🦵 Padua Prediction Score (VTE Risk)
Assess venous thromboembolism risk in hospitalised medical patients (Padua Prediction Score).
Score ≥ 4 indicates prophylaxis if no contraindication.
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When to use
Decide on pharmacologic thromboprophylaxis in medical inpatients.
How it works
Weighted items (active cancer 3, prior VTE 3, reduced mobility 3, thrombophilia 3, trauma/surgery 2, age ≥ 70 1, cardiac/respiratory failure 1, MI/stroke 1, infection/rheumatologic 1, obesity 1, hormonal 1). ≥ 4 = high risk.
Key points
- Score ≥ 4 indicates prophylaxis if no contraindication.
- Balance against bleeding risk (e.g. IMPROVE bleed).
- For medical, not surgical, inpatients.
References
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：Low VTE risk (< 4) — prophylaxis generally not indicated.
| 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：High VTE risk (≥ 4) — pharmacologic prophylaxis if no contraindication.
Frequently asked questions
- What is Padua Prediction Score (VTE Risk)?
- Assess venous thromboembolism risk in hospitalised medical patients (Padua Prediction Score).
- How is Padua Prediction Score (VTE Risk) calculated? What is the core formula?
- Weighted items (active cancer 3, prior VTE 3, reduced mobility 3, thrombophilia 3, trauma/surgery 2, age ≥ 70 1, cardiac/respiratory failure 1, MI/stroke 1, infection/rheumatologic 1, obesity 1, hormonal 1). ≥ 4 = high risk.
- When is Padua Prediction Score (VTE Risk) used?
- Decide on pharmacologic thromboprophylaxis in medical inpatients.
- What are the key clinical points for Padua Prediction Score (VTE Risk)?
- Score ≥ 4 indicates prophylaxis if no contraindication. Balance against bleeding risk (e.g. IMPROVE bleed). For medical, not surgical, inpatients.
- What are the limits and cautions when using Padua Prediction Score (VTE Risk)?
- 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 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: Low VTE risk (< 4) — prophylaxis generally not indicated.） 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: High VTE risk (≥ 4) — pharmacologic prophylaxis if no contraindication.）