Assessment — Wells Clinical Prediction Rule for DVT

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posted 2020-06-19, updated 2020-06-19
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Wells Clinical Prediction Rule for DVT [link url="https://www.soapnote.org/blood-lymph/drgfms-assessment-wells-clinical-prediction-rule-for-pulmonary-embolism/" memo="see also - Wells PE calculator"]
Clinical Features:
[select name="cancer" value="No (0 points)=0|Yes (1 point)=1"] <-- Active cancer (treatment within 6 months, or palliation)?
[select name="bedridden" value="No (0 points)=0|Yes (1 point)=1"] <-- Bedridden for more than 3 days because of surgery (within 4 weeks)?
[select name="localTender" value="No (0 points)=0|Yes (1 point)=1"] <-- Localized tenderness along distribution of deep veins?
[select name="allSwollen" value="No (0 points)=0|Yes (1 point)=1"] <-- Entire leg swollen?
[select name="unilateralSwollen" value="No (0 points)=0|Yes (1 point)=1"] <-- Unilateral calf swelling of greater than 3 cm (below tibial tuberosity)?
[select name="unilateralEdema" value="No (0 points)=0|Yes (1 point)=1"] <-- Unilateral pitting edema?
[select name="collateral" value="No (0 points)=0|Yes (1 point)=1"] <-- Collateral superficial veins?
[select name="alternative" value="No (0 points)=0|Yes (-2 points)=-2"] <-- Alternative diagnosis as likely as or more likely than DVT?
Score: [calc value="score=(cancer)+(bedridden)+(localTender)+(allSwollen)+(unilateralSwollen)+(collateral)+(alternative)"] --> [calc value="score=(cancer)+(bedridden)+(localTender)+(allSwollen)+(unilateralSwollen)+(collateral)+(alternative);score>2?'High Risk (75%)':score>0?'Moderate Risk (17%)':'Low Risk (3%)'" memo="Interpretation"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
reference:
[link url="//www.ncbi.nlm.nih.gov/pubmed/9428249" memo="#1"] Wells (1997) Lancet 350:1795-8
[link url="//www.aafp.org/afp/2004/0615/p2829.html" memo="#2"] Ramzi (2004) Am Fam Physician 69:2829-36[/conditional]
[comment memo="Adapted from original work by "][link url="https://www.soapnote.org/author/mark-morgan/" memo="Mark Morgan"][comment memo=" at "][link url="https://www.soapnote.org/blood-lymph/wells-dvt/" memo="https://www.soapnote.org/blood-lymph/wells-dvt/"]
[comment memo="Morgan M. Wells Clinical Prediction Rule for Deep Vein Thrombosis (DVT). ​​The SOAPnote Project. https://www.soapnote.org/blood-lymph/wells-dvt/. Published August 31, 2010. Updated April 26, 2020. Accessed June 19, 2020."]
Wells Clinical Prediction Rule for DVT see also - Wells PE calculator
Clinical Features:
<-- Active cancer (treatment within 6 months, or palliation)?
<-- Bedridden for more than 3 days because of surgery (within 4 weeks)?
<-- Localized tenderness along distribution of deep veins?
<-- Entire leg swollen?
<-- Unilateral calf swelling of greater than 3 cm (below tibial tuberosity)?
<-- Unilateral pitting edema?
<-- Collateral superficial veins?
<-- Alternative diagnosis as likely as or more likely than DVT?
Score: score=(cancer)+(bedridden)+(localTender)+(allSwollen)+(unilateralSwollen)+(collateral)+(alternative) --> Interpretationscore=(cancer)+(bedridden)+(localTender)+(allSwollen)+(unilateralSwollen)+(collateral)+(alternative);score>2?'High Risk (75%)':score>0?'Moderate Risk (17%)':'Low Risk (3%)'
display/hide references
Adapted from original work by Mark Morgan at https://www.soapnote.org/blood-lymph/wells-dvt/
Morgan M. Wells Clinical Prediction Rule for Deep Vein Thrombosis (DVT). The SOAPnote Project. https://www.soapnote.org/blood-lymph/wells-dvt/. Published August 31, 2010. Updated April 26, 2020. Accessed June 19, 2020.

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