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    Caprini Score for Venous Thromboembolism (2005)

    Stratifies risk of VTE in surgical patients.
    Favorite
    When to Use
    Pearls/Pitfalls
    Why Use

    Patients undergoing surgery.

    • May not be applicable to medical patients.
    • Requires face-to-face physician/patient interaction (not computer- or note-based) to obtain historical factors.
    • Validated in many subsets of surgical patients, including general, plastic, vascular, head and neck, surgical ICU, and others (see Evidence Appraisal for details).
    • The most widely validated VTE risk assessment model in surgical patients.
    • Stratifies risk for VTE and provides validated recommendations for who should be discharged with continued prophylaxis.
    ≤40
    0
    41-60
    +1
    61-74
    +2
    ≥75
    +3
    Male
    Female
    None
    0
    Minor
    +1
    Major >45 min, laparoscopic >45 min, or arthroscopic
    +2
    Elective major lower extremity arthroplasty
    +5
    Recent (<1 month) event
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +2
    No
    0
    Yes
    +5
    No
    0
    Yes
    +5
    No
    0
    Yes
    +5
    No
    0
    Yes
    +5
    Venous disease or clotting disorder
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +2
    No
    0
    Yes
    +3
    No
    0
    Yes
    +3
    No
    0
    Yes
    +3
    No
    0
    Yes
    +3
    No
    0
    Yes
    +3
    No
    0
    Yes
    +3
    No
    0
    Yes
    +3
    No
    0
    Yes
    +3
    No
    0
    Yes
    +3
    Normal, out of bed
    0
    Medical patient currently on bed rest
    +1
    Patient confined to bed >72 hours
    +2
    Other present and past history
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +2
    No
    0
    Yes
    +1

    Result:

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    Next Steps
    Evidence
    Creator Insights

    Advice

    While many hospitals have developed institution-wide policies for VTE prophylaxis based on risk assessment models, the decision for type and duration of VTE prophylaxis should ultimately be left up to the surgeon’s best clinical judgment based on individual patient factors.

    About the Creator
    Dr. Joseph Caprini
    Are you Dr. Joseph Caprini?