Risk Stratification for DVT-VTE Among Surgical Inpatients High risk - Recent major orthopedic surgery/arthroplasty/fracture - Abdominal/pelvic cancer undergoing surgery - Recent spinal cord injury or major trauma within 90 days - More than three of the intermediate risk factors (see below) Intermediate risk - Not ambulating independently outside of room at least twice daily - Active infectious or inflammatory process - Active malignancy - Major surgery (nonorthopedic) - History of V TE - Stroke - Central venous access or PICC line - Inflammatory bowel disease - Prior immobilization (> 72 hours) preoperatively - Obesity (BMI > 30) - Patient age > 50 years - Hormone replacement or oral contraceptive therapy - Hypercoagulable state - Nephrotic syndrome - Burns - Cellulitis - Varicose veins - Paresis - HF (systolic dysfunction) - COPD exacerbation Low risk - Minor procedure and age < 40 years with no additional risk factors - Ambulatory with expected length of stay of < 24 hours or #DVT #VTE #Risk #Stratification #Inpatient #prophylaxis
