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A Practical Guide to Haemostasis


Predicting the risk of Venous Thromboembolic Disease [VTE] in Hospitalised Patients:
The Padua Prediction Score: 

Introduction:

The Padua Prediction Score is used to assess the risk of VTE in hospitalised patients. Patients who have an elevated score [≥4] may benefit from pharmacological thromboprophylaxis.

The PADUA Score:


Select Criteria:

Active Cancer
No [0 Points]
Yes [3 Points]
Previous VTE [excluding superficial VTE]
No [0 Points]
Yes [3 Points]
Reduced Mobility1
No [0 Points]
Yes [3 Points]
Known Thrombophilia2
No [0 Points]
Yes [3 Points]
Recent Trauma and/or surgery
No [0 Points]
Yes [2 Points]
Age ≥70 yrs
No [0 Points]
Yes [1 Point]
Heart and/or respiratory failure
No [0 Points]
Yes [1 Point]
Acute MI and/or ischaemic stroke
No [0 Points]
Yes [1 Point]
Recent Trauma and/or surgery [ ≤ 1 month]
No [0 Points]
Yes [1 Point]
Acute Infection and/or rheumatological disorder
No [0 Points]
Yes [1 Point]
Obesity: BMI ≥30 kg/m2
No [0 Points]
Yes [1 Point]
Ongoing Hormonal Treatment
No [0 Points]
Yes [1 Point]


1. Bed-rest for at least 3 days.
2. Antithrombin deficiency, Protein C deficiency, Protein S deficiency, Factor V Leiden mutation, Prothrombin G20210A mutation, Antiphospholipid Syndrome.



Score

Interpretation
<4 Low Risk of VTE
≥4 High Risk of VTE


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