1. High-risk hospitalized patient with active cancer
Hospital clinicianBackground
A hospitalized medical patient has active cancer, has been bedridden for at least three days, has heart or respiratory failure, and has a BMI of at least 30.
Problem
Calculate the Padua score and identify the corresponding risk category.
How to use
Select cancer, reduced mobility, heart and/or respiratory failure, and obesity.
Cancer: yes; previous VTE: no; reduced mobility: yes; thrombophilia: no; recent trauma or surgery: no; age ≥70: no; heart or respiratory failure: yes; acute MI or ischemic stroke: no; acute infection or rheumatologic disorder: no; obesity: yes; hormonal treatment: no.Outcome
The total is 8, which is high risk. The result supports clinical review of pharmacologic prophylaxis, such as LMWH, when appropriate.