VTE Prophylaxis Decision — Medical Inpatients (Padua Score) — free guideline decision tool
Assess venous thromboembolism risk in medical inpatients with the Padua Prediction Score and get prophylaxis guidance. Instant, browser-side.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
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 | Yes |
|---|---|
| Previous VTE (excluding superficial vein thrombosis) | Yes |
| Reduced mobility (bed rest ≥ 3 days) | Yes |
| Known thrombophilia | Yes |
| Recent (≤ 1 month) trauma or surgery | Yes |
| Age ≥ 70 years | Yes |
| Heart and/or respiratory failure | Yes |
| Acute MI or ischaemic stroke | Yes |
| Acute infection and/or rheumatologic disorder | Yes |
| Obesity (BMI ≥ 30) | Yes |
| Ongoing hormonal treatment | Yes |
→VTE riskHigh
- Padua score：20 points
- Prophylaxis advice：Pharmacological prophylaxis recommended (no contraindication)
- Basis：ACCP / medical-inpatient VTE prevention guidance
| Active cancer | No |
|---|---|
| Previous VTE (excluding superficial vein thrombosis) | No |
| Reduced mobility (bed rest ≥ 3 days) | No |
| Known thrombophilia | No |
| Recent (≤ 1 month) trauma or surgery | No |
| Age ≥ 70 years | No |
| Heart and/or respiratory failure | No |
| Acute MI or ischaemic stroke | No |
| Acute infection and/or rheumatologic disorder | No |
| Obesity (BMI ≥ 30) | No |
| Ongoing hormonal treatment | No |
→VTE riskLow
- Padua score：0 points
- Prophylaxis advice：Routine pharmacological prophylaxis not recommended
- Basis：ACCP / medical-inpatient VTE prevention guidance
Common questions
What is VTE Prophylaxis Decision — Medical Inpatients (Padua Score)?
Assess venous thromboembolism risk in medical inpatients with the Padua Prediction Score and get prophylaxis guidance. Instant, browser-side.
How is VTE Prophylaxis Decision — Medical Inpatients (Padua Score) calculated? What is the core formula?
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.
When is VTE Prophylaxis Decision — Medical Inpatients (Padua Score) used?
Decide whether a medical inpatient needs pharmacological VTE prophylaxis.
What are the key clinical points for VTE Prophylaxis Decision — Medical Inpatients (Padua Score)?
Padua ≥ 4 = high risk → pharmacological prophylaxis (LMWH, low-dose UFH or fondaparinux) absent contraindication. Assess bleeding risk (e.g. IMPROVE bleeding score) before starting prophylaxis. Where anticoagulation is contraindicated, use mechanical prophylaxis. Padua < 4 = low risk → routine pharmacological prophylaxis not recommended; encourage early mobilisation.
What are the limits and cautions when using VTE Prophylaxis Decision — Medical Inpatients (Padua Score)?
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.
How is VTE Prophylaxis Decision — Medical Inpatients (Padua Score) calculated in practice? Can you show a worked example?
Inputs: Active cancer Yes, Previous VTE (excluding superficial vein thrombosis) Yes, Reduced mobility (bed rest ≥ 3 days) Yes, Known thrombophilia Yes, Recent (≤ 1 month) trauma or surgery Yes, Age ≥ 70 years Yes, Heart and/or respiratory failure Yes, Acute MI or ischaemic stroke Yes… → Result: VTE risk High（Padua score: 20 points, Prophylaxis advice: Pharmacological prophylaxis recommended (no contraindication), Basis: ACCP / medical-inpatient VTE prevention guidance） Inputs: Active cancer No, Previous VTE (excluding superficial vein thrombosis) No, Reduced mobility (bed rest ≥ 3 days) No, Known thrombophilia No, Recent (≤ 1 month) trauma or surgery No, Age ≥ 70 years No, Heart and/or respiratory failure No, Acute MI or ischaemic stroke No… → Result: VTE risk Low（Padua score: 0 points, Prophylaxis advice: Routine pharmacological prophylaxis not recommended, Basis: ACCP / medical-inpatient VTE prevention guidance）
Run VTE Prophylaxis Decision — Medical Inpatients (Padua Score) now
Assess venous thromboembolism risk in medical inpatients with the Padua Prediction Score and get prophylaxis guidance. Instant, browser-side.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
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