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静脉血栓栓塞(VTE)风险的Padua预测评分
活动性癌症
静脉血栓栓塞史,不包括浅静脉血栓形成
流动性降低
已知的血栓性条件
最近(≤1个月创伤和/或手术)
老年(≥70岁)
心脏和/或呼吸衰竭
急性心肌梗死和/或缺血性中风
急性感染和/或风湿病
肥胖(BMI≥30)
正在进行激素治疗
静脉血栓栓塞风险评分
结果解读
在适当的情况下,当医生已经在考虑对VTE高危患者进行血栓预防时,帕多瓦评分≥4分有可能支持其临床格式
参考文献
Barbar S, Noventa F, Rossetto V, Ferrari A, Brandolin B, Perlati M, De Bon E, Tormene D, Pagnan A, Prandoni P. A risk assessment model for the identification of hospitalized medical patients at risk for venous thromboembolism: the Padua Prediction Score. J Thromb Haemost. 2010 Nov;8(11):2450-7. doi: 10.1111/j.1538-7836.2010.04044.x.
Nendaz M, Spirk D, Kucher N, Aujesky D, Hayoz D, Beer JH, Husmann M, Frauchiger B, Korte W, Wuillemin WA, Jäger K, Righini M, Bounameaux H. Multicentre validation of the Geneva Risk Score for hospitalised medical patients at risk of venous thromboembolism. Explicit ASsessment of Thromboembolic RIsk and Prophylaxis for Medical PATients in SwitzErland (ESTIMATE).Thromb Haemost. 2014 Mar 3;111(3):531-8. doi: 10.1160/TH13-05-0427. Epub 2013 Nov 14.
Kucher N, Koo S, Quiroz R, Cooper JM, Paterno MD, Soukonni- kov B, Goldhaber SZ. Electronic alerts to prevent venous thrombo- embolism among hospitalized patients. N Engl J Med 2005; 352: 969–77.
Decousus H, Tapson VF, Bergmann JF, et al. Factors at Admission Associated With Bleeding Risk in Medical Patients. Findings From the IMPROVE Investigators. Chest 2011;139(1):69-79.
Vardi M, Ghanem-Zoubi NO, Zidan R, Yurin V, Bitterman H. Venous thromboembolism and the utility of the Padua Prediction Score in patients with sepsis admitted to internal medicine departments. J Thromb Haemost. 2013 Mar;11(3):467-73. doi: 10.1111/jth.12108.
Nendaz M, Spirk D, Kucher N, et al. Multicentre validation of the Geneva Risk Score for hospitalised medical patients at risk of venous thromboembolism. Explicit Assessment of Thromboembolic RIsk and prophylaxis for Medical PATients in SwitzErland (ESTIMATE). Thromb Haemost 2014;111(3):531-538.
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