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| <form name="IMPROVEScore"> | | <form name="IMPROVEScore"> |
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| <table> | | <table> |
| <tbody style="border: 0; float: left; position: float; background: #104E8B; border-radius: 10px 10px 10px 10px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); margin: 0 0 0 0; padding: 5px 5px; font-weight: bold;">
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| <tr> | | <tr><td>Prior episode of VTE</td><td><input type="checkbox" style="top:4px;width:24px;height:24px" name="input1" value="1.0" onchange="calcScore();" /></td></tr> |
| <td style="text-align: center;" colspan="3"><span style="color: #ffffff;"><strong>IMPROVE risk score calculator</strong></span></td> | | <tr><td>Thrombophilia</td><td><input type="checkbox" style="top:4px;width:24px;height:24px" name="input2" value="1.0" onchange="calcScore();" /></td></tr> |
| </tr>
| | <tr><td>Paralysis of the lower extremity during the hospitalization</td><td><input type="checkbox" style="top:4px;width:24px;height:24px" name="input3" value="1.0" onchange="calcScore();" /></td></tr> |
| <tr>
| | <tr><td>Current malignancy</td><td><input type="checkbox" style="top:4px;width:24px;height:24px" name="input4" value="1.0" onchange="calcScore();" /></td></tr> |
| <td style="color: #4479ba; background: #ffffff; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px;"><strong>Variable</strong></td>
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| <td style="color: #4479ba; background: #ffffff; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong>Score</strong></td>
| | <tr><td>Immobilization for at least 7 days</td><td><input type="checkbox" style="top:4px;width:24px;height:24px" name="input5" value="1.0" onchange="calcScore();" /></td></tr> |
| <td style="text-align: left; color: #4479ba; background: #ffffff; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"></td>
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| </tr>
| | <tr><td>ICU or CCU admission</td><td><input type="checkbox" style="top:4px;width:24px;height:24px" name="input6" value="1.0" onchange="calcScore();" /></td></tr> |
| <tr>
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| <td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">Prior episode of VTE</td>
| | <tr><td>Age more than 60 years</td><td><input type="checkbox" style="top:4px;width:24px;height:24px" name="input7" value="1.0" onchange="calcScore();" /></td></tr> |
| <td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong>3</strong></td> | | |
| <td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input name="input1" type="checkbox" value="1.0" style="top: 4px; width: 24px; height: 24px;"/></td>
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| </tr> | |
| <tr> | |
| <td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">Thrombophilia</td> | |
| <td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong> 2</strong></td>
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| <td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input style="top: 4px; width: 24px; height: 24px;" name="input2" type="checkbox" value="1.0" /></td> | |
| </tr> | |
| <tr> | |
| <td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">Paralysis of the lower extremity during the hospitalization</td> | |
| <td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong> 2</strong></td>
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| <td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input style="top: 4px; width: 24px; height: 24px;" name="input3" type="checkbox" value="1.0" /></td> | |
| </tr> | |
| <tr> | |
| <td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">Current malignancy</td> | |
| <td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong> 2</strong></td> | |
| <td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input style="top: 4px; width: 24px; height: 24px;" name="input4" type="checkbox" value="1.0" /></td>
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| </tr> | |
| <tr> | |
| <td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">Immobilization for at least 7 days</td> | |
| <td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong> 1</strong></td>
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| <td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input style="top: 4px; width: 24px; height: 24px;" name="input5" type="checkbox" value="1.0" /></td> | |
| </tr> | |
| <tr> | |
| <td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">ICU or CCU admission</td> | |
| <td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong> 1</strong></td> | |
| <td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input style="top: 4px; width: 24px; height: 24px;" name="input6" type="checkbox" value="1.0" /></td>
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| </tr> | |
| <tr> | |
| <td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">Age more than 60 years</td> | |
| <td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong> 1</strong></td> | |
| <td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input style="top: 4px; width: 24px; height: 24px;" name="input7" type="checkbox" value="1.0" /></td>
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| </tr>
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| <tr>
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| <td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" colspan="3">Score: <input name="result" type="text" /></td>
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| </tr>
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| <tr>
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| <td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" colspan="3">Interpretation: <input name="longanswer" size="50" type="text" /></td>
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| </tr> | |
| </tbody>
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| </table> | | </table> |
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| | Score: <input type="text" name="result" /><br /> |
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| | Interpretation: <input type="text" size="50" name="longanswer" /><br /> |
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| </form> | | </form> |
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| </includeonly> | | </includeonly> |