A clinical prediction score for upper extremity deep venous thrombosis - PubMed (original) (raw)
Multicenter Study
doi: 10.1160/TH07-08-0485.
Louis-Rachid Salmi, Marie-Antoinette Sevestre-Pietri, Sophie Perusat, Monika Nguon, Maryse Degeilh, Jose Labarere, Olivier Gattolliat, Carine Boulon, Jean-Pierre Laroche, Philippe Le Roux, Olivier Pichot, Isabelle Quéré, Claude Conri, Jean-Luc Bosson
Affiliations
- PMID: 18217155
- DOI: 10.1160/TH07-08-0485
Multicenter Study
A clinical prediction score for upper extremity deep venous thrombosis
Joel Constans et al. Thromb Haemost. 2008 Jan.
Abstract
It was the objective of this study to design a clinical prediction score for the diagnosis of upper extremity deep venous thrombosis (UEDVT). A score was built by multivariate logistic regression in a sample of patients hospitalized for suspicion of UEDVT (derivation sample). It was validated in a second sample in the same university hospital, then in a sample from the multicenter OPTIMEV study that included both outpatients and inpatients. In these three samples, UEDVT diagnosis was objectively confirmed by ultrasound. The derivation sample included 140 patients among whom 50 had confirmed UEDVT, the validation sample included 103 patients among whom 46 had UEDVT, and the OPTIMEV sample included 214 patients among whom 65 had UEDVT. The clinical score identified a combination of four items (venous material, localized pain, unilateral pitting edema and other diagnosis as plausible). One point was attributed to each item (positive for the first 3 and negative for the other diagnosis). A score of -1 or 0 characterized low probability patients, a score of 1 identified intermediate probability patients, and a score of 2 or 3 identified patients with high probability. Low probability score identified a prevalence of UEDVT of 12, 9 and 13%, respectively, in the derivation, validation and OPTIMEV samples. High probability score identified a prevalence of UEDVT of 70, 64 and 69% respectively. In conclusion we propose a simple score to calculate clinical probability of UEDVT. This score might be a useful test in clinical trials as well as in clinical practice.
Similar articles
- Safety and feasibility of a diagnostic algorithm combining clinical probability, d-dimer testing, and ultrasonography for suspected upper extremity deep venous thrombosis: a prospective management study.
Kleinjan A, Di Nisio M, Beyer-Westendorf J, Camporese G, Cosmi B, Ghirarduzzi A, Kamphuisen PW, Otten HM, Porreca E, Aggarwal A, Brodmann M, Guglielmi MD, Iotti M, Kaasjager K, Kamvissi V, Lerede T, Marschang P, Meijer K, Palareti G, Rickles FR, Righini M, Rutjes AW, Tonello C, Verhamme P, Werth S, van Wissen S, Büller HR. Kleinjan A, et al. Ann Intern Med. 2014 Apr 1;160(7):451-7. doi: 10.7326/M13-2056. Ann Intern Med. 2014. PMID: 24687068 Clinical Trial. - Risk factors for mortality in patients with upper extremity and internal jugular deep venous thrombosis.
Hingorani A, Ascher E, Markevich N, Yorkovich W, Schutzer R, Mutyala M, Nahata S, Jacob T. Hingorani A, et al. J Vasc Surg. 2005 Mar;41(3):476-8. doi: 10.1016/j.jvs.2004.12.038. J Vasc Surg. 2005. PMID: 15838483 - Low incidence of pulmonary embolism associated with upper-extremity deep venous thrombosis.
Levy MM, Albuquerque F, Pfeifer JD. Levy MM, et al. Ann Vasc Surg. 2012 Oct;26(7):964-72. doi: 10.1016/j.avsg.2011.12.016. Epub 2012 Jun 29. Ann Vasc Surg. 2012. PMID: 22749742 - The post-thrombotic syndrome after upper extremity deep venous thrombosis in adults: a systematic review.
Elman EE, Kahn SR. Elman EE, et al. Thromb Res. 2006;117(6):609-14. doi: 10.1016/j.thromres.2005.05.029. Epub 2005 Jul 6. Thromb Res. 2006. PMID: 16002126 Review. - Upper extremity deep vein thrombosis.
Marshall PS, Cain H. Marshall PS, et al. Clin Chest Med. 2010 Dec;31(4):783-97. doi: 10.1016/j.ccm.2010.06.005. Epub 2010 Aug 11. Clin Chest Med. 2010. PMID: 21047583 Review.
Cited by
- Upper extremity deep vein thrombosis.
Spiezia L, Simioni P. Spiezia L, et al. Intern Emerg Med. 2010 Apr;5(2):103-9. doi: 10.1007/s11739-009-0320-x. Epub 2009 Sep 26. Intern Emerg Med. 2010. PMID: 19784750 Review. - Left brachiocephalic venous thrombus initially presenting as acute aortic syndrome.
Yang A, Seevanayagam S. Yang A, et al. J Surg Case Rep. 2023 Aug 9;2023(8):rjad461. doi: 10.1093/jscr/rjad461. eCollection 2023 Aug. J Surg Case Rep. 2023. PMID: 37564054 Free PMC article. - Systematic review and meta-analysis of outcomes in patients with suspected deep vein thrombosis.
Patel P, Patel P, Bhatt M, Braun C, Begum H, Nieuwlaat R, Khatib R, Martins CC, Zhang Y, Etxeandia-Ikobaltzeta I, Varghese J, Alturkmani H, Bahaj W, Baig M, Kehar R, Mustafa A, Ponnapureddy R, Sethi A, Thomas M, Wooldridge D, Lim W, Bates SM, Lang E, Le Gal G, Righini M, Wiercioch W, Schünemann HJ, Mustafa RA. Patel P, et al. Blood Adv. 2020 Jun 23;4(12):2779-2788. doi: 10.1182/bloodadvances.2020001558. Blood Adv. 2020. PMID: 32569377 Free PMC article. - Diagnosis of deep vein thrombosis of the upper extremity: a systematic review and meta-analysis of test accuracy.
Patel P, Braun C, Patel P, Bhatt M, Begum H, Wiercioch W, Varghese J, Wooldridge D, Alturkmani HJ, Thomas M, Baig M, Bahaj W, Khatib R, Kehar R, Ponnapureddy R, Sethi A, Mustafa A, Lim W, Le Gal G, Bates SM, Lang E, Righini M, Husainat NM, Kalot MA, Al Jabiri YN, Nieuwlaat R, Schünemann HJ, Mustafa RA. Patel P, et al. Blood Adv. 2020 Jun 9;4(11):2516-2522. doi: 10.1182/bloodadvances.2019001409. Blood Adv. 2020. PMID: 32511715 Free PMC article. - Diagnosis of suspected venous thromboembolism.
Kearon C. Kearon C. Hematology Am Soc Hematol Educ Program. 2016 Dec 2;2016(1):397-403. doi: 10.1182/asheducation-2016.1.397. Hematology Am Soc Hematol Educ Program. 2016. PMID: 27913507 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical