Pulmonology
Share
Tweet
Cite
approximately 107 views since it was good thing for a post to 'go viral.'
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]
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:
<-- Clinical symptoms of DVT?
<-- Other diagnosis less likely than PE?
<-- Heart rate greater than 100 beats per minute?
<-- Immobilization or surgery in the last 4 weeks?
<-- Previous DVT or PE?
<-- Hemoptysis?
<-- Malignancy?
Score: score=(DVT)+(Alternative)+(Rate)+(Immobilization)+(Previous)+(Hemoptysis)+(Malignancy) --> Interpretationscore=(DVT)+(Alternative)+(Rate)+(Immobilization)+(Previous)+(Hemoptysis)+(Malignancy);score>1?'Risk of PE is not low':'Risk of PE is low'
References (Hide/Show)

Result - Copy and paste this output:

Send Feedback for this SOAPnote

Your email address will not be published.

More SOAPnotes by this Author: