Pulmonology Book

Airway Disorders

Cardiovascular Medicine

  • Pulmonary Embolism Pretest Probability

Emergency Medicine

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Pulmonary Embolism Pretest ProbabilityAka: Wells Clinical Prediction Rule for PE

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  1. See Also
    1. Pulmonary Embolism
  2. Criteria
    1. PE more likely than alternatives: 3.0 points
    2. Deep Vein Thrombosis (DVT) suspected: 3.0 points
    3. Tachycardia (pulse >100 beats per minute): 1.5 points
    4. Surgery or immobilization in last 4 weeks: 1.5 points
    5. Prior DVT or Pulmonary Embolism: 1.5 points
    6. Hemoptysis: 1.0 points
    7. Active malignancy: 1.0 points
  3. Interpretation
    1. Score 0-2 points: Low PE Probability (3.6% risk)
    2. Score 3-6 points: Moderate PE Probability (20.5% risk)
    3. Score >6 points: High PE Probability (66.7% risk)
  4. References
    1. Wells (2000) Thromb Haemost 83:416

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