Padua Prediction Score (VTE risk in hospitalized medical patients)
Adds 11 weighted risk factors to identify hospitalized medical patients at high risk of venous thromboembolism (4 or more points) who may benefit from thromboprophylaxis..
Pogosh offers this calculator when a case matches pneumonia, heart failure, congestive heart failure, stroke, heart attack. It runs only when you press Calculate.
Decision support for clinicians — review before acting.
References
- Barbar S, Noventa F, Rossetto V, 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;8:2450-2457. PMID 20738765. PubMed 20738765
- Kahn SR, Lim W, Dunn AS, et al. Prevention of VTE in nonsurgical patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141(2 Suppl):e195S-e226S. PMID 22315261; PMC3278052 (Table 2). PubMed 22315261
Implementation notes
In the derivation cohort of 1,180 medical inpatients, 39.7% were high risk. VTE occurred in 11.0% (31/283) of high-risk patients without prophylaxis, 2.2% (4/186) with prophylaxis, and 0.3% (2/711) of low-risk patients.
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