To Determine Wells Criteria As A Reliable Clinical Tool In Diagnosis Of Deep Vein Thrombosis

Abstract

Background: Thrombosis refers to the formation of an abnormal mass within the vascular system from constituents of blood. When it occurs in deep veins, it is known as Deep Vein Thrombosis In our day-day experience, it was unveiled that due to lack of a reliable tool or criteria to diagnose Deep Vein Thrombosis earlier, either patient suffered more with morbidities or reached a stage of moribund condition Objectives: To determine accuracy of Wells criteria as a predictive tool in diagnosis of deep vein thrombosis in patients with suspected deep vein thrombosis in our clinical setup. Methodology: The present study was a prospective study from January 2018 to December 2018. In my study 40 subjects were included which had patients more than 18 years of age, any gender, came with complain of limb swelling and importantly gave valid consent but pregnant patients, already known case of DVT or Bleeding diathesis were excluded. Risk will be calculated according to the wells criteria tool and confirmed with color Doppler of the affected limb. Result: Results was well established in favor of Wells criteria to diagnose DVT as higher frequency of people were more than 50 years with male preponderance and history of smoking present. Subjects had leg swelling with edema and calf tenderness with paresis or paralysis or immobilization/bedridden. Criteria showed 100% sensitivity with NPV of 100% and accuracy of 90%. Conclusion: This criteria can help the clinicians to treat the disease before it takes a violent course and help the patients live a healthy life.