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Hestia Criteria for Outpatient Pulmonary Embolism Treatment

Hemodynamically Unstable
sBP <100 mmHg and HR >100, needing ICU care, or by clinician judgment
No 0
Yes 1
Thrombolysis or embolectomy needed
For reasons other than hemodynamic instability
No 0
Yes 1
Active bleeding or high risk for bleeding
GI bleeding or surgery ≤2 weeks ago, stroke ≤1 month ago, bleeding disorder or platelet count <75*10⁹/L, uncontrolled HTN (sBP >180 or dBP >110), or by clinician judgment
No 0
Yes 1
>24 hrs on supplemental oxygen required to maintain SaO₂ >90%
No 0
Yes 1
PE diagnosed while on anticoagulation
No 0
Yes 1
Severe pain needing IV pain medication required >24 hr
No 0
Yes 1
Medical or social reason for admission >24 hr (infection, malignancy, no support system)
No 0
Yes 1
Creatinine clearance <30 mL/min by Cockcroft-Gault
No 0
Yes 1
Severe Liver Impairment
By clinician judgment
No 0
Yes 1
Pregnant
No 0
Yes 1
Documented history of heparin-induced thrombocytopenia
No 0
Yes 1
Result:

Background

Result Interpretation

Ranges Ranges