Risk Score for Postpartum Thromboembolism -Medical Algorithm -Equation

Are you evaluating a woman who is pregnant?

Yes

Age of the patient

years

Was the patient overweight at the start of pregnancy?

Yes

Is the woman delivered by Cesarean section?

Yes

Will the woman be immobilized for a week or more?

Yes

Does the woman have ?

• a first-degree relative with a history of thrombo-embolsim before the age of 60?

Yes

• pre-eclampsia?

Yes

• abruptio placenta?

Yes

• protein S deficiency?

Yes

• protein C deficiency?

Yes

• lupus anticoagulant?

Yes

• cardiolipin antibodies?

Yes

• a mechanical heart valve?

Yes

• a need for continuous warfarin prophylaxis?

Yes

• antithrombin deficiency?

Yes

• other risk factor for thrombosis?

Yes

Select an appropriate answer for each finding

Factor V Leiden

Prothrombin gene mutation

Antiphospholipid syndrome (APS)

History of previous VTE

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Maximum risk score

Relative risk of VTE based on maximum risk factors

Number of risk level 1 conditions

Number of risk level 2 conditions

Number of risk level 3 conditions

Number of risk level 4 conditions

Number of risk level 5 conditions

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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

Risk Score of Lindqvist et al for Postpartum Thromboembolism

Purpose: To identify a woman at risk for venous thromboembolism (VTE) during pregnancy using the risk score of Lindqvist et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10