🩸 Medical-Inpatient VTE Risk (Padua Score)
UseVTE risk stratification for medical inpatients at admission or when the condition changes.
StrataA Padua score ≥4 (Barbar 2010) marks high VTE risk in medical inpatients; <4 is low risk. Whether and how to …
LimitsFor medical inpatients; use Caprini for surgical patients. · Assess bleeding risk and contraindications before any prophylaxis. · For licensed clinicians; does not replace clinical judgement.
SourceSchünemann HJ, et al. American Society of Hematology 2018 guidelines for management of venous throm…
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.
- 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
Padua ≥4 = high VTE risk; <4 = low risk.
When to use
VTE risk stratification for medical inpatients at admission or when the condition changes.
How it works
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.
Key points
- 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.
References
- [Guideline / primary source]Schünemann HJ, et al. American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized and nonhospitalized medical patients. Blood Adv 2018;2:3198-3225. PMID 30482763
- Barbar S, 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;8:2450-7. PMID 20738765
Verification & sources · governance
FAQ
Frequently asked questions
- Does Medical-Inpatient VTE Risk (Padua Score) 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.