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Wells Clinical Prediction Rule for Pulmonary Embolism
Dec 25, 2016
•
Mark Morgan
categories:
Hematology & Oncology
Wells Clinical Prediction Rule for Pulmonary Embolism
see also - Wells DVT calculator
Clinical Features:
No (0 points)
Yes (3 points)
<-- Clinical symptoms of DVT?
No (0 points)
Yes (3 points)
<-- Other diagnosis less likely than PE?
No (0 points)
Yes (1.5 points)
<-- Heart rate greater than 100 beats per minute?
No (0 points)
Yes (1.5 points)
<-- Immobilization or surgery in the last 4 weeks?
No (0 points)
Yes (1.5 points)
<-- Previous DVT or PE?
No (0 points)
Yes (1 point)
<-- Hemoptysis?
No (0 points)
Yes (1 point)
<-- Malignancy?
Score:
score=(DVT)+(Alternative)+(Rate)+(Immobilization)+(Previous)+(Hemoptysis)+(Malignancy)
-->
Interpretation
score=(DVT)+(Alternative)+(Rate)+(Immobilization)+(Previous)+(Hemoptysis)+(Malignancy);score>6?'High Risk - 78.4%':score>1?'Moderate Risk - 27.8%':'Low Risk - 3.4%'
References (Hide/Show)
Ramzi (2004) Am Fam Physician 69:2829-36.
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