Simplified Wells Score

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Education modules for appropriate imaging referrals Clinical Decision Rule Summary

Simplified Wells Score Summary Statement:


Algorithm: This is a large study based on the Wells Score. It creates a simplified version
of the Wells rule that is easier to follow and should be easier to apply in
clinical situations. It is also a larger external validation of the Wells Score. It
may be applied in adult inpatient and outpatients with confidence. The study
found that using the Simplified Wells Score, a patient with a score of 1 and a
negative D dimer has an extremely low probability of PE and an alternative
diagnosis should be sought.
In addition, the PERC rule may be used with patients with a score of 1 to
determine who should have a D dimer and who require no further testing for
PE.

Reference:
Gibson NS, Sohne M, Kruip MJ, Tick LW, Gerdes VE, Bossuyt PM, et al.
Further validation and simplification of the Wells clinical decision rule in
pulmonary embolism. J Thromb Haemost. 2008; 99(1): 229-34.

RANZCR 2015 Suspected Pulmonary Embolism 1|Page

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