Clinical Study

Utilization of CT Pulmonary Angiography in Suspected Pulmonary Embolism in a Major Urban Emergency Department

Table 1

Wells’ simplified clinical prediction model.

ParameterPoints

Clinical symptoms or signs of deep vein thrombosis (DVT)3
Heart rate > 100 beats per minute1.5
Immobilization (for 3 or more days) or surgery in the last 4 weeks1.5
Previous history of DVT or PE1.5
Hemoptysis1
Malignancy (diagnosed in the last 6 months, under active or palliative treatment)1
Alternative diagnosis less likely than PE (based on presenting history, physical examination, CXR, EKG, and ABG)3

Clinical probability of PEScore

Low<2
Moderate2–6
High>6