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Hestia Criteria
Aka: Hestia Criteria, Hestia Score
- See Also
- Pulmonary Embolism
- Pulmonary Embolism Management
- Pulmonary Embolism Anticoagulation
- Hestia Criteria
- Pulmonary Embolism Severity Index (PESI)
- Indications
- Non-massive Pulmonary Embolism risk stratification for outpatient management
- 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
- Interpretation
- All Hestia Criteria negative
- Home management of Pulmonary Embolism is reasonable
- References
- Zondog (2011) J Thromb Haemost 9(8): 1500-7 +PMID:21645235 [PubMed]