Clinical Assessment for Deep Vein Thrombosis in Asymptomatic Indoor Orthopaedic Patients

Deep vein thrombosis is a major cause of morbidity and mortality in bedridden patients undergoing major orthopaedic trauma and surgeries. Clinical diagnostic decision making of deep vein thrombosis in these patients is difficult and diagnostic radiological study is many a times needed. The clinical diagnosis of deep vein thrombosis though difficult in asymptomatic patients, is made easier and effective by Wells diagnostic scoring system and morbidity and mortality due to DVT is drastically reduced in bed ridded trauma patients by this system. Cost effectiveness is also improved by this method in Indian scenario by alleviating the need for radiological diagnostic study in every patient. The aim of this study is to assess the validity of Wells diagnostic score and to stratify the risk as of developing deep vein thrombosis as per invididual risk scores.