Caprini score
Stratifies risk of venous thrombembolism in surgical patients
Lowest risk
Estimated risk of VTE in the absence of prophylaxis <0.5 %
0
Patient information
Sex
Age
Type of surgery
None
Physical examination
Sepsis (< 1 month)
Varicose veins
Swollen legs (current)
Obesity (BMI > 25)
Acute myocardial infarction
Congestive heart failure (< 1 month)
Abnormal pulmonary function (COPD)
Medical patient currently at bed rest
Patient confined to bed (> 72 hours)
Central venous access
Other risk factors
Patient history
History of prior major surgery (< 1 month)
History of inflammatory bowel disease
Serious lung disease including pneumonia (< 1 month)
Immobilizing plaster cast (< 1 month)
Malignancy (present or previous)
History of deep vein thrombosis/pulmonary embolism
Family history of thrombosis
Heparin-induced thrombocytopenia (HIT) (Do not use haprin or any low molecular weight heparin)
Other congenital or acquired thrombophilia
Stroke (< 1 month)
Hip, pelvis or leg fracture (< 1 month)
Multiple trauma (< 1 month)
Acute spinal cord injury (paralysis) (< 1 month)
Laboratory test results
Positive prothrombin 20210A
Positive factor V Leiden
Positive lupus anticoagulant
Elevated serum homocysteine
Elevated anticardiolipin antibodies
További információk
Figyelmeztetés
Ez az eszköz kizárólag oktatási célra szolgál, és nem jelent vagy helyettesít szakmai tanácsot. Az eszköz nem használható orvosi diagnózis felállítására és/vagy orvosi kezelés nyújtására.
General description
The Caprini score estimates the risk of VTE in patients undergoing nonorthopedic surgery. VTE risk is calculated based on patient’s sex, age, type of surgery, physical examination, history and laboratory test results.
The Caprini score estimates the risk of VTE in patients undergoing nonorthopedic surgery. VTE risk is calculated based on patient’s sex, age, type of surgery, physical examination, history and laboratory test results.
Reference values
Lowest risk: Estimated risk of VTE in the absence of prophylaxis < 0.5 %
0Low risk: Estimated risk of VTE in the absence of prophylaxis 1.5 %
1–2Moderate risk: Estimated risk of VTE in the absence of prophylaxis 3.0 %
3–4High risk: Estimated risk of VTE in the absence of prophylaxis 6.0 %
5–8References
Caprini JA, Arcules JI, Hasty JH, et al. Clinical assessment of venous thromboembolic risk in surgical patients. Seminars in Thrombosis and Hemostasis. February 1991.
Caprini JA. Thrombosis risk assessment as a guide to quality patient care. Dis Mon. 2005;51(2-3):70-78.
Bahl V, Hu HM, Henke PK, et al. A Validation Study of a Retrospective Venous Thromboembolism Risk Scoring Method. Ann Surg. 2010;251:344–350.
Pannucci CJ, Bailey SH, Dreszer G, et al. Validation of the Caprini Risk Assessment Model in Plastic and Reconstructive Surgery Patients. J Am Coll Surg. 2011;212(1):105–112.
Gould MK, Garcia DA, Wren SM, et al. Prevention of VTE in Nonorthopedic Surgical Patients. Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: ACCP Guidelines. CHEST 2012; 141(2)(Suppl):e227S–e277S.
Pannucci CJ, Swistun L, MacDonald jk, et al. Individualized Venous Thromboembolism Risk Stratification Using the 2005 Caprini Score to Identify the Benefits and Harms of Chemoprophylaxis in Surgical Patients. Ann Surg 2017;265:1094–1103.
Verzió
5
Az eszközről
The Caprini score estimates the risk of VTE in patients undergoing nonorthopedic surgery. VTE risk is calculated based on patient’s sex, age, type of surgery, physical examination, history and laboratory test results.
