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| __NOTOC__
| | #redirect [[Caprini score]] |
| {{SI}}
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| {{CMG}}; {{AE}} {{Rim}}
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| '''For the Caprini risk Calculator, [[Click here|
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| ==Overview==
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| The Caprini risk score is a risk assessment tool for the occurrence of [[venous thromboembolism]] among surgical patients. The Caprini risk score includes 20 variables and it is derived from a prospective study of 538 general surgery patients.<ref name="pmid1754886">{{cite journal| author=Caprini JA, Arcelus JI, Hasty JH, Tamhane AC, Fabrega F| title=Clinical assessment of venous thromboembolic risk in surgical patients. | journal=Semin Thromb Hemost | year= 1991 | volume= 17 Suppl 3 | issue= | pages= 304-12 | pmid=1754886 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1754886 }} </ref>
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| ==Caprini Risk Assessment Model==
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| ===Calculation of the Caprini Risk Score===
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| Shown below is a table depicting the different scores for the factors included in the Caprini score.<ref name="pmid1754886">{{cite journal| author=Caprini JA, Arcelus JI, Hasty JH, Tamhane AC, Fabrega F| title=Clinical assessment of venous thromboembolic risk in surgical patients. | journal=Semin Thromb Hemost | year= 1991 | volume= 17 Suppl 3 | issue= | pages= 304-12 | pmid=1754886 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1754886 }} </ref>
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| | style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF; width: 25%" align=center |'''5 points''' || style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF; width: 25%" align=center | '''3 points''' || style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF; width: 25%" align=center | '''2 points''' || style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF; width: 25%" align=center | '''1 point'''
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| |style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | ❑ [[Stroke]] (in the previous month) <br> ❑ Fracture of the hip, pelvis, or leg <br> ❑ Elective [[arthroplasty]] <br> ❑ Acute [[spinal cord injury]] (in the previous month)
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| |style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | ❑ [[Age]]≥ 75 years <br> ❑ Prior episodes of [[VTE]] <br>❑ Positive family history for [[VTE]] <br> ❑ [[Prothrombin 20210 A]] <br> ❑ [[Factor V Leiden]] <br> ❑ [[Lupus anticoagulant]]s <br> ❑ [[Anticardiolipin antibodies]] <br> ❑ High [[homocysteine]] in the blood <br> ❑ [[Heparin induced thrombocytopenia]] <br> ❑ Other congenital or acquired [[thrombophilia]]
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| |style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | ❑ Age: 61-74 years <br> ❑ [[Arthroscopy|Arthroscopic surgery]] <br> ❑ [[Laparoscopy]] lasting more than 45 minutes <br> ❑ [[General surgery]] lasting more than 45 minutes <br> ❑ [[Cancer]] <br> ❑ [[Plaster cast]] <br> ❑ Bed bound for more than 72 hours <br> ❑ Central venous access
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| |style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left| ❑ Age 41-60 years <br> ❑ [[BMI]] > 25 Kg/m<sup>2</sup> <br> ❑ Minor surgery <br> ❑ [[Edema]] in the lower extremities <br> ❑ [[Varicose veins]] <br> ❑ [[Pregnancy]] <br> ❑ [[Post-partum]] <br> ❑ [[Oral contraceptive]] <br> ❑ [[Hormonal therapy]] <br> ❑ Unexplained or recurrent [[abortion]] <br> ❑ [[Sepsis]] (in the previous month) <br> ❑ Serious lung disease such as pneumonia (in the previous month) <br> ❑ Abnormal [[pulmonary function test]] <br> ❑ [[Acute myocardial infarction]] <br> ❑ [[Congestive heart failure]] (in the previous month) <br> ❑ Bed rest <br> ❑ [[Inflammatory bowel disease]]
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| |}
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| ===Interpretation of the Caprini Risk Score===
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| The Caprini score is calculated by adding the scores of all factors present in the patient. The Caprini score is interpreted in the following way:<ref name="pmid1754886">{{cite journal| author=Caprini JA, Arcelus JI, Hasty JH, Tamhane AC, Fabrega F| title=Clinical assessment of venous thromboembolic risk in surgical patients. | journal=Semin Thromb Hemost | year= 1991 | volume= 17 Suppl 3 | issue= | pages= 304-12 | pmid=1754886 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1754886 }} </ref><ref name="pmid15900257">{{cite journal| author=Caprini JA| title=Thrombosis risk assessment as a guide to quality patient care. | journal=Dis Mon | year= 2005 | volume= 51 | issue= 2-3 | pages= 70-8 | pmid=15900257 | doi=10.1016/j.disamonth.2005.02.003 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15900257 }} </ref>
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| * '''Score 0-1''': Low risk of [[VTE]]
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| * '''Score 2''': Moderate of [[VTE]]
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| * '''Score 3-4''': High risk of [[VTE]]
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| * '''Score ≥ 5''': Highest risk for [[VTE]]
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| ==References==
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| {{Reflist|2}}
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| {{WH}}
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| {{WS}}
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| [[CME Category::Cardiology]]
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| [[Category:Surgery]]
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| [[Category:Cardiology]]
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| [[Category:Hematology]]
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| [[Category:Angiology]]
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| [[Category:Up-To-Date]]
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