Table 3 Risk levels for VTE and recommended prophylaxis as per ACCP [4]
Risk level | Caprini score | Recommended thromboprophylaxis | Need for prophylaxis in elective urology patients at CHBAH (%) |
|---|---|---|---|
Very low | 0 | Early ambulation | 0 |
Low | 1–2 | Mechanical prophylaxis: intermittent pneumatic compression (IPC) preferred over elastic stockings (ES) | 15.04 |
Moderate | 3–4 | No high risk for major bleeding Low molecular weight heparin (LMWH) or low-dose unfractionated heparin (LDUH) or mechanical prophylaxis High risk for major bleeding Mechanical prophylaxis | 40.27 |
High |  ≥ 5 | No high risk for major bleeding LMWH or LDUH in addition to mechanical prophylaxis High risk for major bleeding Mechanical prophylaxis LMWH or LDUH once risk of bleeding subsides | 27.88 |
High with abdomino-pelvic oncology surgery |  ≥ 5 | No high risk for major bleeding: LMWH or LDUH in addition to mechanical prophylaxis. Consider extended duration pharmacologic thromboprophylaxis for 4 weeks | 16.81 |