The Wells’ Criteria for DVT Objectifies risk of deep vein thrombosis (DVT) based on clinical findings. 25 شباط (فبراير) Escala de Wells. La aplicación consta de la escala de Wells para la trombosis venosa profunda (TVP) y para el tromboembolismo pulmonar. Algoritmo Diagnóstico basado en la escala de WELLS DIMERO D Puntos Edad > 65 años 1 TVP o TEP previos 3 Cirugía bajo pulmonar y es la modalidad de imagen principal para el diagnóstico en sospecha de TEP.

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CT angiography in the evaluation of acute pulmonary embolus. Del total de 3.

CPS are rarely calculated in the diagnosis of PE and the diagnostic algorithm is rarely used in clinical practice. If the dimer was positive these patients also received an US.

El periodo del estudio fue de enero de a escalaa de Alternative diagnosis to DVT as likely or more likely. If the dimer was positive these patients also received an US. CPS was calculated in only 24 cases 0. Incidence and predictors of repeated computed tomographic pulmonary angiography in emergency department patients. Does this patient have deep vein thrombosis? Assessing clinical probability of pulmonary embolism in the emergency ward: J Thromb Haemost ;6: A repeat US should be performed within 1 week for re-evaluation.

Escala de Wells free for Android – APK Download

Materials and methods Retrospective study of clinically suspected PE in the emergency department between January and December This may result in procedures with potential significant side effects being unnecessarily performed or to a high risk of underdiagnosis.


Conclusions CPS are rarely calculated in the diagnosis of PE and the diagnostic algorithm is rarely used in clinical practice. A positive high sensitivity d-dimer should proceed to US testing. No decision rule should trump clinical gestalt. Ann Intern Med,pp. It appears to be necessary to develop scales adjusted for use in hospital emergency departments when DVT is suspected. A score of 3 or higher suggests DVT is likely.

J Am Coll Cardiol, 40pp.

Escala de Wells free

Excluding pulmonary embolism at the bedside without diagnostic imaging: Scarvelis D A systematic review Wells PS was performed in which evaluated 14 studies with patients that used the Wells score to predict risk of DVT and evaluated for incidence of DVT in association with moderate of fe sensitivity d-dimer. Only 5 of the components of the Wells scale were associated with the presence of proximal DVT.

High suspicion for DVT should warrant imaging regardless of Wells score. British Thoracic Society guidelines for the management of suspected acute pulmonary embolism.

Management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer. Wells researches thromboembolism, thrombophilia and long term bleeding risk in patients on anticoagulants. Used appropriately these rules will improve patient care. Do the history and physical exam first and decide if VTE is a diagnostic possibility!


A comparative analysis of the utilization patterns in emergency department and hospitalized patients between and J Thromb Haemost, 5pp. Measurement of non-Coumarin anticoagulants and their effects wflls tests of Haemostasis: Am J Med,pp. Las sospechas de EP fueron 3.

To save favorites, you must log in. Wells on use of his scores for MDCalc: Med Clin Barc, pp. The CPS used was the revised Geneva scoring system. DVT was diagnosed in patients Escala de Ginebra revisada. Committee on Biological Standardization.

Arterioscler Thromb Vasc Biol, 28pp. Diagnosis and treatment of deep-vein thrombosis. Diagnosis was determined in patients 9.


D-Dimer for venous thromboembolism diagnosis: The Wells score inherently incorporates clinical gestalt tv; a minus 2 score for alternative diagnosis more likely.

Trends in the incidence of deep vein thrombosis and pulmonary embolism: Derivation of a simple clinical model to categorize patients probability of pulmonary embolism: Laboratory assessment of new anticoagulants.

Appropriateness of diagnostic management and outcomes of suspected pulmonary embolism. The prevalence of clinically relevant incidental findings on chest computed tomographic angiograms ordered to diagnose pulmonary embolism. The importance of Clinical pretest probability is underutilized in medicine.

Thromb Haemost, 83pp.