Active Gastroduodenal Ulcer

No (0 pts)+0Active gastroduodenal ulcer (+4.5 pts — round to 4)+4

Bleeding in Previous 3 Months

No (0 pts)+0Prior bleeding within 3 months (+4 pts)+4

Platelets < 50 × 10⁹/L

No (0 pts)+0Severe thrombocytopenia present (+4 pts)+4

Age ≥ 85 Years

Age < 85 years (0 pts)+0Age ≥ 85 years (+3.5 pts — round to 3)+3

Hepatic Failure (INR > 1.5 without anticoagulation)

No significant liver disease (0 pts)+0Hepatic failure present (+2 pts)+2

Current Admission to ICU or CCU

Not in ICU/CCU (0 pts)+0Currently in ICU or CCU (+2 pts)+2

Central Venous Catheter or Arterial Line

No central venous access (0 pts)+0Central venous or arterial catheter (+1.5 pts — round to 2)+2

Rheumatic Disease

No (0 pts)+0Rheumatic disease (+2 pts)+2

Active Cancer in Male Patients

No (or female) (0 pts)+0Male with active cancer (+2 pts)+2

IMPROVE Bleeding Risk Score — VTE Prophylaxis in Hospitalized Medical Patients