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| Wellsスコア (DVT)× | CHA₂DS₂-VAScスコア× | qSOFAスコア× | |
|---|---|---|---|
| 分野 | 臨床評価 | 臨床評価 | 臨床評価 |
| 系統 | Process / pipeline | Process / pipeline | Process / pipeline |
| 提唱年≠ | 1994 | 2010 | 2016 |
| 提唱者≠ | Philip S. Wells | Gregory Y. H. Lip, Robby Nieuwlaat, et al. | Sepsis-3 Taskforce |
| 種類≠ | Venous thromboembolism risk stratification | Atrial fibrillation stroke risk stratification | Rapid sepsis screening |
| 原典≠ | Wells, P. S., Hirsh, J., Anderson, D. R., et al. (1994). A simple clinical model for the diagnosis of deep-vein thrombosis combined with impedance plethysmography. Archives of Internal Medicine, 154(13), 1541-1546. link ↗ | Lip, G. Y., Nieuwlaat, R., Pisters, R., Lane, D. A., & Crijns, H. J. (2010). Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the euro heart survey on atrial fibrillation. Chest, 137(2), 263-272. DOI ↗ | Singer, M., Deutschman, C. S., Seymour, C. W., et al. (2016). The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA, 315(8), 801-810. DOI ↗ |
| 別名 | Wells DVT Score, DVT Wells | CHA2DS2VASc, Atrial fibrillation stroke risk | Quick SOFA, qSOFA |
| 関連 | 3 | 3 | 3 |
| 概要≠ | The Wells score, developed by Wells et al. in 1994, is a clinical prediction rule that stratifies patients into low, intermediate, or high pretest probability of deep vein thrombosis (DVT). It combines seven clinical features to guide diagnostic testing decisions and reduce unnecessary imaging in suspected DVT patients. | The CHA₂DS₂-VASc score, developed by Lip, Nieuwlaat, and colleagues in 2010, is a 9-point risk stratification tool for predicting annual stroke and systemic thromboembolism risk in patients with atrial fibrillation. It is the recommended score by major cardiology guidelines for guiding anticoagulation decisions. | The Quick Sequential Organ Failure Assessment (qSOFA) score, introduced by the Sepsis-3 taskforce in 2016, is a rapid 3-variable bedside screening tool for identifying non-ICU patients at high risk of sepsis-related mortality. It uses altered mentation, systolic hypotension, and tachypnea to quickly stratify patients without requiring laboratory testing. |
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