Wells rule vs Primary care rule for ruling out DVT

By  |  January 19, 2011 | 

In this large prospective cohort of >1000 patients with suspected DVT, researchers evaluated the efficacy of using the Wells rule vs the Primary Care rule for ruling out DVT. The performance of the rules were similar in ruling out DVT (each missed about 1.5% of DVTs). However, the primary care rule has fewer elements, and does not require “alternative diagnosis at least as likely as DVT” which is required in the Wells rule. A list of both rules can be found at (full text)

About the Author:

Danielle Scheurer
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.


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