Clinical Thrombosis Risk Score for an Acutely-Ill Medical Patient

Are you evaluating an acutely ill medical patient in the hospital?

Yes

Age of the patient

years

Sex of the patient

Male

Female

Body weight

Body height

Does the patient have?

• cardiac failure?

Yes

• respiratory failure?

Yes

• recent stroke?

Yes

• recent myocardial infarction?

Yes

• acute infectious disease?

Yes

• acute rheumatic disease?

Yes

• malignancy?

Yes

• myeloproliferative syndrome?

Yes

• nephrotic syndrome?

Yes

• a history of venous thrombembolism?

Yes

• known hypercoagulable state?

Yes

• immobilization (less than 30 minutes of walking per day)?

Yes

• recent travel > 6 hours?

Yes

• chronic venous insufficiency?

Yes

• pregnancy?

Yes

• hormonal therapy including contraception?

Yes

• dehydration?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Body mass index

Total score

Should thromboprophylaxis be considered for this patient?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Severe Deep Vein Thrombosis in Lower Extremity (Phlegmasia & Venous Gangrene)
Criteria For Diagnosis
- IMPACTILL Model of Spyropoulos et al for Identifying a Hospitalized Medical Patient at Risk for Venous Thromboembolism
Severity, Prognosis, Stage

Monitoring

Complication Detection
- Risk Assessment Profile (RAP) of Greenfield et al for Venous Thromboembolism in Adult Trauma Patients
Comorbid Conditions
- Risk Assessment Profile (RAP) of Greenfield et al for Venous Thromboembolism in Adult Trauma Patients
- Risk Factors for Deep Vein Thrombosis in HIV Patient

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10

Clinical Thrombosis Risk Score for an Acutely-Ill Medical Patient

Purpose: To identify an acutely-ill medical patient who should receive thromboprophylaxis based on the study of Chopard et al.

Evaluation

Results

Please fill out required fields.

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10