Differences of wells scores accuracy, caprini scores and padua scores in deep vein thrombosis diagnosis

1st International Conference on Tropical Medicine and Infectious Diseases (ICTROMI) Faculty of Medicine Universitas Sumatera Utara

Gatot, D.^1 ; Mardia, A.I.^1

Division of Hematology and Oncology, Department of Internal Medicine, University of Sumatera Utara, Medan, Indonesia^1

关键词: Case-control study;    Comparative research;    Deep vein thrombosis;    Diagnostic tests;    Health facilities;    Scoring methods;    Scoring systems;    Ultrasound compression;   

Others  :  https://iopscience.iop.org/article/10.1088/1755-1315/125/1/012131/pdf
DOI  :  10.1088/1755-1315/125/1/012131

来源: IOP

【 摘 要 】

Deep Vein Thrombosis (DVT) is the venous thrombus in lower limbs. Diagnosis is by using venography or ultrasound compression. However, these examinations are not available yet in some health facilities. Therefore many scoring systems are developed for the diagnosis of DVT. The scoring method is practical and safe to use in addition to efficacy, and effectiveness in terms of treatment and costs. The existing scoring systems are wells, caprini and padua score. There have been many studies comparing the accuracy of this score but not in Medan. Therefore, we are interested in comparative research of wells, capriniand padua score in Medan.An observational, analytical, case-control study was conducted to perform diagnostic tests on the wells, caprini and padua score to predict the risk of DVT. The study was at H. Adam Malik Hospital in Medan.From a total of 72 subjects, 39 people (54.2%) are men and the mean age are 53.14 years. Wells score, caprini score and padua score has a sensitivity of 80.6%; 61.1%, 50% respectively; specificity of 80.65; 66.7%; 75% respectively, and accuracy of 87.5%; 64.3%; 65.7% respectively.Wells score has better sensitivity, specificity and accuracy than caprini and padua score in diagnosing DVT.