Table 2.

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 — 
Male sex +10 points   
Blood pressure +30 points Yes/No* 
Heart rate +20 points  
Respiratory rate +20 points   
Oxygen saturation +20 points 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  
Heart failure +10 points  
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 — 
Male sex +10 points   
Blood pressure +30 points Yes/No* 
Heart rate +20 points  
Respiratory rate +20 points   
Oxygen saturation +20 points 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  
Heart failure +10 points  
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.

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