Padua Prediction Score — VTE-rizikó kalkulátor
Vénás thromboemboliás (VTE) rizikó becslése kórházi belgyógyászati betegeknél; tromboprofilaxis döntéshez.
Low risk of VTE
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0
Active cancer
Patients with local or distant metastases and/or in whom chemotherapy or radiotherapy had been performed in the previous 6 months.
Previous VTE (with the exclusion of superficial vein thrombosis)
Reduced mobility
Bedrest with bathroom privileges (either due to patient's limitations or on physicians order) for at least 3 days.
Already known thrombophilic condition
Carriage of defects of antithrombin, protein C or S, factor V Leiden, G20210A prothrombin mutation, antiphospholipid syndrome.
Recent (≤ 1 month) trauma and/or surgery
Elderly age (≥ 70 years)
Heart and/or respiratory failure
Acute myocardial infarction or ischemic stroke
Acute infection and/or rheumatologic disorder
Obesity (BMI ≥ 30)
Ongoing hormonal treatment
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
Padua score for venous thromboembolism (VTE) assesses the risk of VTE among hospitalized medical patients. It calculates a risk score based on 11 common risk factors for VTE in hospitalized medical patients. Patients are stratified into high-risk (≥4 points) and low-risk groups (<4 points).
Padua score for venous thromboembolism (VTE) assesses the risk of VTE among hospitalized medical patients. It calculates a risk score based on 11 common risk factors for VTE in hospitalized medical patients. Patients are stratified into high-risk (≥4 points) and low-risk groups (<4 points).
Reference values
Low risk of VTE
< 4High risk of VTE
≥ 4Scoring
Active cancer (+3 points)
Previous VTE (excluding superficial vein thrombosis) (+3 points)
Reduced Mobility (+3 points)
Already known thrombophilic condition (+3 points)
Recent (≤ 1 month) trauma and/or surgery (+2 points)
Elderly Age (≥ 70 years) (+1 point)
Heart and/or respiratory failure (+1 point)
Acute MI and/or Ischemic Stroke (+1 point)
Acute infection and/or rheumatologic disorder (+1 point)
Obesity (BMI ≥ 30) (+1 point)
Ongoing hormonal treatment (+1 point)
References
Barbar S, Noventa F, Rossetto V, 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 Nov;8(11):2450-7.
Kahn SR, Lim W, Dunn AS, et al. American College of Chest Physicians Prevention of VTE in nonsurgical patients: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141(2 suppl):195S–226S.
Verzió
2
Az eszközről
Padua score for venous thromboembolism (VTE) assesses the risk of VTE among hospitalized medical patients. It calculates a risk score based on 11 common risk factors for VTE in hospitalized medical patients. Patients are stratified into high-risk (≥4 points) and low-risk groups (<4 points).
