DVT Risk – Self Assessment

Here is a quick way to do a self assessment to see if you are at risk of suffering from Deep Vein Thrombosis.  For each of the criteria below, give yourself points against the option that is right for you. At the end add up your points.  The points table at the bottom shows if you are at risk and at what level.

Age

Years Score
10 – 30 0
31 – 40 1
41 – 50 2
51 – 50 3
61+ 4

Body Mass Index

Build BMI Score
Underweight 16 – 18 0
Average/Desirable 19 – 25 1
Overweight 25 – 30 2
Obese 31 – 40 3
Morbid Obesity 41+ 4

Mobility

Ambulant 0
Walk with aids (Walker) 1
Needs help 2
Chair bound 3
Completely bed ridden 4

Special risk category
For women using oral contraceptives:

20 – 35 years 1
35+ 2
Pregnant 3

Recent surgery

Thoracic 3
Abdominal 3
Neurosurgical 3
Urological 3
Orthopedic (Below waist) 4

High Risk Diseases

Ulcerative Colitis 1
Anemia 2
Polycythaemia 2
Chronic heart disease 3
Myocardial Infarction 4
Malignancy 5
Varicose Veins 6
Previous DVT 7

Total

< 6 No risk
6 – 10 Low risk
11 – 14 Moderate risk
15+ High risk
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