A systematic review of clinical prediction scores for deep vein thrombosis

  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},
  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… 
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[Validation of a clinical prediction rule for the diagnosis of deep vein thrombosis of the lower limbs in primary care].
This clinical prediction rule might not fulfill the required conditions to be considered as a usable help in the ambulatory management of DVT, and variations of the cut-off value could enhance its performance.
Diagnostic classification in patients with suspected deep venous thrombosis: physicians' judgement or a decision rule?
  • G. Geersing, K. Janssen, +4 authors K. Moons
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  • 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.
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This score reliably identifies primary care patients with LL DVT, whether proximal or distal, and is externally validate on predicting the presence or absence of DVT.
Clinical prediction of deep venous thrombosis using two risk assessment methods in combination with rapid quantitative D-dimer testing.
Clinical assessment to stratify a patient's likelihood of having deep venous thrombosis should be taught to physicians.
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.
[Diagnostic value of the clinical probability score of deep venous thrombosis in the elderly].
Incidence of DVT is high among hospitalised elderly patients, especially for the asymptomatic ones, and clinical signs alone do not reliably predict DVT, so clinical probability score could be useful to improve diagnostic management of DVt in this population.
Comparing the Diagnostic Performance of 2 Clinical Decision Rules to Rule Out Deep Vein Thrombosis in Primary Care Patients
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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.