Padua Prediction Score (Medical VTE)

How to use it

1. 1

   11 weighted risk factors. Active cancer, prior VTE, immobility, thrombophilia: 3 pts each.

2. 2

   Padua ≥4 = high risk. VTE rate ~11% without prophylaxis vs. ~2.2% with LMWH.

3. 3

   Bleeding risk assessment also needed. High VTE risk + high bleeding risk: mechanical prophylaxis (IPC) preferred.

When to use it

Medical inpatient admission

NICE NG89: assess VTE risk (Padua or IMPROVE) on admission for all medical patients.

Reassessment if condition changes

New immobility, cancer diagnosis, or procedure: re-score and review prophylaxis.

Discharge planning

Extended prophylaxis (LMWH 14–28 days) for high-risk patients post-cancer surgery.