Caprini_Score_for_Venous_Thromboembolism_2005_guideline v.1
Caprini Score for Venous Thromboembolism (2005) can be used in patients undergoing elective general surgery. Caprini Score requires face-to-face physician/patient interaction (not computer- or note-based) to obtain historical factors. Caprini Score variables and points: Age (Years): ≤40=0, 41-60=1, 61-74=2, ≥75=3; Sex: Male, Female; Type of surgery: Minor=1, Major >45 min, laparoscopic >45 min, or arthroscopic=2, Elective major lower extremity arthroplasty=5; Recent (<1 month) event: Major surgery: No=0, Yes=1; CHF: No=0, Yes=1; Sepsis: No=0, Yes=1; Pneumonia: No=0, Yes=1; Pregnancy or postpartum: No=0, Yes=1 (If female); Immobilizing plaster cast: No=0, Yes=2; Hip, pelvis, or leg fracture: No=0, Yes=5; Stroke: No=0, Yes=5; Multiple trauma: No=0, Yes=5; Acute spinal cord injury causing paralysis: No=0, Yes=5; Venous disease or clotting disorder: Varicose veins: No=0, Yes=1; Current swollen legs: No=0, Yes=1; Current central venous access: No=0, Yes=2; History of DVT/PE: No=0, Yes=3; Family history of thrombosis: No=0, Yes=3; Positive Factor V Leiden: No=0, Yes=3; Positive prothrombin 20210A: No=0, Yes=3; Elevated serum homocysteine: No=0, Yes=3; Positive lupus anticoagulant: No=0, Yes=3; Elevated anticardiolipin antibody: No=0, Yes=3; Heparin-induced thrombocytopenia: No=0, Yes=3; Other congenital or acquired thrombophilia: No=0, Yes=3; Mobility: Normal, out of bed=0, Medical patient currently on bed rest=1, Patient confined to bed >72 hours=2; Other present and past history: History of inflammatory bowel disease: No=0, Yes=1; BMI >25: No=0, Yes=1; Acute MI: No=0, Yes=1; COPD: No=0, Yes=1; Present or previous malignancy: No=0, Yes=2; Other risk factors: No=0, Yes=1; On oral contraceptives or hormone replacement: No=0, Yes=1 (If female); History of unexplained stillborn, ≥3 spontaneous abortions, or premature birth with toxemia or growth-restricted infant: No=0, Yes=1 (If female). Caprini Score can be categorized in 6 groups: 0, 1-2, 3-4, 5-6, 7-8, >=9. Caprini Score= Risk category= Risk percent= Recommended prophylaxis= Duration of chemoprophylaxis: 0=Lowest=Minimal= Early frequent ambulation only, OR at discretion of surgical team:Pneumatic compression devices OR graduated compression stockings=During hospitalization; 1-2= Low= Minimal= Pneumatic compression devices ± graduated compression stockings= During hospitalization; 3-4= Moderate= 0.7%= Pneumatic compression devices ± graduated compression stockings=During hospitalization; 5-6= High= 1.8%= Pneumatic compression devices AND low dose heparin OR low molecular weight heparin= 7–10 days total; 7-8= High= 4.0%= Pneumatic compression devices AND low dose heparin OR low molecular weight heparin= 7–10 days total; ≥9= Highest= 10.7%= Pneumatic compression devices AND low dose heparin OR low molecular weight heparin= 30 days total.
Caprini score stratifies risk for venous thromboembolism (VTE) and provides validated recommendations for who should be discharged with continued prophylaxis.
Caprini Score for Venous Thromboembolism (2005) can be used in patients undergoing elective general surgery. Caprini Score requires face-to-face physician/patient interaction (not computer- or note-based) to obtain historical factors.
Caprini Score may not be applicable to medical patients.
1. Caprini JA, Arcelus JI, Hasty JH, Tamhane AC, Fabrega F. Clinical assessment of venous thromboembolic risk in surgical patients. InSeminars in thrombosis and hemostasis 1991 Jan 1 (Vol. 17, pp. 304-312). 2. Bahl V, Hu HM, Henke PK, Wakefield TW, Campbell Jr DA, Caprini JA. A validation study of a retrospective venous thromboembolism risk scoring method. Annals of surgery. 2010 Feb 1;251(2):344-50. 3. Obi AT, Pannucci CJ, Nackashi A, Abdullah N, Alvarez R, Bahl V, Wakefield TW, Henke PK. Validation of the Caprini venous thromboembolism risk assessment model in critically ill surgical patients. JAMA surgery. 2015 Oct 1;150(10):941-8. 4. Pannucci CJ, Swistun L, MacDonald JK, Henke PK, Brooke BS. Individualized venous thromboembolism risk stratification using the 2005 Caprini score to identify the benefits and harms of chemoprophylaxis in surgical patients: a meta-analysis. Annals of surgery. 2017 Jun 1;265(6):1094-103. Macht R, Gardner I, Talutis S, Rosenkranz P, Doherty G, McAneny D. Evaluation of a standardized risk-based venous thromboembolism prophylaxis protocol in the setting of thyroid and parathyroid surgery. Journal of the American College of Surgeons. 2017 Jun 1;224(6):1029-35. 5. Lobastov K, Barinov V, Schastlivtsev I, Laberko L, Rodoman G, Boyarintsev V. Validation of the Caprini risk assessment model for venous thromboembolism in high-risk surgical patients in the background of standard prophylaxis. Journal of Vascular Surgery: Venous and Lymphatic Disorders. 2016 Apr 1;4(2):153-60. 6. Pannucci CJ, Bailey SH, Dreszer G, Wachtman CF, Zumsteg JW, Jaber RM, Hamill JB, Hume KM, Rubin JP, Neligan PC, Kalliainen LK. Validation of the Caprini risk assessment model in plastic and reconstructive surgery patients. Journal of the American College of Surgeons. 2011 Jan 1;212(1):105-12. Shuman AG, Hu HM, Pannucci CJ, Jackson CR, Bradford CR, Bahl V. Stratifying the risk of venous thromboembolism in otolaryngology. Otolaryngology--Head and Neck Surgery. 2012 May;146(5):719-24. 7. Saragas NP, Ferrao PN, Saragas E, Jacobson BF. The impact of risk assessment on the implementation of venous thromboembolism prophylaxis in foot and ankle surgery. Foot and Ankle Surgery. 2014 Jun 1;20(2):85-9. 8. Gould MK, Garcia DA, Wren SM, Karanicolas PJ, Arcelus JI, Heit JA, Samama CM. Prevention of VTE in nonorthopedic surgical patients: antithrombotic therapy and prevention of thrombosis: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012 Feb 1;141(2):e227S-77S.
OBSERVATION.caprini_score_for_venous_thromboembolism_2005.v0, EVALUATION.caprini_score_for_venous_thromboembolism_2005.v0
