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Haematology

RIETE Score (Venous Thromboembolism)

6 inputsHaematology

30-day fatal bleeding risk during VTE anticoagulation.

RIETE Score (Venous Thromboembolism) calculator

Result

0points

Low risk — ~0.1% fatal bleed

How to use it

  1. 1

    Recent bleeding: 2 points. Most heavily weighted — major bleed within 30 days.

  2. 2

    5 other risk factors: 1 pt each. Renal impairment, anaemia, malignancy, PE diagnosis, age ≥75.

  3. 3

    Bleeding risk vs. VTE recurrence. RIETE helps weigh competing risks for duration of anticoagulation decisions.

When to use it

Anticoagulation duration decision
RIETE score guides short (3 months) vs. extended anticoagulation after VTE.
Extended OAC for unprovoked VTE
RIETE low risk + unprovoked DVT/PE = extended anticoagulation strongly favoured.
Malignancy-associated VTE
RIETE high + cancer: LMWH vs. DOAC decision requires oncology input.

A reference for clinicians and students, not medical advice. A score supports a decision; it does not make one. Check every result against the patient in front of you and your local protocol.

At a glance

Specialty
Haematology
Inputs
6
Type
Points score

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