Table 3. Comparison of the Caprini RAM and the Padua Prediction Score among medical inpatients, with recommendations for VTE prophylaxis.
| RAMs | Caprini RAM |
The Padua Prediction Score |
|
|---|---|---|---|
| Patients with moderate to high risk (≥ 3 score), % | Patients with high risk (≥ 5 score), % | Patients with high risk (≥ 4 score), % | |
| Cases (n = 902) | 84.30% | 57.10% | 49.10% |
| Controls (n = 902) | 66.20% | 24.60% | 16.20% |
| P value | < 0.001† | < 0.001‡ | < 0.001† |
| Adjusted OR for VTE (95%CI)a | 2.75 (2.20–3.46) | 4.10 (3.34–5.00) | 5.01 (4.03–6.25) |
| Recommendations for VTE prophylaxis (if low risk of bleeding)b | Pharma.p is optional or obligatory; mech.p is optional | Pharma.p is obligatory (only or with mech.p) | Pharma.p is obligatory (only) |
RAM = risk assessment model, OR = odds ratio, VTE=venous thromboembolism, CI = confidence interval, Pharm.p=pharmacologic prophylaxis, mech.p = mechanical prophylaxis
a
Adjusted for use of VTE prophylaxis
b
Based on the ACCP-9, American College of Chest Physicians guideline, ninth edition.