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Pulmonary Embolism Severity Index
Jul 9, 2012
•
Mark Morgan
categories:
Pulmonology
This decision tool calculates the 30-day mortality for patients diagnosed with Pulmonary Embolism.
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<-- Age
Female (0 points)
Male (10 points)
<-- Gender
Comorbid conditions
Not present (0 points)
Present (30 points)
<-- Cancer
Not present (0 points)
Present (10 points)
<-- Heart failure
Not present (0 points)
Present (10 points)
<-- Chronic Lung Disease
Clinical findings
110/min or less (0 points)
Greater than 110/min (20 points)
<-- Pulse
100 mm Hg or more (0 points)
Less than 100 mm Hg (30 points)
<-- Systolic Blood Pressure
30/min or less (0 points)
More than 30/min (20 points)
<-- Respiratory Rate
36 degrees C or more (0 points)
Less than 36 degrees C (20 points)
<-- Temperature
Not present (0 points)
Present (60 points)
<-- Altered Mental Status (disorientation, lethargy, stupor, or coma)
90% or more with or without supplemental oxygen (0 points)
Less than 90% with and without supplemental oxygen (20 points)
<-- Arterial Oxygen Saturation
Score -->
Score
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)+(Q9)+(Q10)+(Q11)
points
Interpretation -->
Interpretation
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)+(Q9)+(Q10)+(Q11);score>125?'Class V, very high risk (10.0–24.5% 30-day mortality)':score>105?'Class IV, high risk (4.0–11.4% 30-day mortality)':score>85?'Class III, intermediate risk (3.2–7.1% 30-day mortality)':score>65?'Class II, low risk (1.7–3.5% 30-day mortality)':'Class I, very low risk (0–1.6% 30-day mortality)'
display/hide references
reference:
#1
Aujesky (2005)Am. J. Respir. Crit. Care Med. 172:1041-46
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