Padua Score Calculator

The Padua Prediction Score aggregates weighted clinical criteria associated with deep vein thrombosis (DVT) and pulmonary embolism (PE). Each parameter is assigned a specific point value based on its statistical correlation with VTE events. The mathematical logic sums all present risk factors to yield a cumulative integer score: Score = Active Cancer (3) + Previous VTE (3) + Reduced Mobility (3) + Thrombophilic Condition (3) + Trauma/Surgery (3) + Age >= 70 (1) + Heart/Respiratory Failure (1) + Acute Myocardial Infarction/Stroke (1) + Infection/Rheumatologic Disorder (1) + Obesity BMI >= 30 (1) + Ongoing Hormonal Treatment (1). A total score of 4 or higher indicates high risk, while a score below 4 designates low risk.

Consider a 72-year-old hospitalized patient admitted for an acute respiratory infection. The patient has a documented history of localized breast cancer undergoing active treatment, and currently requires bed rest with bathroom privileges due to fatigue. To find their Padua Score, we sum the applicable points: Age >= 70 (1 point) + Active Cancer (3 points) + Reduced Mobility (3 points) + Acute Infection (1 point). Adding these values together (1 + 3 + 3 + 1) results in a total Padua Score of 8. Because this total exceeds the threshold of 4, the patient is classified as high risk for VTE, signaling the clinical need for preventive anticoagulation therapy.

Always re-evaluate the Padua score dynamically if the patient's mobility status or clinical condition changes during their hospital stay. Ensure that contraindications to pharmacological prophylaxis, such as active bleeding risks, are thoroughly checked before acting on high-risk scores. Utilize this tool as an adjunct to clinical judgment rather than an absolute substitute for comprehensive medical evaluation.