Wells Rule for PE
Wells Rule for Pulmonary embolism
Low clinical probability
Pooled prevalence of PE in European studies: 15,6%
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További információk
Figyelmeztetés
Ez az eszköz kizárólag oktatási célra szolgál, és nem jelent vagy helyettesít szakmai tanácsot. Az eszköz nem használható orvosi diagnózis felállítására és/vagy orvosi kezelés nyújtására.
General description
The Wells clinical prediction rule for pulmonary embolism stratifies patients into three risk categories for pulmonary embolism (PE) based on seven variables: clinical symptoms of DVT, no alternative diagnosis, heart rate >100 , immobilization or surgery in the previous four weeks, previous DVT/PE, hemoptysis and malignancy.
The Wells clinical prediction rule for pulmonary embolism stratifies patients into three risk categories for pulmonary embolism (PE) based on seven variables: clinical symptoms of DVT, no alternative diagnosis, heart rate >100 , immobilization or surgery in the previous four weeks, previous DVT/PE, hemoptysis and malignancy.
Reference values
Low clinical probability
Pooled prevalence of PE in European studies: 15,6%
< 2Pooled prevalence of PE in European studies: 15,6%
Moderate clinical probability
Pooled prevalence of PE in European studies: 35,6%
2–6Pooled prevalence of PE in European studies: 35,6%
High clinical probability
Pooled prevalence of PE in European studies: 56,9%
> 6Pooled prevalence of PE in European studies: 56,9%
Scoring
Clinical signs and symptoms of DVT (+3 points)
An alternative diagnosis is less likely than PE (+3 points)
Heart rate > 100 (+1,5 point)
Immobilisation or surgery in the previous four weeks (+1,5 point)
Previous DVT or PE (+1,5 points)
Hemoptysis (+1 point)
Active cancer (+1 point)
References
The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC). 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS).European Heart Journal (2019) 00, 1-61.
Wells PS, Anderson DR, Rodger M, et al. Derivation of a simple clinical model to categorize patients probability of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer. Thromb Haemost 2000;83:416420.
Ceriani E, Combescure C, Le Gal G, et al. Clinical prediction rules for pulmonary embolism: a systematic review and meta-analysis. J Thromb Haemost 2010;8:957970.
Verzió
2
Az eszközről
The Wells clinical prediction rule for pulmonary embolism stratifies patients into three risk categories for pulmonary embolism (PE) based on seven variables: clinical symptoms of DVT, no alternative diagnosis, heart rate >100 , immobilization or surgery in the previous four weeks, previous DVT/PE, hemoptysis and malignancy.
