228:
36:
152:(deep vein thrombosis). It was originally described by Wells et al. in 1998, using their experience from creating Wells score for DVT in 1995. Today, there are multiple (revised or simplified) versions of the rule, which may lead to ambiguity.
311:
Subsequent testing choices included D-dimer testing for low risk cases, and V/Q scanning, pulmonary angiography, and compression ultrasonography for intermediate / high risk patients and low-risk patients with positive D-dimer results.
496:
Wells, Philip S.; Ginsberg, Jeffrey S.; Anderson, David R.; Kearon, Clive; Gent, Michael; Turpie, Alexander G.; Bormanis, Janis; Weitz, Jeffrey; Chamberlain, Michael; Bowie, Dennis; Barnes, David; Hirsh, Jack (1998-12-15).
672:"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"
159:) for ruling in or ruling out the diagnosis of PE, and to improve the interpretation and accuracy of subsequent testing, based on a Bayesian framework for the probability of the diagnosis.
612:
Wells, P. S.; Anderson, D. R.; Rodger, M.; Ginsberg, J. S.; Kearon, C.; Gent, M.; Turpie, A. G.; Bormanis, J.; Weitz, J.; Chamberlain, M.; Bowie, D.; Barnes, D.; Hirsh, J. (March 2000).
308:
This version was published as a score, and according to the final score, patients could be categorized in either 3 groups (low / intermediate / high risk) or 2 groups (low / high risk)
670:
Wells, Philip S.; Anderson, David R.; Rodger, Marc; Stiell, Ian; Dreyer, Jonathan F.; Barnes, David; Forgie, Melissa; Kovacs, George; Ward, John; Kovacs, Michael J. (2001-07-17).
185:
Originally it was developed in 1998 to improve the low specificity of V/Q scan results (which then had a more important role in the workup of PE than now).
614:"Derivation of a simple clinical model to categorize patients probability of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer"
552:
Wells, P. S.; Hirsh, J.; Anderson, D. R.; Lensing, A. W.; Foster, G.; Kearon, C.; Weitz, J.; D'Ovidio, R.; Cogo, A.; Prandoni, P. (1995-05-27).
100:
72:
188:
It categorized patients into 3 categories: low / moderate / high probability. It was formulated in the form of an algorithm, not a score.
79:
119:
57:
50:
282:
86:
254:
156:
145:
68:
261:
731:
268:
741:
192:
46:
250:
137:
93:
498:
736:
671:
200:
17:
162:
The rule is more objective than clinician gestalt, but still includes subjective opinion (unlike e.g.
149:
707:
649:
589:
534:
141:
275:
699:
691:
641:
633:
581:
573:
526:
518:
155:
The purpose of the rule is to select the best method of investigation (e.g. D-dimer testing,
514:
687:
683:
625:
565:
510:
499:"Use of a Clinical Model for Safe Management of Patients with Suspected Pulmonary Embolism"
569:
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725:
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35:
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637:
577:
522:
613:
703:
645:
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553:
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530:
377:
Malignancy (treatment currently, in the previous 6 months, or palliative)
302:
437:
Risk of PE using 2 categories (data from the derivation group)
386:
Risk of PE using 3 categories (data from the derivation group)
221:
29:
554:"Accuracy of clinical assessment of deep-vein thrombosis"
240:
353:Immobilization or surgery in the previous 4 weeks
337:An alternate diagnosis is less likely than PE
140:used to classify patients suspected of having
8:
27:Estimates probability of pulmonary embolism
305:assays prompted the revision of the rule.
144:(PE) into risk groups by quantifying the
120:Learn how and when to remove this message
515:10.7326/0003-4819-129-12-199812150-00002
439:
388:
314:
18:Wells' score for pulmonary embolism
688:10.7326/0003-4819-135-2-200107170-00010
483:
56:Please improve this article by adding
69:"Wells score" pulmonary embolism
7:
665:
663:
607:
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491:
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329:Clinical signs and symptoms of DVT
25:
191:Subsequent testing choices were
226:
34:
1:
570:10.1016/s0140-6736(95)92535-x
58:secondary or tertiary sources
676:Annals of Internal Medicine
503:Annals of Internal Medicine
758:
618:Thrombosis and Haemostasis
138:clinical prediction rule
148:. It is different than
630:10.1055/s-0037-1613830
201:compression ultrasound
45:relies excessively on
316:Wells score for PE
251:"pulmonary embolism"
146:pre-test probability
732:Medical terminology
564:(8961): 1326–1330.
345:Heart rate >100
317:
150:Wells score for DVT
361:Previous DVT / PE
315:
239:. You can help by
170:Original algorithm
142:pulmonary embolism
742:Vascular diseases
475:
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435:
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384:
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301:The emergence of
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16:(Redirected from
749:
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715:
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509:(12): 997–1005.
493:
446:Points required
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395:Points required
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237:needs expansion
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51:primary sources
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15:
12:
11:
5:
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624:(3): 416–420.
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414:Moderate risk
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208:
207:Revised score
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157:CT angiography
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127:
42:
40:
33:
26:
24:
14:
13:
10:
9:
6:
4:
3:
2:
754:
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737:Medical tests
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697:
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685:
682:(2): 98–107.
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290:November 2022
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253: –
252:
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247:Find sources:
242:
238:
235:This section
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199:, and serial
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110:November 2022
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71: –
70:
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65:Find sources:
59:
53:
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48:
43:This article
41:
37:
32:
31:
19:
679:
675:
621:
617:
561:
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241:adding to it
236:
195:, pulmonary
193:V/Q scanning
190:
187:
184:
164:Geneva score
161:
154:
133:
131:
116:
107:
97:
90:
83:
76:
64:
44:
449:Risk of PE
443:Risk group
398:Risk of PE
392:Risk group
369:Hemoptysis
197:angiography
134:Wells score
726:Categories
478:References
425:High risk
262:newspapers
80:newspapers
47:references
696:0003-4819
638:0340-6245
578:0140-6736
523:0003-4819
403:Low risk
321:Variable
704:11453709
654:10013631
646:10744147
594:23107192
539:41389736
712:2708155
586:7752753
531:9867786
324:Points
303:D-dimer
276:scholar
94:scholar
710:
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652:
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592:
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558:Lancet
537:
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521:
471:39.1%
468:>4
431:66.7%
428:>6
420:20.5%
278:
271:
264:
257:
249:
211:": -->
174:": -->
96:
89:
82:
75:
67:
708:S2CID
650:S2CID
590:S2CID
535:S2CID
465:High
460:5.1%
409:3.6%
283:JSTOR
269:books
136:is a
101:JSTOR
87:books
700:PMID
692:ISSN
642:PMID
634:ISSN
582:PMID
574:ISSN
527:PMID
519:ISSN
457:0-4
454:Low
417:2-6
406:0-1
364:1.5
356:1.5
348:1.5
255:news
213:edit
176:edit
132:The
73:news
684:doi
680:135
626:doi
566:doi
562:345
511:doi
507:129
166:).
49:to
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602:^
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486:^
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84:·
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20:)
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