Clinical models for stratification of patients with acute pulmonary embolism according to the risk for short-term death
. | PESI17 . | sPESI 201018 . | Hestia19 . |
---|---|---|---|
Age | Age in y | 1 | — |
Male sex | +10 points | — | — |
Blood pressure | +30 points | 1 | Yes/No* |
Heart rate | +20 points | 1 | — |
Respiratory rate | +20 points | — | — |
Oxygen saturation | +20 points | 1 | Yes/No |
Temperature <36°C | +20 points | — | — |
Altered mental status | +60 points | — | — |
Need for thrombolysis/embolectomy | — | — | Yes/No |
Severe pain | — | — | Yes/No |
Cancer | +30 points | 1 | — |
Heart failure | +10 points | 1 | — |
COPD | +10 points | — | |
Renal failure | — | — | Yes/No |
Liver impairment | — | — | Yes/No |
Pregnancy | — | — | Yes/No |
Medical or social issues | — | — | Yes/No |
Active bleeding/high risk | — | — | Yes/No |
PE during anticoagulation | — | — | Yes/No |
History of HIT | — | — | Yes/No |
. | PESI17 . | sPESI 201018 . | Hestia19 . |
---|---|---|---|
Age | Age in y | 1 | — |
Male sex | +10 points | — | — |
Blood pressure | +30 points | 1 | Yes/No* |
Heart rate | +20 points | 1 | — |
Respiratory rate | +20 points | — | — |
Oxygen saturation | +20 points | 1 | Yes/No |
Temperature <36°C | +20 points | — | — |
Altered mental status | +60 points | — | — |
Need for thrombolysis/embolectomy | — | — | Yes/No |
Severe pain | — | — | Yes/No |
Cancer | +30 points | 1 | — |
Heart failure | +10 points | 1 | — |
COPD | +10 points | — | |
Renal failure | — | — | Yes/No |
Liver impairment | — | — | Yes/No |
Pregnancy | — | — | Yes/No |
Medical or social issues | — | — | Yes/No |
Active bleeding/high risk | — | — | Yes/No |
PE during anticoagulation | — | — | Yes/No |
History of HIT | — | — | Yes/No |
COPD, chronic obstructive pulmonary disease; HIT, heparin-induced thrombocytopenia; PE, pulmonary embolism.
— indicates item not included in the score/model.
No absolute cut-off value for blood pressure, but presence/absence of hemodynamic instability.