Pulmonology · Emergency Medicine
Hestia Criteria calculator
Enter the published formula inputs below to calculate and interpret this score.
Clinical inputs
Result
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0
No Hestia exclusion criterion
Band: No Hestia exclusion criterion
Interpretation. No Hestia exclusion criterion
Suggested management. Outpatient treatment may be considered if clinical judgment and local arrangements support it.
Hestia Criteria: 0 — No Hestia exclusion criterion. Interpretation: No Hestia exclusion criterion What to do: Outpatient treatment may be considered if clinical judgment and local arrangements support it. Inputs: Hemodynamically unstable: false; Thrombolysis or embolectomy necessary: false; Active bleeding or high bleeding risk: false; Needs oxygen for >24 hours to maintain saturation >90%: false; Pulmonary embolism diagnosed during anticoagulant treatment: false; Severe pain requiring IV analgesia for >24 hours: false; Medical or social reason for hospital admission >24 hours: false; Creatinine clearance <30 mL/min: false; Severe liver impairment: false; Pregnant: false; Documented history of heparin-induced thrombocytopenia: false Source: Zondag W et al. Outpatient treatment in patients with acute pulmonary embolism: the Hestia Study. J Thromb Haemost (2011)
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Clinical inputs
- Hemodynamically unstable
- Thrombolysis or embolectomy necessary
- Active bleeding or high bleeding risk
- Needs oxygen for >24 hours to maintain saturation >90%
- Pulmonary embolism diagnosed during anticoagulant treatment
- Severe pain requiring IV analgesia for >24 hours
- Medical or social reason for hospital admission >24 hours
- Creatinine clearance <30 mL/min
- Severe liver impairment
- Pregnant
- Documented history of heparin-induced thrombocytopenia
Primary source
Zondag W et al. Outpatient treatment in patients with acute pulmonary embolism: the Hestia Study. J Thromb Haemost (2011)
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