four_level_pulmonary_embolism_clinical_probability_score v.1
An assessment score used to rule out Pulmonary embolism (PE) based on clinical criteria.
To calculate the 4-PEPS total score used to rule out pulmonary embolism based on clinical criteria and optimized D-dimer measurement to safely decrease imaging testing for suspected Pulmonary embolism cases.
To be used by Emergency physicians to rule out Pulmonary embolism without using unnecessary imaging. Instructions: The timing of vital sign values was not formally assessed by this study; using clinician judgment to assess which vital sign should be used for the 4PEPS score is recommended. it comprises 12 criteria, each criterion has a score from -2 to +5. total score assessment: - if the 4PEPS<0, PE is ruled out - if 4PEPS is from 0 to 5, PE can be ruled out if D-dimer level <1.0 mcg/ml - if 4PEPS is from 6 to 12, PE can be ruled out if D-dimer level <0.5 mcg/ml OR <(age x 0.01) mcg/ml - if 4PEPS score >or= 13, PE cannot be ruled out without imaging testing.
Not to used outside of the Emergency Department settings.
Roy PM, Friou E, Germeau B, Douillet D, Kline JA, Righini M, Le Gal G, Moumneh T, Penaloza A. Derivation and Validation of a 4-Level Clinical Pretest Probability Score for Suspected Pulmonary Embolism to Safely Decrease Imaging Testing. JAMA Cardiol. 2021 Jun 1;6(6):669-677. doi: 10.1001/jamacardio.2021.0064. PMID: 33656522; PMCID: PMC7931139.
OBSERVATION.four_level_pulmonary_embolism_clinical_probability.v0, EVALUATION.four_level_pulmonary_embolism_clinical_probability_assessment.v0
