Risk assessment for persistence or recurrence of venous thrombosis in children
Patient characteristics |
Low risk |
Trigger resolved/removed |
Transient underlying medical condition |
Standard risk |
FVIII level 150 U/dL or less |
D-dimer level 500 ng/mL or less |
Fewer than 3 trait thrombophilias* |
High risk |
FVIII level greater than 150 U/dL |
D-dimer level greater than 500 ng/mL |
At least 3 trait thrombophilias* |
Persistent antiphospholipid antibody |
Thrombus characteristics |
Low risk |
Resolved within 6 weeks |
Standard risk |
Atrial |
Nonocclusive DVT |
High risk |
Vena cava |
Occlusive DVT |
Patient characteristics |
Low risk |
Trigger resolved/removed |
Transient underlying medical condition |
Standard risk |
FVIII level 150 U/dL or less |
D-dimer level 500 ng/mL or less |
Fewer than 3 trait thrombophilias* |
High risk |
FVIII level greater than 150 U/dL |
D-dimer level greater than 500 ng/mL |
At least 3 trait thrombophilias* |
Persistent antiphospholipid antibody |
Thrombus characteristics |
Low risk |
Resolved within 6 weeks |
Standard risk |
Atrial |
Nonocclusive DVT |
High risk |
Vena cava |
Occlusive DVT |
Thrombophilias include genetic and acquired prothrombotic traits that can be determined in blood and are listed in Table 3