门诊和住院患者未筛选人群中深静脉血栓形成诊断的临床预测评分比较
Comparison of clinical prediction scores for the diagnosis of deep vein thrombosis in unselected population of outpatients and inpatients.
作者信息
Sermsathanasawadi N, Suparatchatpun P, Pumpuang T, Hongku K, Chinsakchai K, Wongwanit C, Ruangsetakit C, Mutirangura P
机构信息
Division of Vascular Surgery, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Division of Vascular Surgery, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
出版信息
Phlebology. 2015 Aug;30(7):469-74. doi: 10.1177/0268355514541981. Epub 2014 Jun 25.
OBJECTIVES
The aim of this research was to compare the accuracy of the modified Wells, the Wells, the Kahn, the St. André, and the Constans score for the diagnosis of deep vein thrombosis of the lower limb in unselected population of outpatients and inpatients.
METHOD
The pretest of probability score was employed in consecutive 500 outpatients and inpatients with suspicion of deep vein thrombosis. All patients were examined with compression ultrasonography.
RESULTS
Deep vein thrombosis was confirmed in 26.4%. In the unselected population of outpatients and inpatients, the accuracy of the modified Wells score and the Constans score was higher than other scores. Both scores were more accurate for the outpatients. There was no accurate score for the inpatient subgroup.
CONCLUSIONS
The modified Wells and the Constans score appear to be useful in the unselected population of outpatients and inpatients and particularly in the outpatient subgroup.
目的
本研究旨在比较改良Wells评分、Wells评分、Kahn评分、圣安德烈评分和康斯坦斯评分在未选择的门诊和住院患者人群中诊断下肢深静脉血栓形成的准确性。
方法
对连续500例疑似深静脉血栓形成的门诊和住院患者采用预测试概率评分。所有患者均接受加压超声检查。
结果
深静脉血栓形成确诊率为26.4%。在未选择的门诊和住院患者人群中，改良Wells评分和康斯坦斯评分的准确性高于其他评分。这两种评分对门诊患者更准确。住院患者亚组没有准确的评分。
结论
改良Wells评分和康斯坦斯评分在未选择的门诊和住院患者人群中似乎有用，尤其是在门诊患者亚组中。
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