Simplified_PESI v.1
Simplified PESI (Pulmonary Embolism Severity Index) predicts 30-day outcome of patients with PE (Pulmonary Embolism)
Once a diagnosis of Pulmonary Embolism has been made, the Simplified PESI score can risk stratify patients between those at high risk and requiring inpatient admission and those with low risk who may be managed as an outpatient
There are 6 criteria considered with 2 variables to do with history (of cancer and cardiopulmonary disease) and other demographics including age, heart rate, systolic blood pressure and oxygen saturation If there is 1 or more criteria selected, the patient should be considered high risk. Management Low risk of mortality (1.1%) or severe morbidity (1.5%) for a score of 0 Consider outpatient management of PE if clinically appropriate and social factors allow for it. High risk of mortality (8.9%) or severe morbidity (2.7%) for a score of ≥ 1 Consider inpatient management and higher levels of care if clinically appropriate.
Do not use alone without sound clinical judgement and only for risk stratification once a diagnosis has been made.
Ref. 1: Jiménez D, Aujesky D, Moores L, Gómez V, Lobo JL, Uresandi F, Otero R, Monreal M, Muriel A, Yusen RD; RIETE Investigators. Simplification of the pulmonary embolism severity index for prognostication in patients with acute symptomatic pulmonary embolism. Arch Intern Med. 2010 Aug 9;170(15):1383-9. PubMed PMID:20696966.
OBSERVATION.basic_demographic.v1, OBSERVATION.blood_pressure.v2, OBSERVATION.lab_test-blood_gases.v1, OBSERVATION.simplified_pesi.v1, OBSERVATION.pulse.v2, EVALUATION.simplified_pesi_assessment.v1
