Difference between revisions of "Galen eCalcs - Calculator: Wells Score (DVT Risk)"
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|Orderable Item Override || (BLANK) / G-DVTRisk|| '''“(BLANK)”''' indicates that the global configuration options for Orderable Item will be used. <br>'''“G-DVTRisk”''' indicates that the calculator specific value will be used and can display the specific calculator name in the output. | |Orderable Item Override || (BLANK) / G-DVTRisk|| '''“(BLANK)”''' indicates that the global configuration options for Orderable Item will be used. <br>'''“G-DVTRisk”''' indicates that the calculator specific value will be used and can display the specific calculator name in the output. | ||
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− | | | + | |Show Full Questions in Annotations || True/False || |
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== Calculator Inputs == | == Calculator Inputs == |
Revision as of 19:11, 20 November 2019
Description
The Wells Score is designed to assess a patient’s probability of having deep vein thrombosis (DVT).
In those with suspected DVT, a clinical assessment of probability can be useful to determine which tests to perform.
Those with Wells scores of two or more have a 28% chance of having DVT, those with a lower score have 6% odds. Alternatively, Wells scores can be categorized as high if greater than two, moderate if one or two, and low if less than one, with likelihoods of 53%, 17%, and 5% respectively.
Wells Score Criteria Description | Points |
---|---|
Active Cancer (treatment within last 6 months or palliative) | +1 point |
Calf swelling ≥ 3 cm compared to asymptomatic calf (measured 10 cm below tibial tuberosity) | +1 point |
Swollen unilateral superficial veins (non-varicose, in symptomatic leg) | +1 point |
Unilateral pitting edema (in symptomatic leg) | +1 point |
Previous documented DVT | +1 point |
Swelling of entire leg | +1 point |
Localized tenderness along the deep venous system | +1 point |
Paralysis, paresis, or recent cast immobilization of lower extremities | +1 point |
Recently bedridden ≥ 3 days, or major surgery requiring regional or general anesthetic in the past 12 weeks | +1 point |
Alternative diagnosis at least as likely | −2 points |
Calculator Search/Filter Keywords
At the calculator level, eCalcs comes delivered with default keywords that can be leveraged in the "Search/Filter" field to enable Specialty or System driven calculator searching. The following calculator keywords are delivered by default for the Wells Score (DVT Risk) calculator:
Specialties
- Cardiology
- Critical Care
- Family Practice
- Gerontology
- Hematology
- Internal Medicine
- Neurology
- Oncology
- Orthopedics
- Surgery
- Vascular
Systems
- Cardiovascular
- Lymphatic
Calculator Configuration Options
Preference Name | Valid Range | Description |
---|---|---|
Publishing | Checked / Unchecked | When checked the calculator will display for users on the front end. When unchecked, the calculator WILL NOT display for users on the front end. |
Orderable Item Override | (BLANK) / G-DVTRisk | “(BLANK)” indicates that the global configuration options for Orderable Item will be used. “G-DVTRisk” indicates that the calculator specific value will be used and can display the specific calculator name in the output. |
Show Full Questions in Annotations | True/False |
Calculator Inputs
This calculator does not use any default mappings, all items require manual input.
Calculator Outputs
Output | Mapping Type | Description |
---|---|---|
Wells DVT Score | Result | Score from Wells’ criteria for Deep Vein Thrombosis |
DVT Risk | Result | Risk of Deep Vein Thrombosis based on Wells’ score |
References
http://en.wikipedia.org/wiki/Deep_vein_thrombosis#Probability