Review Article
Venous Thromboembolism in Cancer Patients Undergoing Major Abdominal Surgery: Prevention and Management
Table 5
Wells’ prediction score for clinical diagnosis.
| | Clinical feature | Points |
| | Active cancer (ongoing treatment or within last 6 months or palliative) | 1 | | Paralysis, paresis, or recent plaster immobilization of lower extremities | 1 | | Recently bedridden for >3 d and/or major surgery within 12 wk using regional or general anaesthesia | 1 | | Local tenderness | 1 | | Thigh and calf swollen | 1 | | Calf swelling 3 cm > asymptomatic side (measured 10 cm below tibial tuberosity) | 1 | | Pitting edema | 1 | | Dilated superficial veins (nonvaricose) symptomatic leg only | 1 | | Previous documented DVT | 1 |
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2 points deducted if alternative diagnosis is more likely than DVT.
Total points: >2: DVT likely.
Total points: <2: DVT unlikely.
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