Comparison of the diagnostic performance of the original and modified Wells score in inpatients and outpatients with suspected deep vein thrombosis

Thrombosis Research

Volumn 127, Issue 6, 2011, Pages 535-539

  Engelberger, Rolf P ^a,b   Aujesky, Drahomir ^b   Calanca, Luca ^a   Staeger, Philippe ^a   Hugli, Olivier ^a   Mazzolai, Lucia ^a  

^a LAUSANNE UNIVERSITY HOSPITAL   (Switzerland)

^b UNIVERSITY OF BERN   (Switzerland)

Author keywords

Clinical prediction rule; Complete compression ultrasound; Deep venous thrombosis; of the lower limbs; Wells score

Indexed keywords

D DIMER;

ADULT; AGED; ANTICOAGULATION; ARTICLE; CARDIOVASCULAR RISK; CLINICAL ASSESSMENT TOOL; CONTROLLED STUDY; DEEP VEIN THROMBOSIS; DIAGNOSTIC ACCURACY; ECHOGRAPHY; FEMALE; HOSPITAL PATIENT; HOSPITALIZATION; HUMAN; INTERMETHOD COMPARISON; LEG COMPRESSION; MAJOR CLINICAL STUDY; MALE; OUTPATIENT; PREDICTION; PRIORITY JOURNAL; PROBABILITY; PROSPECTIVE STUDY; SCORING SYSTEM; VENOUS THROMBOEMBOLISM; WELLS SCORE;

FEMALE; HEALTH STATUS INDICATORS; HUMANS; INPATIENTS; LOGISTIC MODELS; MALE; MIDDLE AGED; OUTPATIENTS; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; VENOUS THROMBOSIS;

EID: 79957596549     PISSN: 00493848     EISSN: 18792472     Source Type: Journal    
DOI: 10.1016/j.thromres.2011.02.008     Document Type: Article

References (27)

1. Hirsh J, Hoak J. Management of deep vein thrombosis and pulmonary embolism. A statement for healthcare professionals. Council on Thrombosis (in consultation with the Council on Cardiovascular Radiology), American Heart Association. Circulation 1996;93:2212-45. (Pubitemid 26187113)
2. Goodacre S, Sutton AJ, Sampson FC. Meta-analysis: The value of clinical assessment in the diagnosis of deep venous thrombosis. Ann Intern Med 2005;143:129-39.
3. Wells PS, Owen C, Doucette S, Fergusson D, Tran H. Does this patient have deep vein thrombosis? JAMA 2006;295:199-207.
4. Constans J, Nelzy ML, Salmi LR, Skopinski S, Saby JC, Le Metayer P, et al. Clinical prediction of lower limb deep vein thrombosis in symptomatic hospitalized patients. Thromb Haemost 2001;86:985-90. (Pubitemid 32975821)
5. Wells PS, Anderson DR, Rodger M, Forgie M, Kearon C, Dreyer J, et al. Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis. N Engl J Med 2003;349:1227-35. (Pubitemid 37152032)
6. Wells PS, Anderson DR, Bormanis J, Guy F, Mitchell M, Gray L, et al. Value of assessment of pretest probability of deep-vein thrombosis in clinical management. Lancet 1997;350:1795-8. (Pubitemid 28036513)
7. Constans J, Boutinet C, Salmi LR, Saby JC, Nelzy ML, Baudouin P, et al. Comparison of four clinical prediction scores for the diagnosis of lower limb deep venous thrombosis in outpatients. Am J Med 2003;115:436-40. (Pubitemid 37237555)
8. Subramaniam RM, Snyder B, Heath R, Tawse F, Sleigh J. Diagnosis of lower limb deep venous thrombosis in emergency department patients: performance of Hamilton and modified Wells scores. Ann Emerg Med 2006;48:678-85. (Pubitemid 44738141)
9. Kahn SR, Joseph L, Abenhaim L, Leclerc JR. Clinical prediction of deep vein thrombosis in patients with leg symptoms. Thromb Haemost 1999;81:353-7. (Pubitemid 29116602)
10. Perone N, Bounameaux H, Perrier A. Comparison of four strategies for diagnosing deep vein thrombosis: a cost-effectiveness analysis. Am J Med 2001;110:33-40. (Pubitemid 32056325)
11. Anderson DR, Kovacs MJ, Kovacs G, Stiell I, Mitchell M, Khoury V, et al. Combined use of clinical assessment and d-dimer to improve the management of patients presenting to the emergency department with suspected deep vein thrombosis (the EDITED Study). J Thromb Haemost 2003;1:645-51.
12. Schutgens RE, Ackermark P, Haas FJ, Nieuwenhuis HK, Peltenburg HG, Pijlman AH, et al. Combination of a normal D-dimer concentration and a non-high pretest clinical probability score is a safe strategy to exclude deep venous thrombosis. Circulation 2003;107:593-7. (Pubitemid 36176810)
13. Wells PS, Hirsh J, Anderson DR, Lensing AW, Foster G, Kearon C, et al. Accuracy of clinical assessment of deep-vein thrombosis. Lancet 1995;345:1326-30.
14. Wells PS, Hirsh J, Anderson DR, Lensing AW, Foster G, Kearon C, et al. A simple clinical model for the diagnosis of deep-vein thrombosis combined with impedance plethysmography: potential for an improvement in the diagnostic process. J Intern Med 1998;243:15-23. (Pubitemid 28072905)
15. Wells PS, Anderson DR, Bormanis J, Guy F, Mitchell M, Gray L, et al. Application of a diagnostic clinical model for the management of hospitalized patients with suspected deep-vein thrombosis. Thromb Haemost 1999;81:493-7. (Pubitemid 29178928)
16. de Moerloose P, Desmarais S, Bounameaux H, Reber G, Perrier A, Dupuy G, et al. Contribution of a new, rapid, individual and quantitative automated D-dimer ELISA to exclude pulmonary embolism. Thromb Haemost 1996;75:11-3. (Pubitemid 26051187)
17. Stein PD, Hull RD, Patel KC, Olson RE, Ghali WA, Brant R, et al. D-dimer for the exclusion of acute venous thrombosis and pulmonary embolism: a systematic review. Ann Intern Med 2004;140:589-602.
18. Bates SM, Kearon C, Crowther M, Linkins L, O'Donnell M, Douketis J, et al. A diagnostic strategy involving a quantitative latex D-dimer assay reliably excludes deep venous thrombosis. Ann Intern Med 2003;138:787-94.
19. Schellong SM, Schwarz T, Halbritter K, Beyer J, Siegert G, Oettler W, et al. Complete compression ultrasonography of the leg veins as a single test for the diagnosis of deep vein thrombosis. Thromb Haemost 2003;89:228-34. (Pubitemid 36227272)
20. Ambid-Lacombe C, Cambou JP, Bataille V, Baudoin D, Vassal-Hebrard B, Boccalon H, et al. Excellent performances of Wells' score and of the modified Wells' score for the diagnosis of proximal or distal deep venous thrombosis in outpatients or inpatients at Toulouse University Hospital: TVP-PREDICT study. J Mal Vasc 2009;34:211-7.
21. Blattler W, Martinez I, Blattler IK. Diagnosis of deep venous thrombosis and alternative diseases in symptomatic outpatients. Eur J Intern Med 2004;15:305-11. (Pubitemid 39286794)
22. Schellong SM. Distal DVT: worth diagnosing? Yes. J Thromb Haemost 2007;5 (Suppl 1):51-4.
23. Righini M, Paris S, Le Gal G, Laroche JP, Perrier A, Bounameaux H. Clinical relevance of distal deep vein thrombosis. Review of literature data. Thromb Haemost 2006;95:56-64.
24. Cornuz J, Ghali WA, Hayoz D, Stoianov R, Depairon M, Yersin B. Clinical prediction of deep venous thrombosis using two risk assessment methods in combination with rapid quantitative D-dimer testing. Am J Med 2002;112:198-203.
25. Oudega R, Hoes AW, Moons KG. The Wells rule does not adequately rule out deep venous thrombosis in primary care patients. Ann Intern Med 2005;143:100-7.
26. Dewar C, Corretge M. Interrater reliability of the Wells score as part of the assessment of DVT in the emergency department: agreement between consultant and nurse practitioner. Emerg Med J 2008;25:407-10. (Pubitemid 351998329)
27. Bounameaux H, Perrier A, Righini M. Diagnosis of venous thromboembolism: an update. Vasc Med 2010;15:399-406.