Indications
1. Predicts 30 day mortality from Pulmonary Embolism
2. Risk stratify management
  1. Thrombolytic treatment of Massive Pulmonary Embolism (class 4-5)
  2. Outpatient management for low risk Pulmonary Embolism (class 1)
Criteria
1. Score 1/y: Age
2. Score 10: Male gender
3. Score 30: Cancer - active or past history
4. Score 10: Heart Failure
5. Score 10: Chronic lung disease
6. Score 20: Heart Rate >110 bpm
7. Score 30: Systolic Blood Pressure <100 mmHg
8. Score 20: Respiratory Rate >30 bpm
9. Score 20: Temperature <36 C
10. Score 60: Altered Mental Status
11. Score 20: Oxygen Saturation <90%
Interpretation: Mortality at 30 days
1. Score <66: Class 1 - Very low mortality risk (0 to 1.6%)
2. Score <86: Class 2 - Low mortality risk (1.7 to 3.5%)
3. Score <106: Class 3 - Moderate mortality risk (3.2 to 7.1%)
4. Score <126: Class 4 - High mortality risk (4.0 to 11.4%)
5. Score >126: Class 5 - Very high mortality risk (10.0 to 24.5%)
References
1. Aujesky (2005) Am J Respir Crit Care Med 172(8): 1041

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 7/10/2012 and last published on 5/14/2013.

This is one of 5887 pages in the Family Practice Notebook