Info

🌱 來自: Modified Wells Pretest Probability Scoring for PE

clinical prediction rules for the diagnosis of pulmonary embolism

• PERC

  • Patient characteristic
  • Unilateral leg swelling
  • Heart rate >99/min
  • Immobilization or surgery in the previous 4 wk
  • Previous DVT or PE
  • Hemoptysis
  • Age >49 y
  • Oxygen saturation by pulse oximetry on room air <95%
  • Estrogen use

• Wells

  • Patient characteristic: Clinically suspected DVT
  • Unilateral leg swelling
  • Heart rate >100/min
  • Immobilization or surgery within the previous 4 wk
  • Previous DVT or PE
  • Hemoptysis
  • Cancer within 6 mo
  • Alternative diagnosis is less likely than pulmonary embolism

• Revised Geneva

  • Unilateral lower limb pain
  • Pain on lower limb palpation and unilateral edema
  • Heart rate 75-94/min
  • Heart rate >94/min
  • Surgery or lower limb fracture within the previous 4 wk
  • Previous DVT or PE
  • Hemoptysis
  • Cancer within 12 mo
  • Age >65 y
  • Score: variable points for each criteria, ranging from 1 to 5