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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Validation of Modified wells Score in the Diagnosis of Deep Vein Thrombosis: A Prospective Observational Study

Kantharaja Jain, Suhas Pandarinath, Sulakshmi B. Kurlekar, Rinisha Ashok Prakash, M. Mohammed Furqan and Ramesh M. Tambat
Page: 457-460 | Received 15 Jun 2024, Published online: 30 Jul 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.8.457.460

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Abstract

Deep vein thrombosis (DVT) is the presence of thrombus in deep venous system, commonly seen in lower extremities. Philip Steven Wells was one of the pioneers to diagnose DVT using a clinical prediction rule, i.e., Wells criterion for patient management, rather than relying on imaging modalities. To test the effectiveness of Modified Wells criteria in diagnosing DVT. To find the associated co‐morbidities causing DVT. This is a prospective diagnostic efficacy study of the Modified Wells rule for DVT, comparing with the gold standard‐Duplex Ultrasonography. All patients with clinical suspicion of DVT in lower extremities (new onset of pain, oedema) at our hospital between October 2019 and October 2020 were included in the study. Modified Wells score for each patient was calculated and the results were evaluated. Sixty‐six suspected cases of DVT as per Modified Wells Score were subjected to the confirmatory test of venous duplex ultrasound. Amongst the total admitted cases, Modified Wells score was useful in predicting DVT in 60 of the cases, hence proving to be a potent diagnostic tool (91%). The average score among the various cases was 4/11. Higher the score more was the probability of having deep vein thrombosis. On evaluating the associated co‐morbidities in the study group, it is clear that surgery (36.7%) was the significant contributing factor. Modified Wells score is an efficient clinical probability assessment indicator in diagnosing DVT and could be exercised with ease. Hence, establishing it as a valid diagnostic tool.

How to cite this article:

Kantharaja Jain, Suhas Pandarinath, Sulakshmi B. Kurlekar, Rinisha Ashok Prakash, M. Mohammed Furqan and Ramesh M. Tambat. Validation of Modified wells Score in the Diagnosis of Deep Vein Thrombosis: A Prospective Observational Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.457.460
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.457.460