IMPROVE VTE risk score (medical inpatients)
VTE risk in hospitalized medical patients.
Inputs
Previous VTE
Known thrombophilia
Current lower-limb paralysis
Current cancer
Immobilized 7 days or more
ICU or CCU stay
Age over 60
Worked calculation
Your values are highlighted.
- Points
When to use
- Medical inpatients.
Pearls and pitfalls
- 2 or more (with elevated D-dimer, or 4 or more alone) supports pharmacologic prophylaxis or extended prophylaxis decisions.
Why use
Alternative to Padua with seven factors.
| Criterion | Points |
|---|---|
| Previous VTE | +3 |
| Known thrombophilia | +2 |
| Current lower-limb paralysis | +2 |
| Current cancer | +2 |
| Immobilized 7 days or more | +1 |
| ICU or CCU stay | +1 |
| Age over 60 | +1 |