Description

Atchison et al developed a score for identifying a noncritically-ill pediatric patient at risk for hospital-associated venous thromboembolism. A patient at risk may benefit from prophylactic measures for risk reduction. The authors are from All Children's Hospital Johns Hopkins Medicine (St. Petersburg, Florida), University of South Florida, the Johns Hopkins University (Baltimore), and the University of Colorado.


Patient selection: noncritically ill pediatric patient (up to 21 years of age)

 

Parameters:

(1) central venous catheter (CVC)

(2) infection

(3) length of stay in days

 

Parameter

Finding

Points

center venous catheter

absent

0

 

present

5

infection

absent

0

 

present

2

length of stay

< 4 days

0

 

>= 4 days

1

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 8

• A score of 8 indicates a patient chemoprophylaxis with low-dose anticoagulation in the absence of bleeding contraindications (else mechanical prophylaxis).

• A score of 7 identified a patient who may benefit from mechanical prophylaxis (pneumatic compression device, early ambulation).

• A score of >= 7 requires the presence CVC and infection.

 

Score

Risk for VTE

<= 6

0.1%

7

1.1%

8

12.5%

 


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