DVT Risk Score Interpretation
3-8 Points: High probability of DVT 1-2 Points: Moderate probability -2-0 Points: Low Probability
The Wells Score For DVT:
- Paralysis, paresis or recent orthopedic casting of lower extremity (1 point)
- Recently bedridden (more than 3 days) or major surgery within past 4 weeks (1 point)
- Localized tenderness in deep vein system (1 point)
- Swelling of entire leg (1 point)
- Calf swelling 3 cm greater than other leg (measured 10 cm below the tibial tuberosity) (1 point)
- Pitting edema greater in the symptomatic leg (1 point)
- Collateral non varicose superficial veins (1 point)
- Active cancer or cancer treated within 6 months (1 point)
- Alternative diagnosis more likely than DVT (Baker’s cyst, cellulitis, muscle damage, superficial venous thrombosis, post phlebitic syndrome, inguinal lymphadenopathy, external venous compression) (-2 points)
(1) Wells PS, Anderson DR, Bormanis J, et. al. Value of assessment of pretest probability of deep-vein thrombosis in clinical management [PubMed Abstract] [Full Text HTML]. Lancet. 1997 Dec 20-27;350(9094):1795-8
The above article is cited in four systemic reviews according to PubMed including:
Venous Thromboembolic Diseases: The Management of Venous Thromboembolic Diseases and the Role of Thrombophilia Testing [Internet] [PubMed Abstract] [Full Text PDF].Editors National Clinical Guideline Centre (UK). Source London: Royal College of Physicians (UK); 2012 Jun.
National Institute for Health and Clinical Excellence: Guidance .