Objectifies risk of pulmonary embolism.
The Wells’ Criteria risk stratifies patients for pulmonary embolism (PE) and provides an estimated pre-test probability.
The physician can then choose what further testing is required for diagnosing pulmonary embolism (i.e. d-dimer or CT angiogram).
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The Wells’ Criteria for PE can be used with either 3 tiers (low, moderate, high) or 2 tiers (unlikely, likely), which are both endorsed by multiple guidelines.
It risk stratifies patients for pulmonary embolism (PE), and has been validated in both inpatient and emergency department settings. There must first be a clinical suspicion for PE in the patient (the criteria should not be applied to all patients with chest pain or shortness of breath, for example).
It is not meant to diagnose PE but to guide workup by predicting pre-test probability of PE and appropriate testing to rule out the diagnosis.
Its score is often used in conjunction with d-dimer testing to evaluate for PE. The criteria should not be determined after the results of a d-dimer assay are known.
Calculations alone should never dictate patient care, and are no substitute for professional judgement. See our full disclaimer.
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