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. 2016 Aug 8;113(31-32):532–538. doi: 10.3238/arztebl.2016.0532

Table 1. Risk categories and examples for the classification of patients with special risks.

Surgical Non-surgical*
Low VTE risk
  • Minor surgical interventions

  • Trauma without or with minor soft tissue injury

  • No additional or only minor dispositional risk, otherwise classification in higher risk category

  • Infection or acute inflammatory disease without bed confinement

  • Central venous catheter/port catheter

  • No additional or only minor dispositional risk, otherwise classification in higher risk category

Moderate VTE risk
  • Longer surgical interventions

  • Joint-spanning cast immobilization of the lower extremity

  • Arthroscopy assisted surgery on the lower extremity

  • No additional or only minor dispositional risk, otherwise classification in higher risk category

  • Acute heart failure (NYHA III/IV)

  • Acute decompensation in patients with severe COPD without ventilation

  • Infection or acute inflammatory disease with bed confinement status

  • Malignant disease requiring in-patient treatment

  • No additional or only minor dispositional risk, otherwise classification in higher risk category

High VTE risk
  • Major surgery in the abdominal and pelvic region for malignancy or inflammatory disease

  • Patients with multiple injuries, serious injuries of the spine, the pelvis and/or the lower extremity

  • Major surgery on the spine, pelvis, hip and knee

  • Major surgery in the body cavities of the chest, abdomen and/or pelvic region

  • Stroke with leg paresis

  • Acute decompensation in patients with severe COPD with ventilation

  • Sepsis

  • Seriously ill patients receiving intensive care

*Study data are only available for in-patient care. VTE, venous thromboembolism; NYHA, New York Heart Association; COPD, chronic obstructive pulmonary disease