Caprini Score (VTE Risk) — JoyShine Medical

Caprini Score for VTE Risk (2005)

Stratifies venous thromboembolism (VTE) risk in surgical and hospitalized patients into a four-tier category to guide the intensity of mechanical and/or pharmacologic prophylaxis.

Age

< 41 (0) 41–60 (+1) 61–74 (+2) ≥ 75 (+3)

1 point each

Minor surgery planned

History of major surgery (< 1 month)

BMI > 25 kg/m²

Swollen legs (current)

Varicose veins

Sepsis (< 1 month)

Serious lung disease incl. pneumonia (< 1 month)

Abnormal pulmonary function (COPD)

Acute myocardial infarction (< 1 month)

Congestive heart failure (< 1 month)

History of inflammatory bowel disease

Medical patient currently at bed rest

Pregnancy or postpartum (≤ 1 month)

History of unexplained / recurrent miscarriage

Oral contraceptives or hormone replacement

2 points each

Note: For a single surgical episode, check only one surgical category (arthroscopic, major open, or laparoscopic) to avoid double-counting.

Arthroscopic surgery

Major open surgery (> 45 min)

Laparoscopic surgery (> 45 min)

Malignancy (present or previous)

Patient confined to bed (> 72 h)

Immobilizing plaster cast (< 1 month)

Central venous access

3 points each

History of DVT / PE

Family history of thrombosis

Factor V Leiden

Prothrombin 20210A

Lupus anticoagulant

Anticardiolipin antibodies

Elevated serum homocysteine

Heparin-induced thrombocytopenia (HIT)

Other congenital or acquired thrombophilia

5 points each

Stroke (< 1 month)

Elective major lower extremity arthroplasty

Hip, pelvis, or leg fracture (< 1 month)

Acute spinal cord injury / paralysis (< 1 month)

Multiple trauma (< 1 month)