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Padua score calculator

Calculate the Padua VTE prediction score for hospitalized medical patients, showing each risk factor and the published four-point threshold.

Calculator

Local or distant metastases or chemotherapy/radiotherapy in the previous 6 months.

Bed rest with bathroom privileges for at least 3 days.

Total score
0.0
Interpretation
Low VTE risk by Padua (0 to 3); reassess if the clinical state changes.
Point contributions
CriterionPoints
Active cancer0.0
Previous VTE, excluding superficial vein thrombosis0.0
Reduced mobility0.0
Known thrombophilic condition0.0
Trauma or surgery within the previous month0.0
Age at least 70 years0.0
Heart and/or respiratory failure0.0
Acute myocardial infarction or ischaemic stroke0.0
Acute infection and/or rheumatologic disorder0.0
BMI at least 30 kg/m²0.0
Ongoing hormonal treatment0.0

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How this calculator works

Padua is a risk-assessment model for venous thromboembolism in hospitalized medical patients. Active cancer, previous VTE, reduced mobility and known thrombophilia each add 3; recent trauma/surgery adds 2; the remaining six factors add 1 each. The published high-risk threshold is 4. Count combined items only once. The score does not diagnose an existing clot or assess bleeding risk. The result is an estimate for information only and is not medical advice.

Formula

Padua = 3(cancer + previous VTE + immobility + thrombophilia) + 2(recent trauma/surgery) + age + failure + acute MI/stroke + infection/rheumatologic disease + obesity + hormones.

Worked example

Reduced mobility alone gives 3 points, below the high-risk threshold. Adding age 70 or older gives 4 points.

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Frequently asked questions

Do heart failure and respiratory failure count twice?

No. They form one one-point item.

Is superficial thrombosis prior VTE here?

No. The prior-VTE item excludes superficial vein thrombosis.

Does high risk automatically mean anticoagulation?

No. Bleeding risk, contraindications and the full clinical situation also matter.

Sources

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