AMUSE score

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Overview

The AMUSE score includes clinical variables in addition to the results of a qualitative D-dimer test to evaluate the need to proceed with ultrasonography among patients with suspected DVT. The study of the AMUSE score was designed for the primary care setting.

AMUSE Score

The AMUSE score includes clinical variables in addition to the results of a qualitative D-dimer test to evaluate the need to proceed with ultrasonography among patients with suspected DVT. The study of the AMUSE score was designed for the primary care setting.[1]

AMUSE Score Calculator

Shown below is the calculator for AMUSE score (check all the boxes that apply):

AMUSE Score Calculator
Variable Score
Elevated D-dimer concentration 6
Discrepancy of ≥ 3 cm in calf circumference 2
Collateral leg veins distention 1
Hormonal contraceptive intake 1
Absence of leg trauma 1
Surgery in the previous 1 month 1
Active malignancy in the previous 6 months 1
Male 1
AMUSE Score:
Interpretation:

Interpretation

The interpretation of the score is as follows:

Limitations of the AMUSE Score

The study of the AMUSE score was not randomized. In addition, the follow up for the detection of missed thrombotic disease was based on clinical evaluation. Moreover, the design of the study that investigated the AMUSE score targeted the primary care setting.

References

  1. Büller HR, Ten Cate-Hoek AJ, Hoes AW, Joore MA, Moons KG, Oudega R; et al. (2009). "Safely ruling out deep venous thrombosis in primary care". Ann Intern Med. 150 (4): 229–35. PMID 19221374.