Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm

    Disease

    Select...

    Specialty

    Select...

    Chief Complaint

    Select...

    Organ System

    Select...

    Patent Pending

    Log In

    Show
    Forgot your password?
    Log In
    Or create a new account (it's free)

    Forgot Password?

    Enter your email address and we'll send you a link to reset your password.

    Get New Password

    Sign In Required

    To save favorites, you must log in.

    Creating an account is free, easy, and takes about 60 seconds.

    Already have an MDCalc account?

    Login to link your favorites and recently used calcs

    Show
    Forgot your password?
    Log In
    Or continue to Nuance

    Attention COACH STUDY participants:

    The principal investigators of the study request that you use the official version of the modified score here.

    Hestia Criteria for Outpatient Pulmonary Embolism Treatment

    Identifies low-risk PE patients safe for outpatient treatment.

    INSTRUCTIONS

    Use in hemodynamically stable patients with acute pulmonary embolism (PE).

    When to Use
    Pearls/Pitfalls
    Why Use

    Hemodynamically stable patients with acute PE.

    • Acute PE is associated with potentially life-threatening complications in the short term; therefore, careful risk stratification must be used when attempting to identify candidates for outpatient management.
    • Not all patients deemed low-risk will have acute life threatening complications, and not all necessitate inpatient management. This tool only helps identify those who are low risk, and does not necessarily predict those who are high risk.
    • Safely triages patients for outpatient management.
    • Easily applied in a clinical setting at the bedside.
    • Associated with decreased length of stay and lower costs.
    • Associated with fewer in-hospital complications.
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1

    Result:

    Please fill out required fields.

    Next Steps
    Evidence
    Creator Insights
    Dr. Menno Huisman

    About the Creator

    Menno Huisman, MD, PhD, FESC, is a professor of medicine in the department of medicine - thrombosis and hemostasis at Leiden University Medical Center in The Netherlands. He is an internist with specialty in cardiovascular medicine. Dr. Huisman’s primary research is focused on the clinical diagnosis and treatment of venous and arterial thromboembolic disorders.

    To view Dr. Menno Huisman's publications, visit PubMed

    Are you Dr. Menno Huisman? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    Content Contributors
    • Daniel McFarland, MD
    About the Creator
    Dr. Menno Huisman
    Are you Dr. Menno Huisman?
    Content Contributors
    • Daniel McFarland, MD