risk assessment for venous thromboembolism (VTE)

VTE risk assessment

high risk

  • surgery for THR, TKR, or hip fracture
  • abdominal or pelvic surgery for cancer
  • multiple major trauma injuries
  • acute spinal cord injury with paresis

moderate risk

  • not in high or low risk categories

low risk

  • ambulatory patient without VTE risk factors (see below)
  • ambulatory patient with VTE risk factors but expected hospital LOS < 2 days
  • minor surgery (operating time < 30 minutes) in patient with VTE risk factors

venous thromboembolism (VTE) risk factors

  • Prolonged immobility or paralysis.
  • Prior venous thromboembolic disease
  • Malignancy
  • Trauma, spinal cord injury and burns
  • Fractures of the pelvis, hip or leg
  • Presence of hypercoagulable state
  • Stroke
  • Obesity. (Males BMI>29: females BMI>28.5)
  • Oestrogen use
  • Congestive cardiac failure
  • Myocardial infarction
  • Active inflammatory bowel disease
  • Sepsis
  • Pregnancy/puerperium
  • Nephrotic syndrome in particular with hypoalbuminuria
  • Varicose veins
  • Respiratory failure / smoker
  • Long-haul travel
  • Indwelling large vein catheter includes peripheral/central lines, Hickmann’s, etc.
  • Age. Relevant in the presence of other risk factors (clinically becomes important by 40 years and increases with further aging)
  • Major surgery, in particular operations involving the abdomen, pelvis and lower extremities, or lasting > 45 minutes
dvt_risk.txt · Last modified: 2019/04/17 02:58 by wh