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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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Comments

NOTE: Whilst we have done our utmost to ensure the accuracy of the data in this section, users should access the original publications.

All information contained in this section of Practical-Haemostasis.com is provided for educational purposes only. This information should not be used for the diagnosis or treatment of any health problem or disease.

The user of Practical-Haemostasis.com, assumes sole responsibility for any decisions made or actions taken based on the information contained herein.

LINKS & References

1. Barbar S, Noventa F, 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: 2450-7.

2. Vardi M, Ghanem-Zoubi NO, et al. Venous thromboembolism and the utility of the Padua Prediction Score in patients with sepsis admitted to internal medicine departments. J Thromb Haemost. 2013; 11: 467-73.

3. Liu X, Liu C, et al. Comparison between Caprini and Padua risk assessment models for hospitalized medical patients at risk for venous thromboembolism: a retrospective study. Interact Cardiovasc Thorac Surg. 2016; 23: 538-43.

4. Kyrle PA and Eichinger S. Clinical scores to predict recurrence risk of venous thromboembolism. Thromb Haemost. 2012; 108: 1061-4.

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Updated:         27-Sep-2022