Exam

Bova Score

search

Bova Score

  • See Also
  1. Pulmonary Embolism Severity Index (PESI)
  2. sPESI
  3. Hestia Criteria
  4. Pulmonary Embolism
  5. Pulmonary Embolism Management
  6. Pulmonary Embolism Anticoagulation
  • Indications
  1. Pulmonary Embolism risk stratification in hemodynamically stable patients and their predicted complications
  • 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
  • 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%
  • References
  1. Bova (2014) Eur Respir J 44:694-703 [PubMed]