🦵 Padua Prediction Score (VTE Risk)
Assess venous thromboembolism risk in hospitalised medical patients (Padua Prediction Score).
Padua Prediction Score (VTE Risk)
Active cancer
Previous VTE
Reduced mobility (≥ 3 days)
Known thrombophilia
Recent trauma/surgery (≤ 1 month)
Age ≥ 70
Heart and/or respiratory failure
Acute MI or ischaemic stroke
Acute infection/rheumatologic disorder
Obesity (BMI ≥ 30)
Ongoing hormonal treatment
When to use
Decide on pharmacologic thromboprophylaxis in medical inpatients.
How it works
Weighted items (active cancer 3, prior VTE 3, reduced mobility 3, thrombophilia 3, trauma/surgery 2, age ≥ 70 1, cardiac/respiratory failure 1, MI/stroke 1, infection/rheumatologic 1, obesity 1, hormonal 1). ≥ 4 = high risk.
Key points
- Score ≥ 4 indicates prophylaxis if no contraindication.
- Balance against bleeding risk (e.g. IMPROVE bleed).
- For medical, not surgical, inpatients.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.