Wells score for DVT (modified): Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{hatnote|For other versions of Wells score, click [[Wells score|'''here''']]}} | |||
'''Editor(s)-In-Chief:''' {{ATI}}, [[C. Michael Gibson, M.S., M.D.]] [mailto:charlesmichaelgibson@gmail.com]; {{AE}} {{SSH}} | '''Editor(s)-In-Chief:''' {{ATI}}, [[C. Michael Gibson, M.S., M.D.]] [mailto:charlesmichaelgibson@gmail.com]; {{AE}} {{SSH}} | ||
==Modified Wells Score | ==Overview== | ||
==Modified Wells Score for DVT== | |||
== | == Modified Wells Score Calculator for DVT == | ||
This handy calculator computes the pre-test probability of [[deep vein thrombosis|deep vein thrombosis (DVT)]] using modified Wells criteria.<ref name="pmid14507948">{{cite journal |vauthors=Wells PS, Anderson DR, Rodger M, Forgie M, Kearon C, Dreyer J, Kovacs G, Mitchell M, Lewandowski B, Kovacs MJ |title=Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis |journal=N. Engl. J. Med. |volume=349 |issue=13 |pages=1227–35 |date=September 2003 |pmid=14507948 |doi=10.1056/NEJMoa023153 |url=}}</ref><ref name="pmid17060659">{{cite journal |vauthors=Scarvelis D, Wells PS |title=Diagnosis and treatment of deep-vein thrombosis |journal=CMAJ |volume=175 |issue=9 |pages=1087–92 |date=October 2006 |pmid=17060659 |pmc=1609160 |doi=10.1503/cmaj.060366 |url=}}</ref><ref name="pmid16403932">{{cite journal |vauthors=Wells PS, Owen C, Doucette S, Fergusson D, Tran H |title=Does this patient have deep vein thrombosis? |journal=JAMA |volume=295 |issue=2 |pages=199–207 |date=January 2006 |pmid=16403932 |doi=10.1001/jama.295.2.199 |url=}}</ref><ref name="pmid22315267">{{cite journal |vauthors=Bates SM, Jaeschke R, Stevens SM, Goodacre S, Wells PS, Stevenson MD, Kearon C, Schunemann HJ, Crowther M, Pauker SG, Makdissi R, Guyatt GH |title=Diagnosis of DVT: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines |journal=Chest |volume=141 |issue=2 Suppl |pages=e351S–e418S |date=February 2012 |pmid=22315267 |pmc=3278048 |doi=10.1378/chest.11-2299 |url=}}</ref><ref name="pmid25985219">{{cite journal |vauthors=Silveira PC, Ip IK, Goldhaber SZ, Piazza G, Benson CB, Khorasani R |title=Performance of Wells Score for Deep Vein Thrombosis in the Inpatient Setting |journal=JAMA Intern Med |volume=175 |issue=7 |pages=1112–7 |date=July 2015 |pmid=25985219 |doi=10.1001/jamainternmed.2015.1687 |url=}}</ref> | This handy calculator computes the pre-test probability of [[deep vein thrombosis|deep vein thrombosis (DVT)]] using modified Wells criteria.<ref name="pmid14507948">{{cite journal |vauthors=Wells PS, Anderson DR, Rodger M, Forgie M, Kearon C, Dreyer J, Kovacs G, Mitchell M, Lewandowski B, Kovacs MJ |title=Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis |journal=N. Engl. J. Med. |volume=349 |issue=13 |pages=1227–35 |date=September 2003 |pmid=14507948 |doi=10.1056/NEJMoa023153 |url=}}</ref><ref name="pmid17060659">{{cite journal |vauthors=Scarvelis D, Wells PS |title=Diagnosis and treatment of deep-vein thrombosis |journal=CMAJ |volume=175 |issue=9 |pages=1087–92 |date=October 2006 |pmid=17060659 |pmc=1609160 |doi=10.1503/cmaj.060366 |url=}}</ref><ref name="pmid16403932">{{cite journal |vauthors=Wells PS, Owen C, Doucette S, Fergusson D, Tran H |title=Does this patient have deep vein thrombosis? |journal=JAMA |volume=295 |issue=2 |pages=199–207 |date=January 2006 |pmid=16403932 |doi=10.1001/jama.295.2.199 |url=}}</ref><ref name="pmid22315267">{{cite journal |vauthors=Bates SM, Jaeschke R, Stevens SM, Goodacre S, Wells PS, Stevenson MD, Kearon C, Schunemann HJ, Crowther M, Pauker SG, Makdissi R, Guyatt GH |title=Diagnosis of DVT: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines |journal=Chest |volume=141 |issue=2 Suppl |pages=e351S–e418S |date=February 2012 |pmid=22315267 |pmc=3278048 |doi=10.1378/chest.11-2299 |url=}}</ref><ref name="pmid25985219">{{cite journal |vauthors=Silveira PC, Ip IK, Goldhaber SZ, Piazza G, Benson CB, Khorasani R |title=Performance of Wells Score for Deep Vein Thrombosis in the Inpatient Setting |journal=JAMA Intern Med |volume=175 |issue=7 |pages=1112–7 |date=July 2015 |pmid=25985219 |doi=10.1001/jamainternmed.2015.1687 |url=}}</ref> | ||
Check all boxes that apply to your patient: | Check all boxes that apply to your patient: | ||
{{#Widget:DVT_Modified_Wells_score_calculator}} | {{#Widget:DVT_Modified_Wells_score_calculator}} | ||
== Interpretation == | |||
The interpretation of the score is as follows: | The interpretation of the score is as follows: | ||
* Score <2: DVT is unlikely (Prevalence of DVT or PE - 6%) | * Score <2: DVT is unlikely (Prevalence of DVT or PE - 6%) | ||
* Score ≥2: DVT is likely (Prevalence of DVT or PE - 28%) | * Score ≥2: DVT is likely (Prevalence of DVT or PE - 28%) | ||
==See also== | |||
* [[Wells score for DVT (original)]] | |||
* [[Wells score for PE (original)]] | |||
* [[Wells score for PE (modified)]] | |||
* [[Deep vein thrombosis assessment of clinical probability and risk scores]] | |||
* [[Pulmonary embolism assessment of clinical probability and risk scores]] | |||
==References== | ==References== | ||
{{ | {{Reflist|2}} | ||
[[Category:Medicine]] | |||
[[Category:Cardiology]] | |||
[[Category:Hematology]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Calculator]] | |||
Latest revision as of 00:43, 30 July 2020
Editor(s)-In-Chief: The APEX Trial Investigators, C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
Modified Wells Score for DVT
Modified Wells Score Calculator for DVT
This handy calculator computes the pre-test probability of deep vein thrombosis (DVT) using modified Wells criteria.[1][2][3][4][5]
Check all boxes that apply to your patient:
Interpretation
The interpretation of the score is as follows:
- Score <2: DVT is unlikely (Prevalence of DVT or PE - 6%)
- Score ≥2: DVT is likely (Prevalence of DVT or PE - 28%)
See also
- Wells score for DVT (original)
- Wells score for PE (original)
- Wells score for PE (modified)
- Deep vein thrombosis assessment of clinical probability and risk scores
- Pulmonary embolism assessment of clinical probability and risk scores
References
- ↑ Wells PS, Anderson DR, Rodger M, Forgie M, Kearon C, Dreyer J, Kovacs G, Mitchell M, Lewandowski B, Kovacs MJ (September 2003). "Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis". N. Engl. J. Med. 349 (13): 1227–35. doi:10.1056/NEJMoa023153. PMID 14507948.
- ↑ Scarvelis D, Wells PS (October 2006). "Diagnosis and treatment of deep-vein thrombosis". CMAJ. 175 (9): 1087–92. doi:10.1503/cmaj.060366. PMC 1609160. PMID 17060659.
- ↑ Wells PS, Owen C, Doucette S, Fergusson D, Tran H (January 2006). "Does this patient have deep vein thrombosis?". JAMA. 295 (2): 199–207. doi:10.1001/jama.295.2.199. PMID 16403932.
- ↑ Bates SM, Jaeschke R, Stevens SM, Goodacre S, Wells PS, Stevenson MD, Kearon C, Schunemann HJ, Crowther M, Pauker SG, Makdissi R, Guyatt GH (February 2012). "Diagnosis of DVT: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines". Chest. 141 (2 Suppl): e351S–e418S. doi:10.1378/chest.11-2299. PMC 3278048. PMID 22315267.
- ↑ Silveira PC, Ip IK, Goldhaber SZ, Piazza G, Benson CB, Khorasani R (July 2015). "Performance of Wells Score for Deep Vein Thrombosis in the Inpatient Setting". JAMA Intern Med. 175 (7): 1112–7. doi:10.1001/jamainternmed.2015.1687. PMID 25985219.