The Well's score was designed to help predict the likelihood of PE by studying the PPV of PE of various clinical features in a population; obviously that population was not one in which COVID19 had become epidemic. For the next few months, while controlling the initial outbreak if the virus, can we still rely on the Well's score or has its validity been undermined by the fact we are now dealing with a very different population?
No Well's score is unreliable in patients with Covid-19.R
Risk of thromboembolism in Covid-19 is high.
The Well's Score understabably does not consider this.
I think in Covid 19 patient we can’t depend in this score to dx DVT , those patients at high risk of thrombosis
Hi dear, please Recommend our answer, Thanks:
https://cerahgeneve.ch/resources/covid-19-free-online-scientific-resources/?
COVID-19 is an infection related thrombophilia that can be associated with acquired antiphospholipid syndrome.
In any patient with SARS-CoV-2 positive status admitted to the hospita, Venous-thromboembolism (VTE) risk is increased independent of presence or absence of Well's criteria. Any COVID-19 patients should be offered prophylaxis with LMWH particularly when patient has limited activity (1-2).
Further reading
1. Article Attention should be paid to venous thromboembolism prophylax...
2. Article Hospital-based use of thromboprophylaxis in patients with COVID-19
3. Article Coagulopathy and Antiphospholipid Antibodies in Patients with Covid-19
4. Article Thromboinflammation and the hypercoagulability of COVID‐19
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