@php // Helper function to get test data value $getData = function($key, $default = '') use ($testResult) { if (!$testResult || !$testResult->test_data) return $default; return data_get($testResult->test_data, $key, $default); }; // Pre-existing risk factors (EXACT as per user specification) $preExistingFactors = [ ['name' => 'Previous VTE', 'score' => 4, 'key' => 'previous_vte'], ['name' => 'High risk thrombophilia', 'score' => 3, 'key' => 'high_risk_thrombophilia'], ['name' => 'Medical comorbidities ', 'score' => 3, 'key' => 'medical_comorbidities'], ['name' => 'Obesity: BMI ≥40kg/m²', 'score' => 2, 'key' => 'obesity_40'], ['name' => 'Obesity: BMI 30–39 kg/m²', 'score' => 1, 'key' => 'obesity_30_39'], ['name' => 'Family history of VTE', 'score' => 1, 'key' => 'family_history_vte'], ['name' => 'Low risk thrombophilia ', 'score' => 1, 'key' => 'low_risk_thrombophilia'], ['name' => 'Current smoker ≥10/day', 'score' => 1, 'key' => 'current_smoker'], ['name' => 'Gross varicose veins', 'score' => 1, 'key' => 'varicose_veins'] ]; // Obstetric risk factors (EXACT as per user specification) $obstetricFactors = [ ['name' => 'Caesarean section', 'score' => 2, 'key' => 'caesarean_section'], ['name' => 'Pre eclampsia', 'score' => 1, 'key' => 'preeclampsia'], ['name' => 'IVF (1st trimester risk only)', 'score' => 1, 'key' => 'ivf_first_trimester'], ['name' => 'Rotational instrumental delivery', 'score' => 1, 'key' => 'rotational_delivery'], ['name' => 'PPH ≥1000mls / requires transfusion', 'score' => 1, 'key' => 'pph'], ['name' => 'Stillbirth (current)', 'score' => 1, 'key' => 'stillbirth'], ['name' => 'Prolonged labour >24h', 'score' => 1, 'key' => 'prolonged_labour'] ]; // Transient risk factors (EXACT as per user specification) $transientFactors = [ ['name' => 'Surgical procedures ', 'score' => 4, 'key' => 'surgical_procedures'], ['name' => 'Hyperemesis gravidarum / OHSS', 'score' => 4, 'key' => 'hyperemesis_ohss'], ['name' => 'Systemic / Postpartum infection', 'score' => 1, 'key' => 'systemic_infection'], ['name' => 'Immobility / Admission >3 days', 'score' => 1, 'key' => 'immobility_admission'], ['name' => 'Long distance travel >4h', 'score' => 1, 'key' => 'long_distance_travel'] ]; @endphp

Assessment Date

Tarikh penilaian

SENARAI SEMAK RISIKO VTE SEMASA HAMIL DAN PUERPERIUM

Venous Thromboembolism Risk Assessment Checklist

@foreach($preExistingFactors as $factor) @endforeach @foreach($obstetricFactors as $factor) @endforeach @foreach($transientFactors as $factor) @endforeach
VTE risk factors VTE score Pre-pregnancy/
Booking		 Admission
New Illness		 Post delivery
Pre-existing risk factors
{{ $factor['name'] }} {{ $factor['score'] }}
Obstetric risk factors
{{ $factor['name'] }} {{ $factor['score'] }}
Transient risk factors
{{ $factor['name'] }} {{ $factor['score'] }}
TOTAL SCORE 0 0 0

Risk Interpretation

Clinical guidelines

  • If total score ≥4 at any time: HIGH RISK - Thromboprophylaxis recommended
  • If total score ≥3 at any time: MODERATE RISK - Consider thromboprophylaxis if admitted to hospital
  • If total score <3: LOW RISK - Early mobilization and hydration
  • Reassess VTE risk if clinical condition changes
  • Based on Prevention & Treatment of Venous Thromboembolism in Pregnancy and Puerperium 2018

Additional Clinical Notes

Catatan klinikal tambahan