🦵 Padua Prediction Score (VTE Risk)
UseVTE risk stratification for medical inpatients.
Strata≥4 is high risk: in Barbar 2010, VTE 11.0% without prophylaxis and 2.2% with; low risk 0.3%. Whether and how …
LimitsAssess bleeding risk as well. · For medical inpatients.
SourceSchünemann HJ, et al. ASH 2018 guidelines for management of VTE: prophylaxis for hospitalized and n…
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
- Who it is for
- Adult medical inpatients who need a VTE risk assessment. Suspected DVT follows the diagnostic path only; this page does not make prophylaxis decisions.
- Who it is not for
- Treatment duration for confirmed VTE is not this prophylaxis card. Acute PE is not handled on the prophylaxis card.
- Formula and variables
- Padua is the entry for medical VTE risk assessment. IMPROVE bleed assesses bleeding risk. Caprini is the surgical entry. IMPROVE VTE does not replace Padua. Wells DVT serves only the diagnostic path. Thresholds stay as on this page. The formula is not changed.
- Result → next step
- Next for prevention is the medical VTE risk page: whether and how to give prophylaxis follows current guidelines and local protocol, with bleeding risk assessed. Next for diagnosis is the DVT pathway, which does not involve prophylaxis decisions. This page gives no medication or dose information.No numeric dose until age, weight, renal function, and pregnancy are all known. Pregnancy is contraindication or caution only.Medical VTE prophylaxis →
- Guideline
- China PTE guideline 2018
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
Methodology · worked example, guidelines & full notes
11 weighted items; ≥4 high risk.
When to use
VTE risk stratification for medical inpatients.
How it works
Active cancer 3, previous VTE 3, reduced mobility ≥3 d 3, known thrombophilia 3, recent trauma/surgery 2; age ≥70, heart/respiratory failure, acute MI or ischaemic stroke, acute infection/rheumatologic disorder, obesity BMI ≥30, hormonal treatment 1 each.
Key points
- 11 weighted items; ≥4 high risk.
- Original study: Barbar 2010.
- Prophylaxis decisions per current guidelines.
References
- [Guideline / primary source]Schünemann HJ, et al. ASH 2018 guidelines for management of VTE: prophylaxis for hospitalized and nonhospitalized medical patients. Blood Adv 2018;2:3198-225. PMID 30482763
- Barbar S, et al. A risk assessment model for the identification of hospitalized medical patients at risk for VTE: the Padua Prediction Score. J Thromb Haemost 2010;8:2450-7. PMID 20738765
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Active cancer | No |
|---|---|
| Previous VTE | No |
| Reduced mobility (≥ 3 days) | No |
| Known thrombophilia | No |
| Recent trauma/surgery (≤ 1 month) | No |
| Age ≥ 70 | No |
| Heart and/or respiratory failure | No |
| Acute MI or ischaemic stroke | No |
| Acute infection/rheumatologic disorder | No |
| Obesity (BMI ≥ 30) | No |
| Ongoing hormonal treatment | No |
→Padua0
- Risk group：<4: low risk
- Derivation data：Barbar 2010: high risk VTE 11.0% without prophylaxis, 2.2% with; low risk 0.3%.
| Active cancer | Yes (+3) |
|---|---|
| Previous VTE | Yes (+3) |
| Reduced mobility (≥ 3 days) | Yes (+3) |
| Known thrombophilia | Yes (+3) |
| Recent trauma/surgery (≤ 1 month) | Yes (+2) |
| Age ≥ 70 | Yes (+1) |
| Heart and/or respiratory failure | Yes (+1) |
| Acute MI or ischaemic stroke | Yes (+1) |
| Acute infection/rheumatologic disorder | Yes (+1) |
| Obesity (BMI ≥ 30) | Yes (+1) |
| Ongoing hormonal treatment | Yes (+1) |
→Padua20
- Risk group：≥4: high risk
- Derivation data：Barbar 2010: high risk VTE 11.0% without prophylaxis, 2.2% with; low risk 0.3%.
Verification & sources · governance
FAQ
Frequently asked questions
- Does Padua Prediction Score (VTE Risk) upload patient data? Where is it calculated?
- 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.
- How is Padua Prediction Score (VTE Risk) calculated in practice? Can you show a worked example?
- Inputs: Active cancer No, Previous VTE No, Reduced mobility (≥ 3 days) No, Known thrombophilia No, Recent trauma/surgery (≤ 1 month) No, Age ≥ 70 No, Heart and/or respiratory failure No, Acute MI or ischaemic stroke No… → Result: Padua 0（Risk group: <4: low risk, Derivation data: Barbar 2010: high risk VTE 11.0% without prophylaxis, 2.2% with; low risk 0.3%.） Inputs: Active cancer Yes (+3), Previous VTE Yes (+3), Reduced mobility (≥ 3 days) Yes (+3), Known thrombophilia Yes (+3), Recent trauma/surgery (≤ 1 month) Yes (+2), Age ≥ 70 Yes (+1), Heart and/or respiratory failure Yes (+1), Acute MI or ischaemic stroke Yes (+1)… → Result: Padua 20（Risk group: ≥4: high risk, Derivation data: Barbar 2010: high risk VTE 11.0% without prophylaxis, 2.2% with; low risk 0.3%.）