Pulmonology Book

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Bova Score

Aka: Bova Score
  1. See Also
    1. Pulmonary Embolism Severity Index (PESI)
    2. sPESI
    3. Hestia Criteria
    4. Pulmonary Embolism
    5. Pulmonary Embolism Management
    6. Pulmonary Embolism Anticoagulation
  2. Indications
    1. Pulmonary Embolism risk stratification in hemodynamically stable patients and their predicted complications
  3. Criteria
    1. Score 2: Systolic Blood Pressure 90-100 mmHg
    2. Score 2: Elevated cardiac Troponin
    3. Score 2: Right Ventricular Dysfunction
      1. Right Ventricle to Left Ventricle ratio >0.9
      2. Systolic pulmonary artery pressure >30 mmHg
      3. Right ventricular free wall hypokinesis
      4. Right ventricular dilatation (e.g. D-Sign)
    4. Score 1: Heart Rate >=110 bmp
  4. Interpretation
    1. Stage 1: Bova Score 0-2 (low risk)
      1. Mortality at 30 days: 3.1%
      2. PE Related Complications: 4.4%
    2. Stage 2: Bova Score 2-4 (intermediate risk)
      1. Mortality at 30 days: 6.8%
      2. PE Related Complications: 18%
    3. Stage 3: Bova Score >4 (high risk)
      1. Mortality at 30 days: 10%
      2. PE Related Complications: 42%
  5. References
    1. Bova (2014) Eur Respir J 44:694-703 [PubMed]

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