II. Indications
- Non-massive Pulmonary Embolism risk stratification for outpatient management
III. Criteria: All must be absent for a negative Hestia result
- Systolic Blood Pressure <100 mmHg (without a history of baseline Hypotension)
- Contraindications to Heparin or Low-Molecular Weight Heparin (or other Factor Xa Inhibitor)
- Active bleeding
- Post-operative High Risk Surgery
- Creatinine Clearance <30 ml/min
- History of Heparin Induced Thrombocytopenia
- Warfarin skin necrosis
- Other medical conditions requiring hospital management
- Social condition requiring hospitalization (e.g. homeless, non-compliance, Psychosis, Chemical Dependency)
- Coagulopathy (INR>1.7)
- Thrombocytopenia (Platelet Count <50,000)
- Pregnancy
- Incarceration
IV. Interpretation
- All Hestia Criteria negative
- Home management of Pulmonary Embolism is reasonable