A systematic review of clinical prediction scores for deep vein thrombosis

@article{Kafeza2017ASR,
  title={A systematic review of clinical prediction scores for deep vein thrombosis},
  author={Marina Kafeza and Joseph Shalhoub and N. Salooja and Lucy Bingham and Konstantina Spagou and Alun H. Davies},
  journal={Phlebology},
  year={2017},
  volume={32},
  pages={516 - 531}
}
Objective Diagnosis of deep vein thrombosis remains a challenging problem. Various clinical prediction rules have been developed in order to improve diagnosis and decision making in relation to deep vein thrombosis. The purpose of this review is to summarise the available clinical scores and describe their applicability and limitations. Methods A systematic search of PubMed, MEDLINE and EMBASE databases was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta… 

Figures from this paper

A Machine Learning Approach to Predict Deep Venous Thrombosis Among Hospitalized Patients

  • Logan RyanS. Mataraso R. Das
  • Medicine
    Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
  • 2021
Gradient boosted machine learning algorithms were developed to predict a patient’s risk of developing DVT at 12- and 24-hour windows prior to onset, and improved risk stratification may prevent unnecessary invasive testing in patients for whom DVT cannot be ruled out using existing methods.

The efficacy of rotational pharmaco-mechanical thrombectomy in patients with acute iliofemoral deep vein thrombosis: Is the standard treatment of deep vein thrombosis changing?

Although improved post-thrombotic syndrome rates were lower at the short term, Villalta scores gradually increased during follow up, and Pharmaco-mechanical thrombolysis with CleanerThrombectomy device is a safe and beneficial method for the treatment of acute iliofemoral deep vein thrombosis.

Detection of Lower Limb Deep Vein Thrombosis: Comparison between Radionuclide Venography and Venous Ultrasonography

The negative predictive value of RNV is 97.5% with only one patient out of forty with normal RNV found to have DVT by venous ultrasonography, which suggests that DVT can virtually be excluded in patients withnormal RNV.

Clinical outcomes in lower extremity deep vein thrombosis treated with a direct oral anticoagulant: A retrospective cohort study

Apixaban seems like an effective treatment option in patients with DVT and PE, and those receiving apixaban following a period of treatment with rivaroxaban or warfarin compared to direct administration constitute the majority of the PE cases.

Knowledge and Awareness of Venous Thromboembolism in Intensive Care Units in Zhejiang Province, China: A Cross-Sectional Survey

There is an urgent need to update and standardize the ICU VTE guidelines for the prevention and treatment of VTE in China, and high heterogeneities were detected in the assessment.

Non-contrast-enhanced magnetic resonance imaging: Objective figures in differentiation between acute and chronic deep venous thrombosis in the lower extremities

The diagnostic power of triggered angiography non-contrast enhanced magnetic resonance imaging in deep vein thrombosis is rival to current gold standard, color Doppler sonography.

Knowledge and practices of nurses on deep vein thrombosis risks and prophylaxis: A descriptive cross sectional study.

  • K. Al-MugheedN. Bayraktar
  • Education, Medicine
    Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing
  • 2018

Joint Guideline on Venous Thromboembolism - 2022.

Guideline Authors: Ana Cristina Lopes Albricker,1 Cláudia Maria Vilas Freire,2 Simone Nascimento dos Santos,3,31 Monica Luiza de Alcantara,4 Mohamed Hassan Saleh,5 Armando Luis Cantisano,6,7 José

Evaluating the analytical performance of four new coagulation assays for the measurement of fibrinogen, D‐dimer and thrombin time

This work evaluated the analytical performance of four new coagulation assays for the measurement of fibrinogen by Clauss assay, prothrombin time‐derived fibr inogen, thromin time and D‐dimer levels.

Description des modalités de prise en charge des suspicions de thrombose veineuse profonde des membres inférieurs au sein du service des urgences adultes de l'hôpital Pellegrin du CHU de Bordeaux

La prise en charge diagnostique n’est pas toujours conforme aux recommandations de bonne pratique, and certains patients sortant du service des urgences sont sur-anticoagules par defaut de confirmation diagnostiques avec une imagerie.

References

SHOWING 1-10 OF 116 REFERENCES

Diagnostic classification in patients with suspected deep venous thrombosis: physicians' judgement or a decision rule?

  • G. GeersingK. Janssen K. Moons
  • Medicine
    The British journal of general practice : the journal of the Royal College of General Practitioners
  • 2010
In patients suspected of DVT both GP estimates and aclinical decision rule can safely discriminate in patients with and without DVT, however, fewer patients are referred for ultrasonography when GPs rely on a clinical decision rule to guide their decision making.

[Validation of a deep vein thrombosis prediction rule in primary care].

Accuracy of the Wells Rule in diagnosing deep vein thrombosis in primary health care.

The Wells Rule used alone had only moderate sensitivity and poor specificity and likelihood ratios, so has limited use in the diagnosis of DVT in primary care in New Zealand.

Meta-Analysis: The Value of Clinical Assessment in the Diagnosis of Deep Venous Thrombosis

A systematic review of 54 cohort studies found that previous DVT and malignant disease modestly increased the probability of DVT, and Wells scores stratified patients' probability of proximal DVT much better than did individual findings.

Comparing the Diagnostic Performance of 2 Clinical Decision Rules to Rule Out Deep Vein Thrombosis in Primary Care Patients

In primary care, suspected DVT can safely be ruled out using either of the 2 rules in combination with a point-of-care D-dimer test and both rules can reduce unnecessary referrals for compression ultrasonography by about 50%, though the primary care rule reduces it slightly more.

Combined use of rapid D-dimer testing and estimation of clinical probability in the diagnosis of deep vein thrombosis: systematic review

The evidence supporting the use of rapid D-dimer testing combined with estimation of clinical probability to exclude the diagnosis of deep venous thrombosis among outpatients is summarized.

Clinical prediction of deep vein thrombosis in patients with leg symptoms.

A clinical prediction index that categorized patients into different levels of DVT risk was created, and was useful in a theoretical strategy aimed to limit the need for contrast venography in patients with suspected DVT, such that 96% of study patients could have avoided Contrast venography.
...