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| {{SI}}
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| {{CMG}}; {{AE}} {{Rim}}
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| ==Overview==
| | * [[IMPROVE bleeding risk score]] |
| The IMPROVE score for [[venous thromboembolism]] (VTE) assesses the risk of VTE among hospitalized medical patients. The MPROVE predictive score for VTE includes 4 independent risk factors for VTE which are present at admission. The IMPROVE associative score for VTE includes 7 variables present either at admission or during hospitalization; however the timing of the presence of some of the factors compared to the onset of VTE was not available.<ref name="pmid21436241">{{cite journal| author=Spyropoulos AC, Anderson FA, Fitzgerald G, Decousus H, Pini M, Chong BH et al.| title=Predictive and associative models to identify hospitalized medical patients at risk for VTE. | journal=Chest | year= 2011 | volume= 140 | issue= 3 | pages= 706-14 | pmid=21436241 | doi=10.1378/chest.10-1944 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21436241 }} </ref>
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| ==IMPROVE Predictive Score for VTE==
| | * [[IMPROVE predictive score for VTE]]: IMPROVE predictive risk score assesses the risk of VTE among hospitalized medical patients. It includes 4 independent risk factors for VTE which are present at admission.<ref name="pmid21436241">{{cite journal| author=Spyropoulos AC, Anderson FA, Fitzgerald G, Decousus H, Pini M, Chong BH et al.| title=Predictive and associative models to identify hospitalized medical patients at risk for VTE. | journal=Chest | year= 2011 | volume= 140 | issue= 3 | pages= 706-14 | pmid=21436241 | doi=10.1378/chest.10-1944 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21436241 }} </ref> |
| ===Calculation of the IMPROVE Predictive Score===
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| {| style="cellpadding=0; cellspacing= 0; width: 600px;"
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| | style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align=center | '''Variable'''||style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align=center | '''Score'''<ref name="pmid21436241">{{cite journal| author=Spyropoulos AC, Anderson FA, Fitzgerald G, Decousus H, Pini M, Chong BH et al.| title=Predictive and associative models to identify hospitalized medical patients at risk for VTE. | journal=Chest | year= 2011 | volume= 140 | issue= 3 | pages= 706-14 | pmid=21436241 | doi=10.1378/chest.10-1944 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21436241 }} </ref>
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | Prior episode of [[VTE]]|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | 3
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |[[Thrombophilia]]|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |3
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |[[Malignancy]]||style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |Age more than 60 years|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1
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| ===Interpretation of the IMPROVE Predictive Score===
| | * [[IMPROVE associative score for VTE]]: IMPROVE associative risk score assesses the risk of VTE among hospitalized medical patients. It includes 7 variables present either at admission or during hospitalization; however the timing of the presence of some of the factors compared to the onset of VTE was not available.<ref name="pmid21436241">{{cite journal| author=Spyropoulos AC, Anderson FA, Fitzgerald G, Decousus H, Pini M, Chong BH et al.| title=Predictive and associative models to identify hospitalized medical patients at risk for VTE. | journal=Chest | year= 2011 | volume= 140 | issue= 3 | pages= 706-14 | pmid=21436241 | doi=10.1378/chest.10-1944 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21436241 }} </ref> |
| {| style="cellpadding=0; cellspacing= 0; width: 600px;"
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| | style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align=center | '''Score'''||style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align=center | '''Predicted VTE risk through 3 months'''<ref name="pmid21436241">{{cite journal| author=Spyropoulos AC, Anderson FA, Fitzgerald G, Decousus H, Pini M, Chong BH et al.| title=Predictive and associative models to identify hospitalized medical patients at risk for VTE. | journal=Chest | year= 2011 | volume= 140 | issue= 3 | pages= 706-14 | pmid=21436241 | doi=10.1378/chest.10-1944 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21436241 }} </ref>
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | 0|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |0.5%
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| |-
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1.0%
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |2||style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1.7%
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| |-
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |3|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |3.1%
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| |-
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |4|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |5.4%
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |5-8|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |11%
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| ==IMPROVE Associative Score for VTE==
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| IMPROVE associative risk score assesses the risk of VTE among hospitalized medical patients. While the IMPROVE predictive score includes 4 independent risk factors for VTE which are present at admission, IMPROVE associative score includes 7 variables present either at admission or during hospitalization; however the timing of the presence of some of the factors compared to the onset of VTE is not available.<ref name="pmid21436241">{{cite journal| author=Spyropoulos AC, Anderson FA, Fitzgerald G, Decousus H, Pini M, Chong BH et al.| title=Predictive and associative models to identify hospitalized medical patients at risk for VTE. | journal=Chest | year= 2011 | volume= 140 | issue= 3 | pages= 706-14 | pmid=21436241 | doi=10.1378/chest.10-1944 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21436241 }} </ref> | |
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| ===Calculation of the IMPROVE Associative Score===
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| {| style="cellpadding=0; cellspacing= 0; width: 600px;"
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| | style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align=center | '''Variable'''||style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align=center | '''Score'''<ref name="pmid21436241">{{cite journal| author=Spyropoulos AC, Anderson FA, Fitzgerald G, Decousus H, Pini M, Chong BH et al.| title=Predictive and associative models to identify hospitalized medical patients at risk for VTE. | journal=Chest | year= 2011 | volume= 140 | issue= 3 | pages= 706-14 | pmid=21436241 | doi=10.1378/chest.10-1944 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21436241 }} </ref>
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | Prior episode of [[VTE]]|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | 3
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |[[Thrombophilia]]|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |2
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |Paralysis of the lower extremity during the hospitalization||style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |2
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |Current [[malignancy]]|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |2
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |Immobilization for at least 7 days|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |[[ICU]] or [[CCU]] admission|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |Age more than 60 years|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1
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| ===Interpretation of the IMPROVE Associative Score===
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| {| style="cellpadding=0; cellspacing= 0; width: 600px;"
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| | style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align=center | '''Score'''||style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align=center | '''Predicted VTE risk through 3 months'''<ref name="pmid21436241">{{cite journal| author=Spyropoulos AC, Anderson FA, Fitzgerald G, Decousus H, Pini M, Chong BH et al.| title=Predictive and associative models to identify hospitalized medical patients at risk for VTE. | journal=Chest | year= 2011 | volume= 140 | issue= 3 | pages= 706-14 | pmid=21436241 | doi=10.1378/chest.10-1944 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21436241 }} </ref>
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| |-
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | 0|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |0.4%
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |0.6%
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |2||style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1.0%
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |3|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1.7%
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |4|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |2.9%
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |5-10|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |7.2%
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| ==References== | | ==References== |
| {{Reflist|2}} | | {{Reflist|2}} |
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| [[Category:Cardiology]]
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| [[Category:UpToDate]]
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