VTEVTE

Caprini VTE Risk Assessment for Surgical Patients

Quantifies VTE risk in surgical patients to guide pharmacological and mechanical prophylaxis.

[1pt] Age 41–60 years?

[1pt] Minor surgery planned?

[1pt] BMI >25 kg/m²?

[1pt] Varicose veins?

[1pt] Swollen legs (oedema)?

[1pt] Acute myocardial infarction (<1 month)?

[1pt] Congestive heart failure (<1 month)?

[1pt] Sepsis (<1 month)?

[1pt] Immobilising plaster cast?

[1pt] Oral contraceptives or hormone replacement therapy (HRT)?

[2pt] Age 61–74 years?

[2pt] Arthroscopic or laparoscopic surgery >45 min?

[2pt] Malignancy (present or previous)?

[2pt] Major open surgery >45 min?

[2pt] Confined to bed >72 hours?

[3pt] Age ≥75 years?

[3pt] Personal history of DVT/PE?

[3pt] Family history of VTE?

[3pt] Factor V Leiden mutation?

[3pt] Prothrombin 20210A mutation?

[3pt] Elevated serum homocysteine?

[3pt] Heparin-induced thrombocytopaenia (HIT)?

[3pt] Elevated anticardiolipin antibodies?

[5pt] Stroke or TIA (<1 month)?

[5pt] Elective arthroplasty?

[5pt] Hip, pelvis, or leg fracture (<1 month)?

[5pt] Multiple trauma (<1 month)?

[5pt] Acute spinal cord injury (<1 month)?

Caprini Score

Lowest Risk

Score 0: Lowest risk. No specific VTE prophylaxis required beyond early ambulation.

Reference: Caprini JA. Semin Thromb Hemost 2010

Medical Disclaimer: This calculator is a clinical decision support tool for qualified healthcare professionals. It does not replace clinical judgement. Always interpret results in the full clinical context. Reference: Caprini JA. Semin Thromb Hemost 2010.

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