Pulmonary Embolism Severity Index (PESI)
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Indications
- predicts 30-day outcome of patients with pulmonary embolism
Procedure
- 11 clinical criteria
- age
- gender (male > female)
- history of cancer
- history of heart failure
- history of chronic lung disease
- heart rate >= 110/min
- systolic BP < 100 mm Hg
- respiratory rate > 30/min
- temperature < 36 C
- altered mental status (disorientation, lethargy, stupor, or coma)
- simplified clinical criteria[1]
- age
- cancer
- chronic cardiopulmonary disease
- heart rate
- systolic blood pressure
- SaO2
Interpretation
- a score using 11 clinical criteria
- < 65 low risk
- 85-105 intermediate risk
- 106-125 high risk
- > 125 very high risk
Notes
- all factors positive
- altered mental status, history of cancer & systolic BP < 100 mm Hg strongest predictors
More general terms
References
- ↑ 1.0 1.1 Jimenez D, Aujesky D, Moores L et al Simplification of the Pulmonary Embolism Severity Index for Prognostication in Patients With Acute Symptomatic Pulmonary Embolism. Arch Intern Med. 2010;170(15):1383-1389 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20696966 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/775646
- ↑ Aujesky D Pulmonary Embolism Severity Index (PESI) https://www.mdcalc.com/pulmonary-embolism-severity-index-pesi