{"id":28889,"date":"2022-06-22T10:15:11","date_gmt":"2022-06-22T08:15:11","guid":{"rendered":"https:\/\/www.inanutshell.ch\/?page_id=28889"},"modified":"2022-06-22T10:15:11","modified_gmt":"2022-06-22T08:15:11","slug":"wells-criteria-for-deep-vein-thrombosis","status":"publish","type":"page","link":"https:\/\/www.inanutshell.ch\/en\/digital-doctors-bag\/wells-criteria-for-deep-vein-thrombosis\/","title":{"rendered":"Wells\u2019 Criteria for Deep Vein Thrombosis"},"content":{"rendered":"<p>The Wells\u2019 Criteria for deep vein thrombosis (DVT) can be used to estimate the probability of DVT based on the patient history and clinical criteria. This provides a recommendation for further diagnostics depending on the pre-test probability.<\/p>\n    <div class=\"medical-calculator wells-leg-veins\" id=\"medical-calculator-wells-leg-veins\">\r\n        <form>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                    Active cancer<br \/>\r\n                    <span class=\"label-lighter\">Treatment within the last 6 months or palliative therapy<\/span>\r\n                                <\/div>\r\n                <div class=\"col-sm-4 mt-sm-3\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"active-cancer\" id=\"medical-calculator-wells-leg-veins-active-cancer-n\" value=\"N\" tabindex=\"1\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"active-cancer\" id=\"medical-calculator-wells-leg-veins-active-cancer-y\" value=\"Y\" tabindex=\"2\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                    Paralysis, paresis, recent immobilization of lower extremities\r\n                                <\/div>\r\n                <div class=\"col-sm-4 mt-sm-2\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"paralysis-paresis\" id=\"medical-calculator-wells-leg-veins-paralysis-paresis-n\" value=\"N\" tabindex=\"3\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"paralysis-paresis\" id=\"medical-calculator-wells-leg-veins-paralysis-paresis-y\" value=\"Y\" tabindex=\"4\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                    Bedridden (&ge; 3 days) or major surgery in the last 12 weeks\r\n                                <\/div>\r\n                <div class=\"col-sm-4 mt-sm-2\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"bedriddenness\" id=\"medical-calculator-wells-leg-veins-bedriddenness-n\" value=\"N\" tabindex=\"5\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"bedriddenness\" id=\"medical-calculator-wells-leg-veins-bedriddenness-y\" value=\"Y\" tabindex=\"6\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                    Localized pain or induration along the deep venous system\r\n                                <\/div>\r\n                <div class=\"col-sm-4 mt-sm-2\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"local-pain-deep-venous\" id=\"medical-calculator-wells-leg-veins-local-pain-deep-venous-n\" value=\"N\" tabindex=\"7\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"local-pain-deep-venous\" id=\"medical-calculator-wells-leg-veins-local-pain-deep-venous-y\" value=\"Y\" tabindex=\"8\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label mt-auto\">\r\n                                    Whole leg swollen\r\n                                <\/div>\r\n                <div class=\"col-sm-4\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"whole-leg-swollen\" id=\"medical-calculator-wells-leg-veins-whole-leg-swollen-n\" value=\"N\" tabindex=\"9\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"whole-leg-swollen\" id=\"medical-calculator-wells-leg-veins-whole-leg-swollen-y\" value=\"Y\" tabindex=\"10\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                    Calf swelling (&ge; 3 cm\/1.2 inch) in a side by side comparison<br \/>\r\n                    <span class=\"label-lighter\">measured 10 cm\/3.9 inch below the tibial tuberosity<\/span>\r\n                                <\/div>\r\n                <div class=\"col-sm-4 mt-sm-3\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"calf-swollen\" id=\"medical-calculator-wells-leg-veins-calf-swollen-n\" value=\"N\" tabindex=\"11\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"calf-swollen\" id=\"medical-calculator-wells-leg-veins-calf-swollen-y\" value=\"Y\" tabindex=\"12\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label mt-auto\">\r\n                                    Pitting edema on the symptomatic leg\r\n                                <\/div>\r\n                <div class=\"col-sm-4\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"pitting-edema\" id=\"medical-calculator-wells-leg-veins-pitting-edema-n\" value=\"N\" tabindex=\"13\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"pitting-edema\" id=\"medical-calculator-wells-leg-veins-pitting-edema-y\" value=\"Y\" tabindex=\"14\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label mt-auto\">\r\n                                    Superficial (non-varicose) collateral veins\r\n                                <\/div>\r\n                <div class=\"col-sm-4\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"collateral-veins\" id=\"medical-calculator-wells-leg-veins-collateral-veins-n\" value=\"N\" tabindex=\"15\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"collateral-veins\" id=\"medical-calculator-wells-leg-veins-collateral-veins-y\" value=\"Y\" tabindex=\"16\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label mt-auto\">\r\n                                    Previously documented deep vein thrombosis\r\n                                <\/div>\r\n                <div class=\"col-sm-4\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"deep-leg-vein-thrombosis\" id=\"medical-calculator-wells-leg-veins-deep-leg-vein-thrombosis-n\" value=\"N\" tabindex=\"17\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"deep-leg-vein-thrombosis\" id=\"medical-calculator-wells-leg-veins-deep-leg-vein-thrombosis-y\" value=\"Y\" tabindex=\"18\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                    Alternative diagnosis to deep vein thrombosis as likely or more likely\r\n                                <\/div>\r\n                <div class=\"col-sm-4 mt-sm-2\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"alt-diagnosis-likely\" id=\"medical-calculator-wells-leg-veins-alt-diagnosis-likely-n\" value=\"N\" tabindex=\"19\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"alt-diagnosis-likely\" id=\"medical-calculator-wells-leg-veins-alt-diagnosis-likely-y\" value=\"Y\" tabindex=\"20\" autocomplete=\"off\">\r\n                                                        Yes (-2)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n        <\/form>\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12\">\r\n                <div id=\"medical-calculator-wells-leg-veins-result-text\" class=\"result-text\">\r\n                    <p><h5>                    Wells\u2019 Criteria for Deep Vein Thrombosis:\r\n                                        <span id=\"medical-calculator-wells-leg-veins-result-value\"><\/span><\/h5><\/p>\r\n                    <p id=\"medical-calculator-wells-leg-veins-result-interpretation\"><\/p>\r\n                    <p>                        Recommendation:\r\n                                        <span id=\"medical-calculator-wells-leg-veins-result-recommendation\"><\/span>\r\n                    <\/p>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                            Interpretation\r\n                                    <\/h5>\r\n                <div class=\"table-responsive-sm\">\r\n                    <table class=\"table table-bordered\">\r\n                        <thead>\r\n                            <tr>\r\n                                <th>\r\n                                                                            Score\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Classification and recommendation\r\n                                                                    <\/th>\r\n                            <\/tr>\r\n                        <\/thead>\r\n                        <tbody>\r\n                            <tr class=\"table-row-a\">\r\n                                <td>\r\n                                                                            &le; 1\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            <p><strong>Deep vein thrombosis unlikely<\/strong><\/p>\r\n                                        <p>Recommendation: perform D-dimer test<\/p>\r\n                                        <p>\r\n                                            <ul>\r\n                                                <li>If D-dimer is negative, deep vein thrombosis can be excluded.<\/li>\r\n                                                <li>If D-dimer is positive, duplex sonography should be performed to exclude deep vein thrombosis.<\/li>\r\n                                            <\/ul>\r\n                                        <\/p>\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-b\">\r\n                                <td>\r\n                                                                            &ge; 2\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            <p><strong>Deep vein thrombosis likely<\/strong><\/p>\r\n                                        <p>Recommendation: Duplex sonography should be performed to exclude deep vein thrombosis.<\/p>\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                        <\/tbody>\r\n                    <\/table>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                            References\r\n                                    <\/h5>\r\n                <ol class=\"references\">\r\n                    <li id=\"wells-leg-veins-cite-note-1\">Wells PS, Anderson DR, Rodger M et al. Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis. N Engl J Med 2003; 349: 1227-1235<\/li>\r\n                <\/ol>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n    <script type=\"text\/javascript\">\r\n                var medical_calculator_wells_leg_veins_messages = {\r\n            'interpretation_le1' : 'Deep vein thrombosis unlikely',\r\n            'interpretation_ge2' : 'Deep vein thrombosis likely',\r\n            'recommendation_le1' : 'perform D-dimer test<br \/><p><ul><li>If D-dimer is negative, deep vein thrombosis can be excluded.<\/li><li>If D-dimer is positive, duplex sonography should be performed to exclude deep vein thrombosis.<\/li><\/ul><\/p>',\r\n            'recommendation_ge2' : 'Duplex sonography should be performed to exclude deep vein thrombosis.',\r\n            'point' : 'point',\r\n            'points' : 'points'\r\n        };\r\n            <\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>The Wells\u2019 Criteria for deep vein thrombosis (DVT) can be used to estimate the probability of DVT based on the patient history and clinical criteria. This provides a recommendation for further diagnostics depending on the pre-test probability.<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":28833,"menu_order":118,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-28889","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28889","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/comments?post=28889"}],"version-history":[{"count":1,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28889\/revisions"}],"predecessor-version":[{"id":28890,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28889\/revisions\/28890"}],"up":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28833"}],"wp:attachment":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/media?parent=28889"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}