Padua Score Calculator

By Łucja Zaborowska, MD
Last updated: Jan 11, 2021

Our Padua score calculator checks on the most essential venous thromboembolism (VTE) risk factors of your patient and informs you whether the use of the pharmacological prophylaxis is necessary.

Our tool will not only compute the Padua prediction score, but thanks to the article included below, you'll be able to find out more about the DVT prophylaxis guidelines and VTE risk assessment process.

A word or two about the VTE

VTE stands for the venous thromboembolism. It is a group of diseases of different manifestations and complications that share a common origin: the famous triad of Virchow and the hypercoagulation defect.

💡 Virchow's triad includes hemodynamic changes (e.g., stasis), endothelial injury/dysfunction, and the changes in the constitution of blood

  1. VTE usually begins from the episode of the venous thrombosis (a blood clot forming in one of the veins), which may take the form of:

    • DVT - deep vein thrombosis

      The most common type, characterized by a swollen, warm, painful limb.

    • CVST- cerebral venous sinus thrombosis

      Rare type of stroke - often diagnosed in pregnant/postpartum women.

    • Budd-Chiari syndrome thrombosis of the hepatic vein

      May result in liver insufficiency.

  2. The formed and detached clot, then called embolus, may travel further into the cardiovascular system, blocking other veins/arteries. That may result in:

    • 📍 Pulmonary embolism - blockage of one of the lungs arteries.

      The symptoms vary from shortness of breath to sudden death.

    • 📍 Paradoxical embolism - blockage of one of the brain arteries, resulting in a stroke.

      This situation is only possible in people with defects in heart structure, e.g., in atrial septum.

What are the methods for VTE risk assessment?

Different medical facilities may use their own VTE/DVT risk scores, developed in their own clinical surroundings. However, a group of recommended tools may further facilitate the decision if the pharmacological prophylaxis' gains outweigh the possible side effects.

Your diagnostic process should start with the least invasive methods, such as measuring D-dimers, and checking for the signs and symptoms of the DVT (usually present in lower limbs). You may also perform ultrasound compression testing - probe pressed against an affected vessel will reveal a formed thrombus.

❗ In case of a life threatening VTE signs/symptoms, heart or lungs insufficiency, you should always speed up the diagnostics (with the use of CT or angio-CT) and implement treatment as soon as possible.

There are two well-known tools for pulmonary embolism:

They both focus on age, presence of the DVT, reduced mobility, and concomitant diseases.

We may also enumerate two other famous VTE risk score calculators:

  • Padua score
  • Caprini score

You may also check the patient's coagulability state and the risk of bleeding, using PT and INR test, HAS-BLED score and the CHA₂DS₂-VASC risk stratification. 💉

What is the VTE prophylaxis?

Venous thromboembolism prophylaxis comprises of both pharmacological and mechanical methods.

Mechanical:

  • Compression stockings;
  • Intermittent pneumatic compression devices;
  • Calf exercise, "pumping"; and
  • Early ambulation after surgery.

Pharmacological: (anticoagulation) 💊

  • Low molecular weight heparin (LMWH), or unfractionated heparin (UFH);
  • Vitamin K antagonists;
  • Direct oral anticoagulants (DOACs); and
  • Aspirin (only in combination with another drug).

The use of pharmacological prophylaxis doesn't exclude the use of the mechanical one!

How to calculate the Padua score?

Our Padua score calculator uses the following equation:

Padua score = Age + Obesity + Reduced mobility + Hormonal treatment+ Active cancer + Trauma/surgery + Previous VTE + Thrombophilic condition + Failure + Myocardial infraction + Infection

The enumerated variables take the following values:

VariableYesNo
Age ≥ 70 years10
Obesity (≥30 BMI)10
Reduced mobility30
Hormonal treatment10
Active cancer30
Trauma/surgery (≤ 1 month)20
History of VTE30
Thrombophilic condition30
Heart/respiratory failure10
MI/stroke10
Infection/rheumathologic disease10

❗ Our calculator shouldn't be used as a substitute for clinical judgment. Always make your decisions based on your own experience and your patient's state. Always consult at least one other source of knowledge.

Łucja Zaborowska, MD
Age ≥ 70 years
No
Obesity (BMI ≥ 30)
No
Reduced mobility
No
Ongoing hormonal treatment
No
Active cancer
No
Trauma/ surgery within last month
No
History of venous thromboembolism
No
Known thrombophilic condition
No
Heart failure/ Respiratory failure
No
Myocardial infraction/ Ischemic stroke
No
Acute infection/ Rheumatologic disease
No
Result
Padua score
points
✅ Pharmagological prevention is not recommended.

Always consider use of the mechanical VTE prophylaxis, such as:
 • Compression stockings; or
 • Intermittent pneumatic compression devices.
People also viewed…

Korean age

If you're wondering what would your age be from a Korean perspective, use this Korean age calculator to find out.

Navy body fat

The navy body fat calculator uses a formula developed by US Navy to estimate the fat content in one's body.
main background