Wells score for PE (original): Difference between revisions

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'''Editor(s)-In-Chief:''' {{ATI}}, [[C. Michael Gibson, M.S., M.D.]] [mailto:charlesmichaelgibson@gmail.com]; '''Associate Editor(s)-In-Chief:''' [[Kashish Goel|Kashish Goel, M.D.]];[[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu]
__NOTOC__
 
{{hatnote|For other versions of Wells score, click [[Wells score|'''here''']]}}
==Wells score Calculator==
 
This handy calculator computes the pre-test probability of pulmonary embolism using Wells criteria. Check all boxes that apply to your patient:
 


'''Editor(s)-In-Chief:''' {{ATI}}, [[C. Michael Gibson, M.S., M.D.]] [mailto:charlesmichaelgibson@gmail.com]; {{AE}} {{SSH}}; [[Kashish Goel|Kashish Goel, M.D.]]; [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu]
==Overview==
== Wells Score Calculator for PE ==
This handy calculator computes the pre-test probability of pulmonary embolism using Wells criteria.<ref name="pmid10744147">{{cite journal | author = Wells P, Anderson D, Rodger M, Ginsberg J, Kearon C, Gent M, Turpie A, Bormanis J, Weitz J, Chamberlain M, Bowie D, Barnes D, Hirsh J | title = Derivation of a simple clinical model to categorize patients probability of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer. | journal = Thromb Haemost | volume = 83 | issue = 3 | pages = 416-20 | year = 2000 | id = PMID 10744147}}</ref><ref name="pmid11453709">{{cite journal |author=Wells PS, Anderson DR, Rodger M, Stiell I, Dreyer JF, Barnes D, Forgie M, Kovacs G, Ward J, Kovacs MJ |title=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 |journal=Ann Intern Med |volume=135 |issue=2 |pages=98-107 |year=2001|pmid=11453709 | url=http://www.annals.org/cgi/content/full/135/2/98}}</ref><ref name="pmid17185658">{{cite journal |author=Stein PD, Woodard PK, Weg JG, Wakefield TW, Tapson VF, Sostman HD, Sos TA, Quinn DA, Leeper KV, Hull RD, Hales CA, Gottschalk A, Goodman LR, Fowler SE, Buckley JD |title=Diagnostic pathways in acute pulmonary embolism: recommendations of the PIOPED II Investigators |journal=Radiology |volume=242 |issue=1 |pages=15-21 |year=2007 |doi=10.1148/radiol.2421060971 | pmid=17185658}}</ref>


Check all boxes that apply to your patient:
{{#widget:PE_calculator}}
{{#widget:PE_calculator}}
== Interpretation ==
Shown below is the pretest probability of PE according to Wells criteria:
* Score >6: High probability (Rate of PE: ~66.7%)
* Score 2-6: Moderate probability (Rate of PE: ~20.5%)
* Score <2: Low probability (Rate of PE: ~3.6%)
==See also==
*[[Wells score for DVT (original)]]
*[[Wells score for DVT (modified)]]
*[[Wells score for PE (modified)]]
*[[Deep vein thrombosis assessment of clinical probability and risk scores]]
*[[Pulmonary embolism assessment of clinical probability and risk scores]]
==References==
{{Reflist|2}}


 
[[Category:Medicine]]
 
[[Category:Cardiology]]
 
[[Category:Hematology]]
 
[[Category:Up-To-Date]]
'''Interpretation'''
[[Category:Calculator]]
* Score:
 
** <2.0 - Low probability of PE; Consider checking [[Pulmonary embolism D-dimer|D-dimer]]
 
** 2.0 to 6.0 - Moderate probability of PE; Consider checking [[Pulmonary embolism D-dimer|D-dimer]]
 
** >6.0 - High probability of PE; Consider [[Pulmonary embolism CT|imaging]] of the pulmonary arteries

Latest revision as of 00:43, 30 July 2020

For other versions of Wells score, click here

Editor(s)-In-Chief: The APEX Trial Investigators, C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]; Kashish Goel, M.D.; Kristin Feeney, B.S. [3]

Overview

Wells Score Calculator for PE

This handy calculator computes the pre-test probability of pulmonary embolism using Wells criteria.[1][2][3]

Check all boxes that apply to your patient:

Pulmonary Embolism Wells Score Calculator
Variable Score
Clinically suspected DVT (leg swelling, pain with palpation) 3
Alternative diagnosis is less likely than PE 3
Immobilization/surgery in previous four weeks 1.5
Previous history of DVT or PE 1.5
Tachycardia (heart rate more than 100 bpm) 1.5
Hemoptysis 1
Malignancy (treatment for within 6 months, palliative) 1
Wells Score:
Interpretation:

Interpretation

Shown below is the pretest probability of PE according to Wells criteria:

  • Score >6: High probability (Rate of PE: ~66.7%)
  • Score 2-6: Moderate probability (Rate of PE: ~20.5%)
  • Score <2: Low probability (Rate of PE: ~3.6%)

See also

References

  1. ↑ Wells P, Anderson D, Rodger M, Ginsberg J, Kearon C, Gent M, Turpie A, Bormanis J, Weitz J, Chamberlain M, Bowie D, Barnes D, Hirsh J (2000). "Derivation of a simple clinical model to categorize patients probability of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer". Thromb Haemost. 83 (3): 416–20. PMID 10744147.
  2. ↑ Wells PS, Anderson DR, Rodger M, Stiell I, Dreyer JF, Barnes D, Forgie M, Kovacs G, Ward J, Kovacs MJ (2001). "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. 135 (2): 98–107. PMID 11453709.
  3. ↑ Stein PD, Woodard PK, Weg JG, Wakefield TW, Tapson VF, Sostman HD, Sos TA, Quinn DA, Leeper KV, Hull RD, Hales CA, Gottschalk A, Goodman LR, Fowler SE, Buckley JD (2007). "Diagnostic pathways in acute pulmonary embolism: recommendations of the PIOPED II Investigators". Radiology. 242 (1): 15–21. doi:10.1148/radiol.2421060971. PMID 17185658.
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