Criterion | PESI | sPESI |
---|---|---|
Lähteet:
1 Aujesky D, Obrosky DS, Stone RA ym. Derivation and validation of a prognostic model for pulmonary embolism. Am J Respir Crit Care Med 2005;172(8):1041-6. [PubMed]
2 Jiménez D, Aujesky D, Moores L ym. Simplification of the pulmonary embolism severity index for prognostication in patients with acute symptomatic pulmonary embolism. Arch Intern Med 2010;170(15):1383-9. [PubMed]
| ||
Age | 1 per year of age | >80 years of age = 1 |
Male sex | 10 | |
Malignancy | 30 | 1 |
Heart failure | 10 | 1 |
Lung disease | 10 | |
Heart rate HASH(0x2f82cc8) 110/min | 20 | 1 |
Systolic blood pressure < 100 mmHg | 30 | 1 |
Respiratory rate HASH(0x2f82cc8) 30/min | 20 | |
Body temperature < 36°C | 20 | |
Lowered level of consciousness, confusion | 60 | |
Oxygen saturation < 90% with indoor air | 20 | 1 |
Interpretation | ||
PESI score | Class | 30-day risk of death |
<65 points | I: Very low risk | 0-1.6 % |
66-85 points | II: Low risk | 1.7-3.5 % |
86-105 points | III: Moderate risk | 3.2-7.5 % |
106-125 points | IV: High risk | 4.0-11.4 % |
>125 points | V: Very high risk | 10.0-24.5 % |
sPESI score | ||
0 points | Low mortality risk | 1.1 % |
HASH(0x2f82cc8) point or more | High mortality risk | 8.9 % |
Variable | Score |
---|---|
Source: Wells PS, Anderson DR, Rodger M, et al. Derivation of a simple clinical model to categorize patients' probability of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer. Thromb Haemost 2000;83:416-420 [PubMed] | |
Symptoms of DVT and related findings | 3.0 |
Other diagnoses less likely than PE | 3.0 |
Heart rate >100 per min | 1.5 |
Immobilisation or surgery in the last 4 weeks | 1.5 |
Previous DVT/PE | 1.5 |
Haemoptysis | 1.0 |
Cancer (treatment ongoing, within 6 months or palliative) | 1.0 |
Clinical probability of PE | Sum |
Low (probability 10%) | <2.0 |
Moderate (probability 30%) | 2.0-6.0 |
High (probability 65%) | >6.0 |