Medical-Inpatient VTE Risk (Padua Score) — free guideline decision tool

The Padua Prediction Score (Barbar 2010) stratifies venous thromboembolism risk in medical inpatients; whether and how to give prophylaxis follows current guidelines and local protocol.

Padua: active cancer 3, prior VTE 3, immobility 3, thrombophilia 3, recent trauma/surgery 2, age ≥ 70 / cardiorespiratory failure / MI-stroke / acute infection-rheumatic / obesity / hormonal therapy 1 each. ≥ 4 = high risk. Tick the 11 risk factors and sum; ≥4 is high risk, <4 low risk (Barbar 2010).

VTE risk stratification for medical inpatients at admission or when the condition changes.

A Padua score ≥4 (Barbar 2010) marks high VTE risk in medical inpatients; <4 is low risk. Whether and how to give prophylaxis follows current guidelines such as ASH 2018 and local protocol, together with a bleeding-risk assessment (e.g. the IMPROVE bleeding score). Reassess if the clinical condition changes.

Padua ≥4 = high VTE risk; <4 = low risk. Whether and how to give prophylaxis follows current guidelines such as ASH 2018 and local protocol. Assess bleeding risk at the same time.

For medical inpatients; use Caprini for surgical patients. Assess bleeding risk and contraindications before any prophylaxis. For licensed clinicians; does not replace clinical judgement. For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.

Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.