Simplified Wells Clinical Prediction Rule for Pulmonary Embolism
Simplified Wells Clinical Prediction Rule for Pulmonary Embolism [link url="//www.soapnote.org/cardiovascular/wells-dvt/" memo="see also - Wells DVT calculator"] [comment memo="and"] [link url="//www.soapnote.org/blood-lymph/wells-clinical-prediction-rule-for-pulmonary-embolism/" memo="see also - Original Wells PE calculator"] [comment memo="and"] [link url="//www.soapnote.org/miscellaneous/perc-score/" memo="see also PERC score (useful for ruling out PE if Wells Risk is Low)"] Clinical Features: [select name="DVT" value="No (0 points)=0|Yes (1 point)=1"] <-- Clinical symptoms of DVT? [select name="Alternative" value="No (0 points)=0|Yes (1 point)=1"] <-- Other diagnosis less likely than PE? [select name="Rate" value="No (0 points)=0|Yes (1 point)=1"] <-- Heart rate greater than 100 beats per minute? [select name="Immobilization" value="No (0 points)=0|Yes (1 point)=1"] <-- Immobilization or surgery in the last 4 weeks? [select name="Previous" value="No (0 points)=0|Yes (1 point)=1"] <-- Previous DVT or PE? [select name="Hemoptysis" value="No (0 points)=0|Yes (1 point)=1"] <-- Hemoptysis? [select name="Malignancy" value="No (0 points)=0|Yes (1 point)=1"] <-- Malignancy? Score: [calc value="score=(DVT)+(Alternative)+(Rate)+(Immobilization)+(Previous)+(Hemoptysis)+(Malignancy)"] --> [calc value="score=(DVT)+(Alternative)+(Rate)+(Immobilization)+(Previous)+(Hemoptysis)+(Malignancy);score>1?'Risk of PE is not low':'Risk of PE is low'" memo="Interpretation"] [checkbox memo="References (Hide/Show)" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"] [link url="//www.ncbi.nlm.nih.gov/pubmed/11453709" memo="#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. [link url="//www.ncbi.nlm.nih.gov/pubmed/18217159" memo="#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. [/conditional]
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