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  Well's DVT score  

Active Cancer Yes (+1)
Bedridden
(>3days or recent surgery within 4 wks)
Yes (+1)
Calf swelling
(>3cm compared to other leg)
Yes (+1)
Collateral superficial veins present Yes (+1)
Entire leg swollen Yes (+1)
Localised tenderness Yes (+1)
Pitting Oedema in symptomatic leg Yes (+1)
Paralysis, immobilisation Yes (+1)
Previous DVT Yes (+1)
Alternative diagnosis to DVT
is "as likely" or "more likely"
Yes (-2)
Wells Score (points)

Score Interpretation:

Calculation(s) used

Well's scoring for DVT: Points are awarded for each Q, except for the alternative diagnosis question in which 2 points are subtracted. The result is the total sum of the points awarded.

 

Interpretation

Wells Score DVT risk
0 - 2 DVT unlikely
Consider d-dimer test to
rule out DVT
2 or >2 DVT likely
Consider imagine veins in the leg

  

References
1. Does this patient have deep vein thrombosis? Wells PS, Owen C, Doucette S, Fergusson D, Tran H. JAMA. 2006 Jan 11;295(2):199-207. Review.

Copyright 2006-2010 Jamie Al-Nasir, all rights reserved