Caprini score

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2], Rim Halaby, M.D. [3], Seyedmahdi Pahlavani, M.D. [4], Anmol Pitliya, M.B.B.S. M.D.[5]

Overview

The Caprini risk score is a risk assessment tool for the occurrence of venous thromboembolism among surgical patients.

Caprini Score

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.[1]

Caprini Score Calculator

Shown below is the calculator for Caprini score (check all the boxes that apply):

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

Interpretation

The interpretation of the score is as follows:

  • Score < 2: Low risk of VTE
  • Score = 2: Moderate risk of VTE
  • Score = 3: High risk of VTE
  • Score = 4: High risk of VTE
  • Score ≥ 5: Highest risk of VTE

See also

References

  1. Caprini JA, Arcelus JI, Hasty JH, Tamhane AC, Fabrega F (1991). "Clinical assessment of venous thromboembolic risk in surgical patients". Semin Thromb Hemost. 17 Suppl 3: 304–12. PMID 1754886.

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