Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The aim of the present study was to compare the Well’s score and Autar DVT risk assessment scale for risk assessment of DVT in patients admitted to all surgical wards. 500 Patients with lower extremity trauma patients who met the requirements for this study were assessed by both the Autar and Wells tools for DVT risk assessment during the first 24 hrs after their admission. Statistical analysis was performed using SPSS 18. Of 500 cases studied the most common age group involved was 31‐40 with 109 cases (21.8%). Of 500 cases studied, 374 (74.8%) were males and 126 (25.2%) were females. Of 500 cases studied, 178 (35.6%) had pain, 125 (25.0%) had trauma, 106 (21.2%) had swelling of limbs, 56 (11.2%) had immobilization. Of 500 cases studied, 331 (66.2%) had normal Doppler study, 86 (17.2%) had DVT, 56 (11.2%) had PVD and 27 (5.4%) had venous incompetence. Of 500 cases studied, 488 (97.6%) had normal Chest X‐ray findings, 8 (1.6%) had rib fracture, 1 (0.2%) had clavicle fracture, 1 (0.2%) had COPD, 1 (0.2%) had pleural effusion and 1 (0.2%) had lung collapse. Of 500 cases studied, 406 (81.2%) had Well’s score between 0‐1‐94 (18.8%) had Well’s score between 2‐3. Of 500 cases studied, 462 (92.4%) had AUTAR’s score less than or equal to 10‐34 (6.8%) had AUTAR’s score between 11‐14 and 4 (0.8%) had AUTAR’s score more than or equal to 15. The distribution of colour Doppler findings differs significantly across two groups of Well’s score (p<0.001). Significantly higher proportion of cases with Well’s score between 0‐1 had normal colour doppler and significantly higher proportion of cases with Well’s score between 2‐3 had DVT on colour Doppler (p<0.001). DVT is a serious and critical clinical condition that causes severe morbidity and mortality which could be prevented. It is evident that early prediction of DVT can be done by using the Well’s score, and hence, early preventive measures can be taken to avoid the occurrence of DVT and its related complications. Well’s criteria, autar deep risk assessment scale, deep vein thrombosis, mortality, surgical patients.
How to cite this article:
Ashutosh Kumar and M. Manjusha Litake. Comparative Evaluation of Well Score and Autar DVT Risk Assessment Scale to Predict the Risk of
DVT in Surgical Patients.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.53.57
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.53.57