cliot (version 1.0.0)

padua_vte_score: Padua Prediction Score for Risk of VTE

Description

Calculates the Padua Prediction Score to assess the risk of Venous Thromboembolism (VTE) in hospitalized medical patients. The score stratifies patients into low or high risk categories to guide thromboprophylaxis decisions.

Usage

padua_vte_score(active_cancer, previous_vte, reduced_mobility,
                known_thrombophilia, recent_trauma_surgery, age,
                heart_respiratory_failure, acute_mi_stroke,
                infection_rheumatologic, bmi, hormonal_treatment)

Value

A list containing:

Padua_Score

The calculated total score (Range 0-20).

Risk_Category

Classification (Low Risk < 4, High Risk >= 4).

Recommendation

Clinical guidance regarding prophylaxis.

Arguments

active_cancer

Numeric (0 or 1). Active cancer (metastases and/or chemo/radiation in last 6 months). (1 = Yes, +3 points).

previous_vte

Numeric (0 or 1). Previous VTE (excluding superficial vein thrombosis). (1 = Yes, +3 points).

reduced_mobility

Numeric (0 or 1). Reduced mobility (bedrest with bathroom privileges for >= 3 days). (1 = Yes, +3 points).

known_thrombophilia

Numeric (0 or 1). Known thrombophilic condition. (1 = Yes, +3 points).

recent_trauma_surgery

Numeric (0 or 1). Recent (<= 1 month) trauma or surgery. (1 = Yes, +2 points).

age

Numeric. Patient age in years. (>= 70 years adds 1 point).

heart_respiratory_failure

Numeric (0 or 1). Heart or respiratory failure. (1 = Yes, +1 point).

acute_mi_stroke

Numeric (0 or 1). Acute myocardial infarction or ischemic stroke. (1 = Yes, +1 point).

infection_rheumatologic

Numeric (0 or 1). Acute infection or rheumatologic disorder. (1 = Yes, +1 point).

bmi

Numeric. Body Mass Index (kg/m^2). (>= 30 adds 1 point).

hormonal_treatment

Numeric (0 or 1). Ongoing hormonal treatment. (1 = Yes, +1 point).

References

Barbar S, Noventa F, Rossetto V, et al. A risk assessment model for the identification of hospitalized medical patients at risk for venous thromboembolism: the Padua Prediction Score. J Thromb Haemost. 2010;8(11):2450-2457. doi:10.1111/j.1538-7836.2010.04044.x

Examples

# Example 1: High Risk
# Cancer (+3), Recent Surgery (+2), Age 75 (+1)
# Score = 6
padua_vte_score(1, 0, 0, 0, 1, 75, 0, 0, 0, 25, 0)

# Example 2: Low Risk
# Infection (+1), BMI 32 (+1), Age 50 (0)
# Score = 2
padua_vte_score(0, 0, 0, 0, 0, 50, 0, 0, 1, 32, 0)