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Calcimator

Wells Score for DVT Calculator

Calculate the Wells score for deep vein thrombosis (DVT) probability assessment using clinical criteria.

Inputs

Results

Wells Score

0pts

Risk Category

1(1=Low, 2=Moderate, 3=High)

DVT Prevalence3%
How to Use This Calculator
  1. Enter 0 or 1 for each Wells DVT criterion (active cancer, paralysis, bedridden, local tenderness, etc.).
  2. Review Wells DVT Score and pre-test probability category (low, moderate, high).
  3. Low probability score with negative D-dimer effectively rules out DVT without ultrasound.

What each input means

Active Cancer
Treatment within 6 months or palliative (+1 point).
Paralysis/Paresis/Immobilization
Recent paralysis, paresis, or plaster cast of lower extremity (+1 point).
Bedridden >3 Days / Surgery <12 Weeks
Bedridden for >3 days or major surgery within 12 weeks (+1 point).
Localized Tenderness
Tenderness along deep venous system (+1 point).
Entire Leg Swollen
Entire leg is swollen (+1 point).
Calf Swelling >3 cm
Calf swelling >3 cm compared to asymptomatic leg (+1 point).
Pitting Edema
Pitting edema confined to symptomatic leg (+1 point).
Collateral Superficial Veins
Non-varicose collateral superficial veins (+1 point).
Previously Documented DVT
Previously documented DVT (+1 point).
Alternative Diagnosis Likely
Alternative diagnosis at least as likely as DVT (-2 points).

How this is calculated

Worked example, using the default values

  1. Identify Input Parameters
    4 parameters
    Active Cancer = 0, Paralysis/Paresis/Immobilization = 0, Bedridden >3 Days / Surgery <12 Weeks = 0, Localized Tenderness = 0 = 10 input(s) provided
  2. Calculate Wells Score
    Wells Score
    0 = 0
  3. Calculate Risk Category
    Risk Category
    1 = 1
  4. Calculate DVT Prevalence
    DVT Prevalence
    3 = 3%

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