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Wells Clinical Prediction Rule for Deep Vein Thrombosis (DVT)
Aug 30, 2010
•
Mark Morgan
categories:
Hematology & Oncology
Wells Clinical Prediction Rule for DVT
see also - Wells PE calculator
Clinical Features:
No (0 points)
Yes (1 point)
<-- Active cancer (treatment within 6 months, or palliation)?
No (0 points)
Yes (1 point)
<-- Bedridden for more than 3 days because of surgery (within 4 weeks)?
No (0 points)
Yes (1 point)
<-- Localized tenderness along distribution of deep veins?
No (0 points)
Yes (1 point)
<-- Entire leg swollen?
No (0 points)
Yes (1 point)
<-- Unilateral calf swelling of greater than 3 cm (below tibial tuberosity)?
No (0 points)
Yes (1 point)
<-- Unilateral pitting edema?
No (0 points)
Yes (1 point)
<-- Collateral superficial veins?
No (0 points)
Yes (-2 points)
<-- Alternative diagnosis as likely as or more likely than DVT?
Score:
Number
score=(variable_1)+(variable_2)+(variable_3)+(variable_4)+(variable_5)+(variable_6)+(variable_7)+(variable_8)
out of 7
Risk -->
Interpretation
score=(variable_1)+(variable_2)+(variable_3)+(variable_4)+(variable_5)+(variable_6)+(variable_7)+(variable_8);score>2?'High Risk (75%)':score>0?'Moderate Risk (17%)':'Low Risk (3%)'
display/hide references
reference:
#1
Wells (1997) Lancet 350:1795-8
#2
Ramzi (2004) Am Fam Physician 69:2829-36
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