Table 3.

Clinical risk assessment tools to determine the suitability to manage a pulmonary embolism patient as an outpatient

Hestia criteria	Score	PESI criteria	Score	sPESI criteria	Score
Patient haemodynamically stable	Yes/no	Age	Age in years	Age >80 years	1
Thrombolysis or embolectomy necessary	Yes/no	Male	10
Active bleeding or high bleeding risk	Yes/no	Cancer	30	Cancer	1
>24 hours of oxygen to maintain saturations >90%	Yes/no	Heart failure	10	Chronic cardiopulmonary disease	1
PE diagnoses during anticoagulation	Yes/no	Chronic lung disease	10
Severe pain requiring intravenous analgesia	Yes/no	Pulse ≥110 beats/minute	20	Pulse ≥110 beats/minute	1
Medical or social reason for treatment in hospital	Yes/no	Systolic blood pressure <100 mmHg	30	Systolic blood pressure <100 mmHg	1
Creatinine clearance <30 mL/minute	Yes/no	Respiratory rate ≥30 breaths/minute	20
Severe liver impairment	Yes/no	Temperature <36°C	20
Is the patient pregnant	Yes/no	Altered mental status	60
History of heparin-induced thrombocytopenia	Yes/no	Arterial blood oxygen saturation <90%^a	20	Arterial blood oxygen saturation <90%^a	1
Score risk		Score risk		Score risk
Low	All ‘no’	I: Very low	≤65	Low	0
		II: Low	66-85
		III: Intermediate	86-105
		IV: High	106-125
High	Any ‘yes’	V: Very high	≥126	High	≥1

↵^aWith or without the administration of supplemental oxygen; PESI = pulmonary embolism severity score; sPESI = simplified pulmonary embolism severity score.