Padua Prediction Score for Risk of VTE

In the appropriate setting, when a physician is already considering thromboprophylaxis for a patient considered high risk for VTE, a score ≥4 has the potential to support their clinical gestalt.

For patients admitted to a medical floor:

• Score <4:
  • Low risk of VTE.
  • Thromboprophylaxis should be considered on a case-by-case basis.
• Score ≥4:
  • High risk of VTE.
  • Thromboprophylaxis (e.g., heparin, enoxaparin) is recommended for non-pregnant patients without contraindications (major bleeding, low platelets, creatinine clearance <30 mL/min) who are >18 years.

• This tool is meant to risk stratify patients who have a potential risk for VTE, not to diagnose VTE.
• If deemed appropriate, anticoagulation should not be withheld from patients who require it as part of the treatment for their diagnosis.
• Prior to initiating any anticoagulant therapy, a patient’s bleeding risk should be evaluated.