Variables Choose Yes/No Score Column4 Details Final Scores
           
Minimially Invasive Surgery
       
           
Caprini Score Variables          
Age 41-60
  Tumor Details Choose  Yes/No
Age 61-74
  G2/G3/Serous carcinoma
Age >=75
  Clear Cell Carcinoma
BMI >25
  Carcinosarcoma
Operative time >45 min
  Suspected or Confirmed Stage III/IV disease
Swollen legs
     
Varicose veins
     
Pregnancy/Postpartum
  Total Score
History of recurrent SAB
  Reason for the Extended Prophylaxis Recommendation  
Sepsis (less than 1 month ago)
  High Risk PMH
OCP or HRT
  High Risk Histology
Serious lung disease (including PNA 1 month ago)
     
Abnormal PFT
  Recommendations for - Minimally Invasive Surgery
Acute MI
  Extended prophylaxis recommended due to personal history of unprovoked VTE
CHF less than 1 month ago
  Extended prophylaxis recommended due to Histology/Stage AND caprini score 5-6
History of inflammatory bowel disease
  Extended prophylaxis recommended due to caprini score 7 or more
Malignancy
     
Confined to bed > 72 hours
  Recommendations for - Open Surgery
Central venous access
  Extended prophylaxis recommended due to personal history of VTE
History of Unprovoked VTE 
  Extended prophylaxis recommended in patient with malignancy and open surgery
Family history of VTE
  Extended prophylaxis recommended due to caprini score >5
Thrombophilia 
  Final Recommendation  
Heparin induced thrombocytopenia
   
Stroke < 1 month ago
     
Hip pelvis or leg fracture
     
Acute spinal cord injury < 1 month ago