Practical-Manual-Scores-Algorithms-Haemostasis-Thrombosis

Assessment of post-thrombotic syndromeIndicationScore of post-thrombotic syndrome (PTS) severitySymptoms• Pain• Cramps• Heaviness• Paresthesia• ItchingSigns• Pretibial oedema• Skin induration• Hyperpigmentation• Redness• Venous ectasia• Calf painon pressureVillalta scoreVenous ulcer Absence PresenceNone Light Moderate Severe00000000000111111111112222222222233333333333Deep Vein Thrombosis and Pulmonary EmbolismInterpretationThe diagnosis of PTS is established when total score (ranking 0-33) is ≥ 5.Patients with venous ulcer are scored with 15. PTS is stratified in three levels:• Light: 5-9• Moderate: 10-14• Severe ≥ 15References• Kahn SR, Partsch H, Vedantham S, et al.; Subcommittee on Control of Anticoagulationof the Scientific and Standardization Committee of the International Society onThrombosis and Haemostasis. Definition of post-thrombotic syndrome of the legfor use in clinical investigations: a recommendation for standardization. J ThrombHaemost. 2009;7:879-83.• Prandoni P, Villalta S, Polistena P, et al. Symptomatic deep-vein thrombosis and thepost-thrombotic syndrome. Haematologica. 1995;80(Suppl 2):42-8.• Villalta S, Bagatella P, Piccioli A, et al. Assessment of validity and reproducibility of aclinical scale for the post-thrombotic syndrome. Haemostasis. 1994;24(suppl 1):158a.21