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Simplified Wells Clinical Prediction Rule for Pulmonary Embolism
Apr 19, 2020
•
Mark Morgan
categories:
Pulmonology
Simplified Wells Clinical Prediction Rule for Pulmonary Embolism
see also - Wells DVT calculator
and
see also - Original Wells PE calculator
and
see also PERC score (useful for ruling out PE if Wells Risk is Low)
Clinical Features:
No (0 points)
Yes (1 point)
<-- Clinical symptoms of DVT?
No (0 points)
Yes (1 point)
<-- Other diagnosis less likely than PE?
No (0 points)
Yes (1 point)
<-- Heart rate greater than 100 beats per minute?
No (0 points)
Yes (1 point)
<-- Immobilization or surgery in the last 4 weeks?
No (0 points)
Yes (1 point)
<-- 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>1?'Risk of PE is not low':'Risk of PE is low'
References (Hide/Show)
#1
Wells PS, Anderson DR, Rodger M, Stiell I, Dreyer JF, Barnes D, Forgie M, Kovacs G, Ward J, Kovacs MJ. Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer. Ann Intern Med. 2001 Jul 17;135(2):98-107.
#2
Gibson NS, Sohne M, Kruip MJ, Tick LW, Gerdes VE, Bossuyt PM, Wells PS, Buller HR; Christopher study investigators. Further validation and simplification of the Wells clinical decision rule in pulmonary embolism. Thromb Haemost. 2008 Jan;99(1):229-34.
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