMID: 20738765.

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