Perbedaan Akurasi Skor Wells dengan Skor Caprini dalam Diagnosis Deep Vein Trombosis

Abstract

Introduction : Deep Vein Thrombosis (DVT) is a thrombus in lower extremity vein. Diagnosis is done by using venography or USG Compression. However, this examination is not available in all health facility. Thus, there are many scoring system developed for diagnosing DVT. This scoring method is practical and safe beside efficacy, and effectiveness in term of treatment and cost. Example of scoring system available are Wells score and Caprini score. Many Research on evaluating accuracy from different scoring systems have been carried out; however not in Medan. Due to this reason, we are interested in evaluating the accuracy from different scoring system with the popular generation in Medan. Method: This research is tested for a diagnostic test towards scoring system in predicting DVT risks which is done as observational and analytic. Research has been carried out in H. Adam Malik Hospital located in Medan city. Result: 72 subjects consisting of Male, 39 people (54,2%) in age range 53,24 years old has been obtained. Wells score 2::3 have sensitivity, specifity and accuracy continuously 80,6%, 80,6% and 87,5%, meanwhile Caprini score 2::5 sensitivity, specifity and accuracy continuously 66,7%, 61,1% and 64,3%. Conclusion: Wells score have higher accuracy than Caprini score