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PE Risk Calculator

Well's Criteria. Contributed by Dr. David Page.

HTML icon PERisk.html — HTML, 10 kB (11184 bytes)

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<html>
<title>PE</title>
<head>

<style type="text/css">
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tr.odd{
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}
tr.even{
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td.question{
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	text-align: left;
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td.answer{
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td.normaltext{
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	text-align: left;
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	color: black;
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input.formtext{
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textarea.formtext{
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</style>

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<script type="text/javascript" language="javascript">
function getCheckedValue(radioObj) {

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	return parseInt(0);
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function totalScore(){
	var i = 0;

	i += getCheckedValue(document.FormName.Q1);
	i += getCheckedValue(document.FormName.Q2);
	i += getCheckedValue(document.FormName.Q3);
	i += getCheckedValue(document.FormName.Q4);
	i += getCheckedValue(document.FormName.Q5);
	i += getCheckedValue(document.FormName.Q6);
	i += getCheckedValue(document.FormName.Q7);
	


	document.FormName.Score.value = i;
	
               if (i<4){
		document.getElementById("low").style.background='green';
		document.getElementById("moderate").style.background='white';
                document.getElementById("high").style.background='white';
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</head>

<body>
<form method="post" action="" name="FormName">

<p class="title">
	Well's Criteria for assessment of Pretestest Probability for Pulmonary Embolism
</p>


<div name="demographics">
<table width="700">
	<tr>
		<td class="heading1" width=25%>Patient name</td>
		<td class="formtext"><input class="formtext" name="PatientName" type="text" oscarDB=patient_name>
	</tr>
	<tr>
		<td class="heading1">Date:</td>
		<td class="formtext"><input class="formtext" name="TodaysDate" type="text" oscarDB=today>
	</tr>
        <tr>
		<td class="heading1">Patients age:</td>
		<td class="formtext"><input class="formtext" name="Age" type="text" oscarDB=age>
	</tr>
</table>
</div>

<br>

<div name="Questionnaire">
<table width="700">
         <tr>
		<td class="QuestionHeading" width=60%>Criteria</u>:</td>
	        <td class="AnswerHeading" width=20%>Yes</td>
                <td class="AnswerHeading" width=20%>No</td>
		 
		
	</tr>

	
       
        <tr class="even">
		<td class="question"><p class="normal">Suspected DVT </p></td>
		
                <td class="answer"><input type="radio" name="Q1" value="6"></td>
                <td class="answer"><input type="radio" name="Q1" value="0"></td>
		
	</tr>
   

	<tr class="even">
		<td class="question"><p class="normal">An alternative diagnosis is less likely than PE</p></td>
		<td class="answer"><input type="radio" name="Q2" value="6"></td>
		<td class="answer"><input type="radio" name="Q2" value="0"></td>
	</tr>

      

	<tr class="even">
		<td class="question"><p class="normal">Heart rate >100 beats per minute</p></td>
		<td class="answer"><input type="radio" name="Q3" value="3"></td>
		<td class="answer"><input type="radio" name="Q3" value="0"></td>
	</tr>
        

	<tr class="even">
		<td class="question"><p class="normal">Immobilization or surgery in the previous four weeks</p></td>
		<td class="answer"><input type="radio" name="Q4" value="3"></td>
		<td class="answer"><input type="radio" name="Q4" value="0"></td>
	</tr>

        <tr class="even">
		<td class="question"><p class="normal">Previuos DVT or PE</p></td>
		<td class="answer"><input type="radio" name="Q5" value="3"></td>
		<td class="answer"><input type="radio" name="Q5" value="0"></td>
	</tr>
        
        
         
        <tr class="even">
		<td class="question"><p class="normal">Hemoptysis</p></td>
		<td class="answer"><input type="radio" name="Q6" value="2"></td>
		<td class="answer"><input type="radio" name="Q6" value="0"></td>
	</tr>
	
           <tr class="even">
		<td class="question"><p class="normal">Malignancy (on treatment, treated in the past six months or palliative).</p></td>
		<td class="answer"><input type="radio" name="Q7" value="2"></td>
		<td class="answer"><input type="radio" name="Q7" value="0"></td>
	</tr>
	


</table>
<br>
<table width="700">
<tr>
	<td><input type="button" onclick="totalScore()" value="Score:"></td>
	<td><input type="text" name="Score" size="10" value=""></td>
</tr>
</table>

</div>


<br>
<br>



<div name="Application" class="DoNotPrint">

<table width="700">
         <tr>
		<td class="QuestionHeading" width=20%>Score range</u>:</td>
		<td class="AnswerHeading" width=20%>Mean probability of PE,%</td>
                <td class="AnswerHeading" width=20%>% with this score</td>
		<td class="AnswerHeading" width=20%>Interpretation of risk</td> 
		
	</tr>

<tr id = "low">
	<td class="even" colspan="1"><4 points</td>
        <td class="even" colspan="1">3.6</td>
        <td class="even" colspan="1">40%</td>
        <td class="even" colspan="1">Low</td>
</tr>
<tr id="moderate">
	
	<td class="even" colspan="1">4 to 12 points</td>
        <td class="even" colspan="1">20.5</td>
        <td class="even" colspan="1">53%</td>
        <td class="even" colspan="1">Moderate</td>
</tr>
<tr id="high">
	
	<td class="even" colspan="1"> >12 points</td>
        <td class="even" colspan="1">66.7</td>
        <td class="even" colspan="1">7%</td>
        <td class="even" colspan="1">High</td>
</tr>


</table>

<br>
<br>



</div>
<div name="Recommendation" class="DoNotPrint">
<table width="700">

<tr>
	<td class="heading1" colspan="2">Recommendations:</td>
</tr>

<tr id = "low1">
	
	<td>Low Pretest Probability for PE: Do D-Dimer and if negative can be used to exclude PE.</td>
</tr>

<tr id = "moderate1" >
	
	<td>Moderate Probability for PE: Do D-Dimer. If positive go onto further imaging. If negative consider going onto imaging (Spiral CT or CT Pulmonary Angio).</td>
</tr>

<tr id = "high1" >
	
	<td>High Probability for PE: Do D-Dimer and regardless of result needs CT Pulmonary Angio (87% sensitive). If both are negative, consider bilateral leg dopplers.</td>
</tr>


</table>

</div>


<br>
<br>

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</form>
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</body>
</html>

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