Clinical Factors in the Diagnosis of Deep Venous Thrombosis (DVT)
Local signs and clinical factors were recorded in 160 patients (177 limbs) with clinically suspected DVT studied with venography. Thrombi were present in 96 limbs. A multivariate analysis was performed on the data: extension of signs proximal to the knee, deep calf induration at the site of tenderness, hypotension, patient’s group (medical or surgical), and obvious cause of signs other than DVT were significant. Thigh tendernessthigh oedema, calf tenderness, ankle oedema, malignancy, Homan’s sign, chest infection and cardia failure were not significant. Using the significant factors a multiple regression equation was calculated. From this equation the probability of DVT could be obtained for any patient. In 20% of patients the probability of DVT was very small (<10%) and in 16% of patients it was very high (>90%) enabling the clinician to decide about the method of further investigation.