{"id":2493,"date":"2009-03-08T17:39:27","date_gmt":"2009-03-08T17:39:27","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/hemwells\/"},"modified":"2025-05-14T19:09:56","modified_gmt":"2025-05-14T19:09:56","slug":"hemwells","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/hemwells\/","title":{"rendered":"Score de Predicci\u00f3n Cl\u00ednica para Tromboembolismo Pulmonar y Trombosis Venosa Profunda"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>La regla de predicci\u00f3n cl\u00ednica de Wells es una herramienta de diagn\u00f3stico que se utiliza durante la revisi\u00f3n de sistemas para identificar una posible embolia pulmonar (EP) y trombosis venosa profunda (TVP).<br \/>\n<!--more--><\/p>\n<p style=\"font-weight: 400;\"><strong>Score de Predicci\u00f3n Cl\u00ednica de Wells para Tromboembolismo Pulmonar (TEP)\u00a0<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td><strong>Caracter\u00edstica cl\u00ednica<\/strong><\/td>\n<td style=\"text-align: center;\"><strong>Puntos<\/strong><\/td>\n<\/tr>\n<tr>\n<td>S\u00edntomas cl\u00ednicos de TVP<\/td>\n<td style=\"text-align: center;\">3<\/td>\n<\/tr>\n<tr>\n<td>Otros diagn\u00f3sticos menos probables que TEP<\/td>\n<td style=\"text-align: center;\">3<\/td>\n<\/tr>\n<tr>\n<td>Frecuencia cardiaca mayor de 100 latidos por minuto<\/td>\n<td style=\"text-align: center;\">1,5<\/td>\n<\/tr>\n<tr>\n<td>Inmovilizaci\u00f3n o cirug\u00eda dentro de las \u00faltimas 4 semanas<\/td>\n<td style=\"text-align: center;\">1,5<\/td>\n<\/tr>\n<tr>\n<td>TVP o TEP\u00a0previo<\/td>\n<td style=\"text-align: center;\">1,5<\/td>\n<\/tr>\n<tr>\n<td>Hemoptisis<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Malignidad<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td><strong><em>Puntuaci\u00f3n\u00a0total<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-weight: 400;\">TEP = tromboembolismo pulmonar; TVP = trombosis venosa profunda.<\/p>\n<p style=\"font-weight: 400;\">Interpretaci\u00f3n de la puntuaci\u00f3n de riesgo (probabilidad de TEP):<\/p>\n<ul style=\"font-weight: 400;\">\n<li>&gt;6\u00a0puntos:\u00a0riesgo elevado\u00a0(78.4%);<\/li>\n<li>2 a 6\u00a0puntos:\u00a0riesgo moderado\u00a0(27.8%);<\/li>\n<li>&lt;2\u00a0puntos:\u00a0riesgo bajo\u00a0(3.4%)<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><strong>Score de Predicci\u00f3n Cl\u00ednica de Wells para Trombosis Venosa Profunda (TVP)<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td><strong>Caracter\u00edstica cl\u00ednica<\/strong><\/td>\n<td style=\"text-align: center;\"><strong>Puntos<\/strong><\/td>\n<\/tr>\n<tr>\n<td>C\u00e1ncer activo (tratamiento dentro de los 6 meses, o en tratamiento paliativo)<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Par\u00e1lisis, paresia, o inmovilizaci\u00f3n de miembros inferiores<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Postraci\u00f3n en cama por m\u00e1s de 3 d\u00edas por una cirug\u00eda (dentro de las 4 semanas)<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Sensibilidad localizada a lo largo de la distribuci\u00f3n de las venas profundas<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Hinchaz\u00f3n completa\u00a0del\u00a0miembro<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Hinchaz\u00f3n unilateral de la pantorrilla mayor de 3 cm (debajo de la tuberosidad tibial)<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Edema unilateral piqueteado<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Venas superficiales colaterales<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Diagn\u00f3stico alternativo tan o m\u00e1s probable que TVP<\/td>\n<td style=\"text-align: center;\">-2<\/td>\n<\/tr>\n<tr>\n<td><strong><em>Puntuaci\u00f3n\u00a0total<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-weight: 400;\">TVP =\u00a0trombosis venosa profunda<\/p>\n<p style=\"font-weight: 400;\">Interpretaci\u00f3n de la puntuaci\u00f3n de riesgo (probabilidad de TVP):<\/p>\n<ul style=\"font-weight: 400;\">\n<li>&gt;\/=3\u00a0puntos:\u00a0riesgo elevado\u00a0(75%);<\/li>\n<li>1 a 2\u00a0puntos:\u00a0riesgo moderado\u00a0(17%);<\/li>\n<li>&lt;1\u00a0punto:\u00a0riesgo bajo\u00a0(3%).<\/li>\n<\/ul>\n<p class=\"MsoNormal\"><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda::<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Wells PS, Anderson DR, Rodger M, Ginsberg JS, Kearon C, Gent M, Turpie AG, Bormanis J, Weitz J, Chamberlain M, Bowie D, Barnes D, Hirsh J. Derivation of a simple clinical model to categorize patients probability of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer. Thromb Haemost. 2000 Mar;83(3):416-20.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10744147\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Wells PS, Anderson DR, Bormanis J, Guy F, Mitchell M, Gray L, Clement C, Robinson KS, Lewandowski B. Value of assessment of pretest probability of deep-vein thrombosis in clinical management. Lancet.\u00a01997 Dec 20-27;350(9094):1795-8.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9428249\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Abril 13, 2006<\/p>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La regla de predicci\u00f3n cl\u00ednica de Wells es una herramienta de diagn\u00f3stico que se utiliza durante la revisi\u00f3n de sistemas para identificar una posible embolia pulmonar (EP) y trombosis venosa profunda (TVP).<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[171],"tags":[1348,812,490,1508,27,28,1381,429,428,1507,234,29,1500,1501,1502,1503,1504,1505,1506,899,1509],"class_list":["post-2493","post","type-post","status-publish","format-standard","hentry","category-hematology","tag-cardiology","tag-clinica","tag-clinical","tag-deep","tag-embolism","tag-embolismo","tag-hematology","tag-prediccion","tag-prediction","tag-profunda","tag-pulmonar","tag-pulmonary","tag-regla","tag-rule","tag-thrombosis","tag-tromboembolismo","tag-trombosis","tag-tvp","tag-venosa","tag-venous","tag-wells"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2493","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2493"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2493\/revisions"}],"predecessor-version":[{"id":8832,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2493\/revisions\/8832"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2493"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2493"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2493"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}