Wells Rule for PE
Wells Rule for Pulmonary embolism
Low clinical probability
Pooled prevalence of PE in European studies: 15,6%
NaN
Dodatne informacije
Opozorilo
Orodje je namenjeno zgolj v izobraževalne namene in ne predstavlja strokovnega nasveta ali nadomestka za strokovni nasvet. Orodja ni dovoljeno uporabljati za podajo medicinske diagnoze in/ali medicinsko zdravljenje.
Splošni opis
Wellsovo pravilo klinične napovedi za pljučno embolijo bolnike razvrsti v tri kategorije tveganja za pljučno embolijo (PE). Razvrščanje temelji na sedmih spremenljivkah: klinični simptomi globoke venske tromboze (GVT), odsotnost alternativne diagnoze, srčni utrip > 100, imobilizacija ali operativni poseg v preteklih 4 tednih, predhodna GVT/PE, hemoptiza in malignost.
Wellsovo pravilo klinične napovedi za pljučno embolijo bolnike razvrsti v tri kategorije tveganja za pljučno embolijo (PE). Razvrščanje temelji na sedmih spremenljivkah: klinični simptomi globoke venske tromboze (GVT), odsotnost alternativne diagnoze, srčni utrip > 100, imobilizacija ali operativni poseg v preteklih 4 tednih, predhodna GVT/PE, hemoptiza in malignost.
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.
Verzija
2
O tem orodju
Wellsovo pravilo klinične napovedi za pljučno embolijo bolnike razvrsti v tri kategorije tveganja za pljučno embolijo (PE). Razvrščanje temelji na sedmih spremenljivkah: klinični simptomi globoke venske tromboze (GVT), odsotnost alternativne diagnoze, srčni utrip > 100, imobilizacija ali operativni poseg v preteklih 4 tednih, predhodna GVT/PE, hemoptiza in malignost.
