The Wells rule was not useful in ruling out deep venous thrombosis in a primary care setting

March 2006
ACP Journal Club;Mar/Apr2006, Vol. 144 Issue 2, p47
Academic Journal
This article reports that the Wells rule was not useful in ruling out deep venous thrombosis (DVT) in a primary care setting. The Wells rule consisted of a score of 0 to 8, obtained by summing the presence of 8 characteristics identified from patient history and physical examination, adjusted by -2 if another diagnosis was as or more likely than DVT. A score 0 indicated low risk, 1 to 2 indicated medium risk, and 3 indicated high risk. A normal result on D-dimer testing, combined with a low risk score on the Wells rule, indicated very low risk.


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