Excellentes performances du score de Wells et du score de Wells modifié dans le diagnostic de thrombose veineuse profonde proximale ou distale chez des patients hospitalisés ou ambulatoires au CHU de Toulouse : étude TVP-PREDICT

Admissions to the medical department – who admits and why

“…En del sykdommer og tilstander innebaerer at pasienten klart vil trenge innleggelse, som der det er mistanke om akutt hjerteinfarkt, lungeemboli og sepsis. Ved enkelte tilstander finnes det generelle retningslinjer for hvem som skal innlegges, for eksempel ved alvorlig kols med forverring (7) og ved høy Wells skår ved dyp venetrombose (8). Som oftest foreligger det imidlertid ikke faste kriterier, og det benyttes normalt heller ikke validerte graderingsskjemaer for alvorlighetsgrad i innleggelsesskrivene.…”

Confirmed Thromboembolic Venous Disease and Clinical Probability Scores: A Transversal Study about 74 Cases Collected in the Cardiology Department of the Aristide Le Dantec University Hospital Center of Dakar

“…Our DVT population had similarities with that of Raveloson [6] since no low probability was found. In the series of Ambid-Lacombe [7], in 40 diagnosed DVT, we found a very low rate of DVT (0.6%) for a score less than 0. The usual strategies for managing suspicions of DVT include the combined use of a clinical probability score and D-dimer assay.…”

A systematic review of clinical prediction scores for deep vein thrombosis

“…Anderson et al 15 using the three-level score found an NPV of D-dimer test (SimpliRed or Il-test) of 99.1% for the low-risk group, 94.1% for the moderate-risk group and 76.9% for the high-risk group. Comparing classic Wells score and modified score showed similar accuracy of scores, 17 especially for outpatients with proximal DVT. 18 Geersing et al, 19 in a meta-analysis of 13 studies using classic or modified Wells score and different point of care D-dimer tests, including 10,002 patients concluded that an unlikely Wells score with a negative D-dimer can safely exclude DVT in outpatients or primary care patients with less than 2% cases missed.…”

“…Furthermore, Ambid-Lacombet et al 17 did not find any difference when applying the Wells score in patients with proximal or distal DVT. Walsh et al 83 found an NPV of the original Wells score combined with a low D-dimer test to be 100%, including patients with distal DVT.…”

“…Furthermore, Ambid-Lacombet et al. 17 did not find any difference when applying the Wells score in patients with proximal or distal DVT. Walsh et al.…”