Table 3.

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

Hestia criteriaScorePESI criteriaScoresPESI criteriaScore
Patient haemodynamically stableYes/noAgeAge in yearsAge >80 years1
Thrombolysis or embolectomy necessaryYes/noMale10
Active bleeding or high bleeding riskYes/noCancer30Cancer1
>24 hours of oxygen to maintain saturations >90%Yes/noHeart failure10Chronic cardiopulmonary disease1
PE diagnoses during anticoagulationYes/noChronic lung disease10
Severe pain requiring intravenous analgesiaYes/noPulse ≥110 beats/minute20Pulse ≥110 beats/minute1
Medical or social reason for treatment in hospitalYes/noSystolic blood pressure <100 mmHg30Systolic blood pressure <100 mmHg1
Creatinine clearance <30 mL/minuteYes/noRespiratory rate ≥30 breaths/minute20
Severe liver impairmentYes/noTemperature <36°C20
Is the patient pregnantYes/noAltered mental status60
History of heparin-induced thrombocytopeniaYes/noArterial blood oxygen saturation <90%a20Arterial blood oxygen saturation <90%a1
Score riskScore riskScore risk
LowAll ‘no’I: Very low≤65Low0
II: Low66-85
III: Intermediate86-105
IV: High106-125
HighAny ‘yes’V: Very high≥126High≥1
  • aWith or without the administration of supplemental oxygen; PESI = pulmonary embolism severity score; sPESI = simplified pulmonary embolism severity score.