Risk Scoring System for Venous Thromboembolism
Caprini score, Padua Prediction Score, VTE after THA or TKA

For female

On oral contraceptives or hormone replacement (+1)

History of unexplained stillborn, ≥3 spontaneous abortions, or premature birth with toxemia or growth-restricted infant (+1)

Active cancer (+3)

Previous VTE (+3)

Reduced mobility (+3)

Known thrombophilic condition (+3)

Recent (≤1 month) trauma and/or surgery (+2)

Elderly age (≥70 years) (+1)

Heart and/or respiratory failure (+1)

Acute MI and/or ischemic stroke (+1)

Acute infection and/or rheumatologic disorder (+1)

Obesity (BMI ≥30) (+1)

Ongoing hormonal treatment (+1)

Weight

kilogram

Lbs

Height

centimeters

inches

BMI, kg/m²

Age < 40 years ( -2 )

Cancer chemotherapy ( +1 )

Estrogen treatment ( +1 )

Lower limb motor paralysis ( +1 )

Oral contraceptives ( +1 )

Severe infection (+1 )

Varicose veins ( +1 )

Age ≥60 years (+2 )

BMI ≥25 to <30 kg/m2 ( +2 )

Cancer (other than surgery, respiratory surgery, urology, and gynecology) ( +2 )

Lower limb cast bandage fixation ( +2 )

Confined to bed ≥48 h (+2 )

Pelvic mass disease ( +2 )

BMI ≥30 kg/m2 (+3 )

Diagnosis or history of VTE ( +8 )

Thrombophilia: antiphospholipid antibody syndrome, hyperhomocysteinemia, increased prothrombin levels, factor V Leiden, increased factor VIII levels, hyperfibrinogenemia, antithrombin deficiency, protein C deficiency, and protein S deficiency ( +8 )

Result

-

References

1) Caprini JA, Arcelus JI, Hasty JH, Tamhane AC, Fabrega F. Clinical assessment of venous thromboembolic risk in surgical patients. Semin Thromb Hemost. 1991;17 Suppl 3:304-12. PMID: 1754886.

2) Barbar S, Noventa F, Rossetto V, Ferrari A, Brandolin B, Perlati M, De Bon E, Tormene D, Pagnan A, Prandoni P. 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. doi: 10.1111/j.1538-7836.2010.04044.x. PMID: 20738765.

3) Akamine A, Takahira N, Kuroiwa M, Tomizawa A, Atsuda K. Internal Validation of a Risk Scoring System for Venous Thromboembolism After Total hip or Knee Arthroplasty. Clin Appl Thromb Hemost. 2022 Jan-Dec;28:10760296221103868. doi: 10.1177/10760296221103868. PMID: 35642285; PMCID: PMC9163732.

Risk Scoring System for Venous Thromboembolism Caprini score, Padua Prediction Score, VTE after THA or TKA

Result

Risk Scoring System for Venous Thromboembolism
Caprini score, Padua Prediction Score, VTE after THA or TKA