Clinical Prediction of Lower Limb Deep Vein Thrombosis in Symptomatic Hospitalized Patients

J. Constans; M. L. Nelzy; L. R. Salmi; S. Skopinski; J. C. Saby; P. Le Métayer; P. Morlat; C. Conri

doi:10.1055/s-0037-1616521

Thrombosis and Haemostasis, Table of Contents

Thromb Haemost 2001; 86(04): 985-990
DOI: 10.1055/s-0037-1616521

Special Article

Schattauer GmbH

Clinical Prediction of Lower Limb Deep Vein Thrombosis in Symptomatic Hospitalized Patients

J. Constans

¹Service de Médecine interne et Pathologie Vasculaire, Bordeaux, France

,

M. L. Nelzy

¹Service de Médecine interne et Pathologie Vasculaire, Bordeaux, France

,

L. R. Salmi

²Institut de Santé Publique, d’Epidémiologie et de Développement, Université Victor Segalen Bordeaux II, Bordeaux, France

,

S. Skopinski

¹Service de Médecine interne et Pathologie Vasculaire, Bordeaux, France

,

J. C. Saby

¹Service de Médecine interne et Pathologie Vasculaire, Bordeaux, France

,

P. Le Métayer

³Service de Cardiologie, Bordeaux, France

,

P. Morlat

⁴Fédération de Médecine Interne et Maladies infectieuses, Hôpital Saint-André, Bordeaux, France

,

C. Conri

¹Service de Médecine interne et Pathologie Vasculaire, Bordeaux, France

› Author Affiliations

Abstract

Summary

We evaluated two clinical scores for the prediction of deep venous thrombosis (DVT) in hospitalized patients (Wells’ and Kahn’s). We included 273 patients referred to the vascular exploration unit for the suspicion of DVT. A clinical questionnaire was filled in by the practitioner and the scores were calculated from this form. 66 of the 273 patients had a DVT. When Wells’ score was 3, a DVT was found by duplex echography in 51% patients ; when the score was 0, a DVT was found in 9%. Kahn’s score was not adapted to this population. We then developed a new simple score (cancer, palsy or plaster immobilization, warmth, superficial venous dilation, unilateral pitting edema, other diagnosis). A DVT was found in 76% patients with a score of 3 and in 11% in those with a score of 0. We therefore propose a 6-item score whose main advantages are simplicity and usefulness in routine practice.

Keywords

Deep venous thrombosis - clinical prediction - venous thromboembolic disease

Full Text

References

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