Padua Prediction Score for VTE Risk
Assess Venous Thromboembolism (VTE) risk in hospitalized non-surgical patients. Generate a copy-paste compatible score for EHR documentation.
Prophylaxis generally not indicated.
About
The Padua Prediction Score is the standard risk assessment model for stratifying the risk of Venous Thromboembolism (VTE) in hospitalized medical patients who are not undergoing surgery. VTE remains a leading cause of preventable hospital death, yet prophylactic anticoagulation carries bleeding risks.
This tool functions as a rapid checklist for hospitalists. It assigns weighted points to clinical characteristics such as active cancer, reduced mobility, and thrombophilia. A cumulative score of 4 or higher indicates high risk, warranting pharmacological thromboprophylaxis unless contraindicated. The tool includes a clipboard feature to facilitate documentation in Electronic Health Records (EHR).
Formulas
The score is a weighted sum of the following risk factors:
Score = ∑ (Factor Weight if Present)
- 3 Points: Active Cancer, Previous VTE, Reduced Mobility, Thrombophilia.
- 1 Point: Recent Trauma/Surgery, Age ≥ 70, Heart/Resp Failure, AMI/Stroke, Infection/Rheumatologic disorder, Obesity/Hormonal treatment.
Interpretation: Score ≥ 4 &implies; High Risk.
Reference Data
| Risk Category | Padua Score | Recommendation |
|---|---|---|
| Low Risk | 0 − 3 | No specific pharmacological prophylaxis usually required. Encourage ambulation. |
| High Risk | ≥ 4 | Pharmacological prophylaxis recommended (e.g., LMWH, Heparin) absent bleeding risk. |