Original and Simplified Pulmonary Embolism Severity Indices
Parameter | PESI | Simplified PESI |
---|---|---|
Age | Age in years | 1 point if age > 80 years |
Male sex | +10 points | — |
Cancer | +30 points | 1 point |
Chronic heart failure | +10 points | 1 point |
Chronic pulmonary disease | +10 points | |
Pulse rate ≥110 BPM | +10 points | 1 point |
Systolic blood pressure < 100 mm Hg | +30 points | 1 point |
Respiratory rate > 30 breaths per minute | +20 points | — |
Temperature < 36° C | +20 points | — |
Altered mental status | +60 points | — |
Arterial oxyhemoglobin saturation 90% | +60 points | 1 point |
Estimated 30-day Mortality | ||
Adapted from Konstantinides SV, Meyer G, et al, 2019. | Class I, ≤ 65 points: • Very low risk: 0-1.6% Class II, 66-85 points: • Low risk: 1.7-3.5% Class III, 86-105 points • Moderate risk: 3.2-7.1% Class IV: 106-125 points: • High risk: 4.0-11.4% Class V: >125 points • Very high risk: 10.0-24.5% | 0 points: 1.0% ≥1 point(s): 10.9% |
PESI, Pulmonary Embolism Severity Index.