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Table 1 Clinical model for predicting the pretest probability score of deep vein thrombosis (adapted from Wells et al. [1])

From: Evaluation of the usefulness of a D dimer test in combination with clinical pretest probability score in the prediction and exclusion of Venous Thromboembolism by medical residents

Clinical characteristics

Score

Active cancer (patient receiving treatment for cancer within the previous 6 months or currently receiving palliative treatment)

1

Paralysis, paresis, or recent plaster immobilization of the lower extremities

1

Recently bedridden for ≥3 days or major surgery within the previous 12 weeks requiring general or regional anesthesia

1

Localized tenderness along the distribution of the deep venous system

1

Entire leg swollen

1

Calf swelling at least 3 cm larger than that on the asymptomatic side (measured 10 cm below the tibial tuberosity)

1

Pitting edema confined to the symptomatic leg

1

Collateral superficial veins (nonvaricose)

1

Previously documented deep vein thrombosis

1

Alternative diagnosis at least as likely as deep vein thrombosis

−2

  1. A score of ≥2 indicates that the probability of deep vein thrombosis is likely; a score of >2 indicates that the probability of deep vein thrombosis is unlikely. In patients with symptoms in both legs, the leg with more symptoms is used. (Low: 0–1; moderate: 1–2; high: ≥2–3).