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Semin Thromb Hemost 2017; 43(05): 479-485
DOI: 10.1055/s-0037-1601332
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

Scoring Systems for Diagnosis of Acute Venous Thromboembolism

Grégoire Le Gal
1   Department of Medicine, Ottawa Hospital Research Institute at the University of Ottawa, Ottawa, Ontario, Canada
,
Marc Righini
2   Division of Angiology and Hemostasis, Faculty of Medicine, Geneva University Hospital, Geneva, Switzerland
,
Philip S. Wells
1   Department of Medicine, Ottawa Hospital Research Institute at the University of Ottawa, Ottawa, Ontario, Canada
› Author Affiliations
Further Information

Publication History

Publication Date:
03 May 2017 (online)

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Abstract

Modern diagnostic strategies for venous thromboembolism almost all rely on an initial assessment of the pretest probability. Assessing the patient's pretest probability for venous thromboembolism is a critical step in the diagnostic strategy and for therapeutic management. Clinical prediction rules combine medical signs and symptoms to provide accurate and reproducible estimates of the probability of a disease before diagnostic tests are performed. The use of scoring systems in patients with suspected acute venous thromboembolism should be encouraged, as their implementation in guidelines for venous thromboembolism diagnosis results in cost-effective care with improved patient outcomes.

Keywords

clinical probability - clinical prediction rules - pulmonary embolism - deep vein thrombosis - diagnostic algorithm
 

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