Wells Score kwa PE
Wells Score kwa Embolism ya Mapafu (Pulmonary Embolism)
Matokeo
Usimamizi unaopendekezwa:
Tafsiri ya Wells Score
Toleo la viwango vitatu — Wells et al., Thromb Haemost 2000
| Alama | Uwezekano | Kuenea kwa PE |
|---|---|---|
| < 2 | Chini | ~3.6% |
| 2 hadi 6 | Wastani | ~20.5% |
| > 6 | Juu | ~66.7% |
Toleo lililogawanywa viwili — van Belle et al. (Christopher Study), JAMA 2006
| Alama | Uainishaji | Usimamizi |
|---|---|---|
| ≤ 4 | PE haiwezekani | D-dimer; ikiwa hasi, PE imetengwa |
| > 4 | PE inawezekana | CT pulmonary angiography (CTPA) moja kwa moja |
Kumbuka: Wells Score ni zana ya kuainisha hatari ambayo lazima itumike pamoja na hukumu ya kliniki. Haibadilishi tathmini ya matibabu ya kibinafsi. Kwa wagonjwa wenye uwezekano mkubwa, dawa za kuzuia kuganda damu kwa majaribio zinaweza kuzingatiwa wakati wa kusubiri picha ikiwa hatari ya kutoa damu inakubalika.
Marejeo
- 1. Wells PS, et al. Derivation of a simple clinical model to categorize patients probability of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer. Thromb Haemost. 2000;83(3):416–20. PubMed ↗
- 2. van Belle A, et al. Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probability, D-Dimer testing, and computed tomography. JAMA. 2006;295(2):172–9. PubMed ↗