TABLE 3.
Patient’s Name:______________________________________________________________________________ Age:________________________________________________________________________________________ Sex:________________________________________________________________________________________ | |
| |
DVT risk assessment | DVT risk score |
Previous VTE | 3 |
Known thrombophiliaa | 2 |
Current lower leg paralysis or paresisb | 2 |
Prior cancerc | 2 |
ICU/CCU stay | 1 |
Complete immobilization ≥ 1 dayd | 1 |
Age ≥ 60 years | 1 |
ICU, intensive care unit; CCU, cardiac care unit; VTE, venous thromboembolism. aA congenital or acquired condition leading to excess risk of thrombosis (e.g., factor V Leiden, lupus anticoagulant, factor C or factor S deficiency). bLeg falls to bed by 5 s, but has some effort against gravity or presence hemiparesis, hemiplegia, paraplegia, and quadriplegia. cCancer (excluding non-melanoma skin cancer) present at any time in the last 5 years (cancer must be in remission to meet eligibility criteria). dConfined to bed or chair with or without bathroom privileges. Adapted from previous studies (Spyropoulos et al., 2011; Mahan et al., 2014; Rosenberg et al., 2014; Raskob et al., 2016).