Caprini risk assessment model

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Caprini Risk Assessment Model

Calculation of the Caprini Risk Score

5 points 3 points 2 points 1 point
Stroke (in the previous month)
❑ Fracture of the hip, pelvis, or leg
❑ Elective arthroplasty
❑ Acute spinal cord injury (in the previous month)
Age≥ 75 years
❑ Prior episodes of VTE
❑ Positive family history for VTE
Prothrombin 20210 A
Factor V Leiden
Lupus anticoagulants
Anticardiolipin antibodies
❑ High homocysteine in the blood
Heparin induced thrombocytopenia
❑ Other congenital or acquired thrombophilia
❑ Age: 61-74 years
Arthroscopic surgery
Laparoscopy lasting more than 45 minutes
General surgery lasting more than 45 minutes
Cancer
Plaster cast
❑ Bed bound for more than 72 hours
❑ Central venous access
❑ Age 41-60 years
BMI > 25 Kg/m2
❑ Minor surgery
Edema in the lower extremities
Varicose veins
Pregnancy
Post-partum
Oral contraceptive
Hormonal therapy
❑ Unexplained or recurrent abortion
Sepsis (in the previous month)
❑ Serious lung disease such as pneumonia (in the previous month)
❑ Abnormal pulmonary function test
Acute myocardial infarction
Congestive heart failure (in the previous month)
❑ Bed rest
Inflammatory bowel disease

Interpretation of the Caprini Risk Score

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:

  • Score 0-1: Very low risk of VTE
  • Score 2: Low risk of VTE
  • Score 3-4: Moderate risk of VTE
  • Score ≥5: High risk for VTE

References