Hestia Criteria Calculator

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Hestia Criteria

Clinical Decision Tool

Identifies exclusion criteria for outpatient treatment of confirmed acute pulmonary embolism.

Haemodynamically unstable

No 0 Yes +1

Thrombolysis or embolectomy required

No 0 Yes +1

Active bleeding or high bleeding risk

No 0 Yes +1

Requires oxygen for >24 hours to maintain saturation >90%

No 0 Yes +1

Pulmonary embolism diagnosed during therapeutic anticoagulation

No 0 Yes +1

Severe pain requiring intravenous analgesia for >24 hours

No 0 Yes +1

Medical or social reason for hospital treatment >24 hours

No 0 Yes +1

Creatinine clearance <30 mL/min

No 0 Yes +1

Severe liver impairment

No 0 Yes +1

Pregnant

No 0 Yes +1

Documented history of heparin-induced thrombocytopenia

No 0 Yes +1

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